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Showing results for "incidents".

  1. Recommendation: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-calcium-or-combined-supplementation-for-the-primary-prevention-of-fractures-in-adults-preventive-medication
    April 17, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication Apr…

  2. AHRQ Information Security and Privacy Program | Agency for Healthcare Research and Quality

    www.ahrq.gov/policy/electronic/privacy/infosecurity.html
    August 01, 2018 - AHRQ Information Security and Privacy Program This page provides an overview of AHRQ's Information Security and Privacy Program and requirements for protecting against information technology threats and vulnerabilities. The AHRQ Information Security and Privacy Program fosters an enterprise-wide secure and tr…

  3. Health care provider use of private sector internal error-reporting systems. | PSNet

    psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
    May 29, 2019 - Study Health care provider use of private sector internal error-reporting systems. Citation Text: Roumm AR, Sciamanna CN, Nash DB. Health care provider use of private sector internal error-reporting systems. Am J Med Qual. 2005;20(6):304-12. Copy Citation Format: Google S…

  4. Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. | PSNet

    psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and-questionable-prescribing
    October 29, 2008 - Book/Report Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Citation Text: Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing. Office of the Inspector General. Washington, DC: US Department of Health and Human Services…

  5. Measuring Pressure Ulcer Rates and Prevention Practices (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar7_pu_measuringrates.pdf
    April 01, 2011 - Measuring Pressure Ulcer Rates and Prevention Practices Measuring Pressure Ulcer Rates and Prevention Practices Presented by Karen Zulkowski, D.N.S., RN Montana State University 2 Welcome! Thank you for joining this webinar about how to measure pressure ulcer rates and prevention practices. A Little…

  6. Final Progress Report: Center for Safety In Emergency Care (pdf file)

    www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
    January 01, 2025 - direct observation, audio recordings, unstructured interviews, and analysis of accidents and critical incidents … served as a resource in cognitive psychology, with special interest in analysis and learning from incidents … turnovers in all four sites, supplemented by audio recordings in three sites, investigations of critical incidents

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44722/psn-pdf
    March 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47090/psn-pdf
    January 01, 2019 - 10,000 good catches: increasing safety event reporting in a pediatric health care system. June 27, 2018 Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/pq9.0000000000000072. https://psne…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39446/psn-pdf
    May 25, 2010 - Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. May 25, 2010 Gustafsson M, Wennerholm S, Fridlund B. Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a cri…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49686/psn-pdf
    May 01, 2013 - interprofessional teams, and (iii) the accountability and culpability of health care providers in safety incidents

  11. Strategies and Approaches for Investigating Patient Safety Events | PSNet

    psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events Citation Text: Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…

  12. Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. | PSNet

    psnet.ahrq.gov/issue/could-it-be-done-safely-pharmacists-views-safety-and-clinical-outcomes-introduction-advanced
    October 22, 2014 - Study Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. Citation Text: Napier P, Norris P, Braund R. Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an …

  13. The incidence and severity of adverse events affecting patients after discharge from the hospital. | PSNet

    psnet.ahrq.gov/issue/incidence-and-severity-adverse-events-affecting-patients-after-discharge-hospital
    March 11, 2019 - Study Classic The incidence and severity of adverse events affecting patients after discharge from the hospital. Citation Text: Forster AJ, Murff HJ, Peterson JF, et al. The incidence and severity of adverse events affecting patients after discharge from the hos…

  14. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet

    psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
    December 06, 2023 - Study Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Citation Text: Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health C…

  15. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. | PSNet

    psnet.ahrq.gov/issue/incidence-potentially-avoidable-urgent-readmissions-and-their-relation-all-cause-urgent
    April 22, 2011 - Study Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Citation Text: van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions. Ca…

  16. Patient falls while under supervision: trends from incident reporting. | PSNet

    psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
    January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. Citation Text: Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. Copy Citation Format: DOI Google S…

  17. Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. | PSNet

    psnet.ahrq.gov/issue/exploring-factors-drive-clinical-negligence-claims-stated-preferences-those-who-have
    April 08, 2020 - Study Exploring the factors that drive clinical negligence claims: stated preferences of those who have experienced unintended harm. Citation Text: Wickramasekera N, Hole AR, Rowen D, et al. Exploring the factors that drive clinical negligence claims: stated preferences of those who have…

  18. Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique]. | PSNet

    psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
    November 16, 2011 - Study Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique]. Citation Text: Baxter AD, Allan J, Bedard J, et al. Adherence to…

  19. How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet

    psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
    June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident investigations. Citation Text: Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…

  20. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet

    psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
    June 15, 2011 - Study Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Citation Text: Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…
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