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/39734/psn-pdf
    November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued. November 14, 2011 Smith ML; Wolfe WA. https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death of a patient. https://psnet…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37852/psn-pdf
    May 02, 2018 - Benefits and risks of including patients on RCA teams. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. June 5, 2008;13:1-3. https://psnet.ahrq.gov/issue/benefits-and-risks-including-patients-rca-teams This article describes recommendations for involving patients in incident analysis along with potenti…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38110/psn-pdf
    October 30, 2008 - Patient safety records: silent witness. October 30, 2008 Gould M. Patient safety. Silent witness. The Health Service Journal. 2008;September 15:22-24. https://psnet.ahrq.gov/issue/patient-safety-records-silent-witness This article describes the state of general practitioner incident reporting in the United Kingdom.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…

  5. Monitoring Ventilator-Associated Events: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-slides.html
    February 01, 2017 - Monitoring Ventilator-Associated Events: Slide Presentation AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients Monitoring Ventilator-Associated Events Slide 2: Learning Objectives After this session, you will be able to— Des…

  6. Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/diagnostic-error-executive-summary.pdf
    August 01, 2023 - Comparative Effectiveness Review No. 258_Diagnostic Errors in the Emergency Department: A Systematic Review Comparative Effectiveness Review Number 258 Diagnostic Errors in the Emergency Department: A Systematic Review Evidence Summary Main Points • Overall diagnostic accuracy in the emergen…

  7. Executive Summary_Systematic Review: Interventions To Improve Care of Bereaved Persons (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/bereaved-persons-research-executive-summ.pdf
    March 01, 2025 - Executive Summary_Systematic Review: Interventions To Improve Care of Bereaved Persons Systematic Review Interventions To Improve Care of Bereaved Persons Executive Summary Main Points • Only a small body of evidence has evaluated the effects of screening approaches. There was insufficien…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49604/psn-pdf
    June 01, 2010 - Critical incidents associated with intraoperative exchanges of anesthesia personnel.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49529/psn-pdf
    February 01, 2007 - anticoagulants, including a reduction in the number of supratherapeutic INRs and a decrease in bleeding incidents

  10. Transforming Hospitals | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
    December 01, 2017 -   Patient Safety Evidence-based design elements can help hospitals reduce costly and avoidable incidents

  11. Partnering-Executive-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
    June 01, 2021 - There have been several incidents where we have not gotten results from the lab in a timely manner.

  12. Nurse-Driven Early Mobility Protocols: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/nurse-early-mobility-protocols-fac-guide.html
    January 01, 2017 - the outcome measures could include the ventilator length of stay, ICU and hospital length of stay, incidents

  13. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/nursedr-early-mobility-protocols-facguide.docx
    January 01, 2017 - the outcome measures could include the ventilator length of stay, ICU and hospital length of stay, incidents

  14. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
    December 01, 2017 - safety, it is the role of the Falls Nurse Coordinator to encourage full reporting by staff of all fall incidents

  15. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
    December 01, 2017 - along with immediate intervention during the first 24 hours, can help identify risk and prevent future incidents

  16. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/125-cusp-science-safety.pptx
    April 01, 2025 - Science of Safety6 The Science of Safety seeks to understand the causes and consequences of accidents and incidents

  17. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
    June 01, 2023 - of patient safety experiences during hospitalizations in the United Kingdom, about one-third of the “incidents

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49719/psn-pdf
    September 01, 2014 - Insufficient familiarity with equipment has long been recognized as a contributing cause for preventable incidents

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49466/psn-pdf
    October 14, 2004 - The hospital investigates all critical incidents through the Quality Management Department and the Vice

  20. “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet

    psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
    February 26, 2025 - Revised Safer Diagnosis (Safer Dx) Instrument January 26, 2022 Patient-safety incidents
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)