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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/app-d.html
September 01, 2020 - used a pilot project with interpreters to gather additional insight into the types of patient safety incidents … quality and safety events were reported to hospital quality and safety leadership immediately; otherwise, incidents … We collected information on 34 incidents between April 2009 and March 2010 (28 of which met the specific … We identified all incidents reported as Incidents since all events reached the patient.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - 64%
positive
response
Highest Scoring Composite Measure:
Feedback and Communication
About Incidents … safe, tell
someone if they see something that might
harm a resident, and talk about ways to keep
incidents
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www.talkingquality.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - including description of substance event, stage event originated, and type of substance involved for incidents … , near misses, and unsafe conditions, then further examines incidents and near misses along with their … including description of substance event, stage event originated, and type of substance involved for incidents … analyses that examine their contributing factors and preventability, as well as distribution by age group (incidents
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - Feedback and Communication About Incidents 86% 81%
2. … Feedback and Communication About Incidents 78% 84%
2. … Feedback and Communication About Incidents 77% 83% 87% 81%
2. … Feedback and Communication About Incidents 80% 89%
2. … Feedback and Communication About Incidents 85% 78% 79%
2.
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www.talkingquality.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.
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - policies and
procedures, and treatment methods that
may have contributed to specific pressure
injury incidents … Additionally, several
incidents were described where backup devices were unavailable due to use with … Blood and Blood Product
Among the blood and blood product concerns (n = 10; 3.3%), there were three incidents … For incidents that involved a patient, the PSOs reported
patient age and sex for 26 (8.6%) records,
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/impacts-gun-violence.html
March 01, 2023 - These violent incidents have been common in the United States, but we must not accept them as such.
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Policies and procedures
Reporting of incidents, occurrences, or complaints
Complaint/grievance management
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqdr-data-spotlight-healthcare-workforce-covid.pdf
May 11, 2023 - COVID-19 Pandemic Led to Long Absences, Reduced Hours, and Job Exits Among the U.S. Healthcare Workforce
COVID-19 Pandemic Led to Long
Absences, Reduced Hours,
and Job Exits Among the U.S.
Healthcare Workforce
The COVID-19 pandemic affected nearly all sectors of the U.S. economy, w…
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www.talkingquality.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - These projects sought to understand how health care providers can best communicate medical errors and incidents
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Engage Patients and Families for Perinatal Safety
Engage Patients and Families for Perinatal Safety
SAY:
The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
December 01, 2013 - Section 5.A, Table 4
Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle
Cell Disease
Graphics for Section V. …
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www.talkingquality.ahrq.gov/policy/electronic/privacy/infosecurity.html
August 01, 2018 - Skip to main content
An official website of the Department of Health and Human Services
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/about.html
September 01, 2020 - Analyzed the results of a project where interpreters were asked to anonymously document information about incidents
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www.talkingquality.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
July 01, 2022 - Step 1: Prepare Your Organization
Toolkit Infographic (PDF, 743 KB) provides statistics about incidents
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
April 01, 2016 - Reporting of incidents, occurrences, or complaints
b. Complaint/grievance management
c. … Is a risk manager available at all times to respond to patient safety incidents? … Is a risk manager available at all times to respond
to patient safety incidents?
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - Module 5: How To Measure Fall Rates and Fall Prevention Practices
Module 5: How To Measure Fall Rates and Fall Prevention Practices
Module Aim
The aim of this module is to support your efforts to measure and monitor fall rates and fall prevention practices.
Module Goals
The goals of Module 5 are to have the Implementa…
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Module Aim
The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices.
Module Goals
The goals of …
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_tools.docx
August 03, 2017 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 5 Tools
Tool 5A: Information to Include in Incident Reports
Tool 5B: Assessing Fall Prevention Care Processes
Action Plan Tool to Measure Fall Rates and Fall Prevention Practices
5A: Information To Include in Incident Reports
Background: The purpose of this tool…