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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blike.pdf
January 01, 2003 - Cote et al.11 published a critical incident review of 90 pediatric sedation-
related critical incidents … DeAnda and Gaba23 identified 132 unplanned
incidents during 19 simulations using a modified critical … incident methodology
(range = 3–14 incidents, mean = 6.9 incidents per simulation exercise). … In
addition, the classes of incidents were similar to those identified previously by
Cooper et al. … Unplanned incidents during
comprehensive anesthesia simulation.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-chat-062723.pdf
June 27, 2023 - My #1 takeaway from Cammie's portoin was WPV incidents increased
during the pandemic, which we have … Harrison to everyone: 2:53 PM
When there is a WPV Program manager, do they also oversee the Type 3 incidents … Did
reporting increase or violent incidents change? … efforts, the lost days are decreased, hence worker comp costs But
still promoting more reporinig of all incidents … and others that
addressed some of these concepts as well as planning for significant and critical incidents
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www.ahrq.gov/patient-safety/resources/learning-lab/anesthesia-medication-long-desc.html
January 01, 2025 - Anaesthesia provider perceptions of system safety and critical incidents in non-operating theatre anaesthesia … Medication errors, critical incidents, adverse drug events, and more: examining patient safety-related
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www.ahrq.gov/npsd/how-does-npsd-work/index.html
February 01, 2024 - Event Reporting can be used to report patient safety concerns, a term that includes patient safety incidents
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2020.xlsx
January 01, 2020 - 27,414
NOTE: The No Harm Percentage and Harm Percentage cells are calculated as the percentage of all incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/nhguide/sops-nursing-home-items.pdf
January 01, 2000 - Feedback & Communication About Incidents
(Never, Rarely, Sometimes, Most of the time, Always, Does … In this nursing home, we talk about ways to keep incidents from happening again.
B6.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
January 01, 2000 - Feedback & Communication About Incidents
(Never, Rarely, Sometimes, Most of the time, Always, Does Not … In this nursing home, we talk about ways to keep incidents from happening again.
B6.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-nh_webcast-ginsberg.pdf
July 01, 2018 - scoring composites measures:
− Overall Perceptions of Resident Safety
− Feedback and Communication About Incidents
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2023.xlsx
January 01, 2023 - 64.5% 157,075 243,449
NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … 64.5% 157,075 243,449
NOTE: The 'Injury' and 'No Injury' cells are calculated as the percentage of all incidents … 25.8% 27,366 106,186
NOTE: The Activity Prior to Fall cells are calculated as the percentage of all incidents … NOTE: The Type of Injury cells are calculated as the percentage of all incidents within the Age Group … NOTE: The Type of Injury cells are calculated as the percentage of all incidents within the Age Group
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
March 01, 2017 - Feedback & Communication About Incidents
Applying Safety Principles
Senior Leader Engagement
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
September 01, 2024 - Patient Safety (Version 1.0)
In this survey, “resident safety” means preventing resident injuries, incidents … In this nursing home, we talk about ways to keep incidents from happening again
1
2
3
4
5
9
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www.ahrq.gov/workingforquality/priorities-in-action/childrens-hospital-of-pittsburgh-of-upmc.html
March 01, 2017 - Before the hospital used the eRecord, its medication safety event rate was 0.10 incidents per 1,000 doses … since eRecord implementation, the hospital's medication safety event rate dropped by 60 percent to 0.04 incidents
-
www.ahrq.gov/news/newsroom/case-studies/202003.html
June 01, 2020 - Medication errors are common patient safety incidents in primary care, with rates ranging between 1 and
-
www.ahrq.gov/patient-safety/reports/issue-briefs/state-of-science-2b.html
June 01, 2020 - Overcoming Barriers and Taking Next Steps
Conclusion
References
Learning From Known Incidents … While research has examined the predictive validity of NLP algorithms for detection of safety incidents
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - conditions reported by PSOs, and the extent of residual harm in patients who have experienced patient safety incidents
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.doc
June 16, 2021 - In this nursing home, we talk about ways to keep incidents from happening again
(1
(2
(3
(4
(5 … In this survey, “resident safety” means preventing resident injuries, incidents, and harm to residents
-
www.ahrq.gov/news/newsroom/case-studies/cp30805.html
October 01, 2014 - Specific training curricula included basic disaster life support, response to mass casualty incidents
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/overview.docx
March 01, 2017 - Feedback & Communication About Incidents
Applying Safety Principles
Senior Leader Engagement
Teamwork