U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: over 10,000 records

Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36308/psn-pdf
    January 05, 2017 - A trigger tool to identify adverse events in the intensive care unit.  January 5, 2017 Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s1553- 7250(06)32076-4. https://…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862991/psn-pdf
    February 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39314/psn-pdf
    December 21, 2014 - Patient characteristics and the occurrence of never events. December 21, 2014 Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45731/psn-pdf
    September 29, 2017 - Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. September 29, 2017 Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017;166(5):313-323. doi:10.7326/M16-0270. https://psnet.ahrq.gov/i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61113/psn-pdf
    January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. November 11, 2020 Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses are away from patients? Finding…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42854/psn-pdf
    March 20, 2014 - Medication event huddles: a tool for reducing adverse drug events. March 20, 2014 Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45216/psn-pdf
    June 08, 2016 - Ambulatory computerized prescribing and preventable adverse drug events. June 8, 2016 Overhage JM, Gandhi TK, Hope C, et al. Ambulatory Computerized Prescribing and Preventable Adverse Drug Events. J Patient Saf. 2016;12(2):69-74. doi:10.1097/PTS.0000000000000194. https://psnet.ahrq.gov/issue/ambulatory-computeriz…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42232/psn-pdf
    May 08, 2013 - The Measurement and Monitoring of Safety. May 8, 2013 Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety Despite great effort, health care organizations are still learning how to identify safety problems, es…

  9. Tool: SSA (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/head-bed-elevation-litreview.docx
    January 01, 2017 - Tool: SSA Summary The elevation of the head of bed (HOB) to a semirecumbent position (at least 30 degrees) is associated with a decreased incidence of aspiration and ventilator-associated pneumonia (VAP). The intervention is supported unanimously by all four leading guidelines, and newer publications in the field acc…

  10. Don’t Bite Your Tongue. | PSNet

    psnet.ahrq.gov/web-mm/dont-bite-your-tongue
    September 18, 2024 - Don’t Bite Your Tongue. Citation Text: Singh NS. Don’t Bite Your Tongue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  11. Ch 2-User-Guide-To-Ocer 130129 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/ch_2-user-guide-to-ocer_130129.pdf
    January 01, 2011 - 21 Abstract The choice of study design often has profound consequences for the causal interpretation of study results. The objective of this chapter is to provide an overview of various study design options for nonexperimental comparative effectiveness research (CER), with their relative advantages and limitations,…

  12. Difficult Encounters: A CMO and CNO Respond | PSNet

    psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - The great difference between enforcing rules on faculty behavior compared with incidents involving residents

  13. Cusp Patient Family Engagement Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP_Patient_Family_Engagement_Facilitator_Notes.docx
    June 02, 2025 - SAY: The Patient and Family Engagement module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit focuses on an important topic: Making sure patients and their family members understand what is happening during the patient’s hospital stay, are active participants in the patient’s care, and are prepared for…

  14. Archived: Skin Cancer: Counseling, 2003 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-counseling-2003
    October 06, 2003 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Skin Cancer: Counseling, 2003 October 06, 2003 Recommendations made by the USPSTF are independent of the U.S. government. They s…

  15. Retained Surgical Items: Definition and Epidemiology. | PSNet

    psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
    September 15, 2024 - Retained Surgical Items: Definition and Epidemiology. Citation Text: Romano PS, Gibbs VC. Retained Surgical Items: Definition and Epidemiology.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

  16. Aspirin for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: A Decision Analysis for the USPSTF (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/_SfjkGNHBnLqn8ySe7kAdg
    April 01, 2016 - Aspirin for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: A Decision Analysis for the USPSTF Aspirin for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: A Decision Analysis for the U.S. Preventive Services Task Force Steven P. Dehmer, PhD; Michael V. Maciosek, PhD; Th…

  17. Archived: Final Evidence Summary: Syphilis Infection in Pregnancy: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary94/syphilis-infection-in-pregnancy-screening-2009
    May 15, 2009 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Evidence Summary Syphilis Infection in Pregnancy: Screening May 15, 2009 Recommendations made by the USPSTF are independent of the U.S. government. They …

  18. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
    December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…

  19. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. | PSNet

    psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
    June 07, 2023 - Study Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Citation Text: Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…

  20. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet

    psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
    September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (10709)

www.ahrq.gov (1446)

www.uspreventiveservicestaskforce.org (842)

effectivehealthcare.ahrq.gov (835)

digital.ahrq.gov (414)

hcup-us.ahrq.gov (149)

meps.ahrq.gov (23)

pso.ahrq.gov (11)

cds.ahrq.gov (4)

integrationacademy.ahrq.gov (4)

qualityindicators.ahrq.gov (4)

cdsic.ahrq.gov (3)