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Showing results for "incidents".

461. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
     January 01, 2024 - Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network AHRQ Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Resea…

462. Articles and Publications, 2010 | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/factsheets/children/publications/2010.html
     October 01, 2014 - Articles and Publications, 2010 AHRQ-Supported Research on Child and Adolescent Health These articles and publications publicize knowledge about significant findings resulting from AHRQ-supported intramural and extramural research focusing on improving the quality, safety, efficiency, and effectiveness of hea…

463. Sustaining Pressure Ulcer Prevention Practices at Your Hospital (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
     April 01, 2011 - Sustaining Pressure Ulcer Prevention Practices at Your Hospital Sustaining Pressure Ulcer Prevention Practices at Your Hospital Presented by Dan Berlowitz, M.D., M.P.H. Bedford VA Medical Center Boston University School of Public Health 2 Welcome! Thank you for joining this webinar about how to sustain pr…

464. The Timeline to Diagnostic Safety SIDM -Research as a Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
     January 01, 2017 - The Timeline to Diagnostic Safety SIDM -Research as a Priority The Timeline to Diagnostic Safety SIDM - Research as a Priority Mark L Graber MD FACP Senior Fellow – RTI International Professor Emeritus - SUNY Stony Brook Founder and President – SIDM graber.mark@gmail.com VISION: Creating a world where no pat…

465. TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-knowledge-assessment.pdf
     February 01, 2022 - TeamSTEPPS for Diagnosis Improvement: Knowledge Assessment TeamSTEPPS® for Diagnosis Improvement Knowledge Assessment This knowledge assessment tests the participants’ knowledge of the teamwork principles demonstrated in the TeamSTEPPS for Diagnosis Improvement course. 1. TeamSTEPPS provides resources to optimize…

466. Understand the Science of Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/understand/science-safety-slides.html
     July 01, 2018 - Understand the Science of Safety Presentation Slides The Understand the Science of Safety module of the CUSP Toolkit discusses the importance of understanding system design, safe design principles, and valuing diverse input from team members. By analyzing patient safety as a science, frontline providers will …

467. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 2. Fall Response Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overview Chapter 2. F…

468. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
     January 01, 2003 - Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations 259 Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations Robert R. Campbell, Douglas D. Bradham, Aurora S…

469. Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
     January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ Final Report Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ grant: 1 R13 HS 15757-01 Awarded May, 2005. Dates of project: May 2005-May 2006. Date of Conference: June 25 and 26, 2005. …

470. Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis (pdf file)
     www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
     January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis Principal Investigator: Connolly, Edward Sander Team Members: Jared Knopman, MD - Site PI (Cornell) Emilia Bagiella, PhD - Site PI (Mount Sinai) Franklin Lowy, MD - Co-Investigato…

471. Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) (pdf file)
     www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
     January 01, 2024 - Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) AHRQ GRANT FINAL PROGRESS REPORT TEMPLATE Title Page Title of Project: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) Principal Investigator and Team Members: - Principal Investigator: Thomas S. Va…

472. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/intro.html
     November 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Introduction This document provides an overview of the components of On-Time Pressure Ulcer Prevention, reports, and implementation materials used in preventing pressure ulcers in nursing homes. On-Time Pressure Ulcer Prevention has be…

473. Community-Acquired Pneumonia in the Primary Care Setting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/cap_pc-pamphlet.pdf
     January 01, 2018 - Community-Acquired Pneumonia in the Primary Care Setting Community-Acquired Pneumonia in the Primary Care Setting Background on Community-Acquired Pneumonia Community-acquired pneumonia (CAP) is the eighth leading cause of death in the United States.1 Approximately 6 million cases are reported annually, resulting i…

474. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
     June 01, 2017 - Sustainability Tool - Sustainability Module Background: This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. How to use this tool: The Implementation Team leader (or individual designated by the leader) should complete this checklist. Us…

475. Underwood Surgery Center: Slide Presentation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
     September 01, 2015 - Underwood Surgery Center: Slide Presentation 50 50 Underwood Surgery Center Orlando, Florida Terry Tinsley R.N., B.A. Clinical Nurse Manager 51 51 Underwood Surgery Center (USC) • Physician owned multi-specialty surgery center • Performs endoscopic procedures, surgeries involving colon and rectal, …

476. Resident and Family Engagement: What is my role as a leader? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
     March 01, 2017 - Resident and Family Engagement: What is my role as a leader? • Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners. • Effective resident and family partnerships are demonstrated by including the residents and family a…

477. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/engage/appc.html
     March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix C. Sample Search Strategies Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introductio…

478. Prompting Removal of Unnecessary Indwelling Urinary Catheters
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
     April 01, 2022 - A nurse driven Foley catheter removal protocol proves clinically effective to reduce the incidents of

479. Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/technical/sat-sbt-lit-review.html
     January 01, 2017 - Spontaneous Awakening Trials and Spontaneous Breathing Trials Literature Review AHRQ Safety Program for Mechanically Ventilated Patients Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for de…

480. Tool: SSA (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-litreview.docx
     January 01, 2017 - Tool: SSA Summary Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP). Since the guidelines were written in 2007, a groundbreaking article by Girard in 20081 showed that SA…