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Total Results: 386 records

Showing results for "harm".

141. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - , medicine (J Patient Saf 2022;00: 00–00) D iagnostic errors are major contributors to patient harm … Newman-Toker et al20 United States The authors used the NASEM definition and misdiagnosis- related harm … patients with specific abnormal results that are often received by pediatric practices but can cause harm … diagnostic processes49 such as missed opportunities11 and outcomes such as clinical endpoints (e.g., harm … encourage di- versity and innovation in safety measurement as long as the goal is to reduce patient harm

142. Hospital Resources | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

143. Organizing Quality Measures by Domains of Health Care Quality | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/talkingquality/translate/organize/quality-domain.html
     December 01, 2022 - categories, or domains, of quality: [2] Care that protects patients from medical errors and does not cause harm

144. Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
     July 01, 2021 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

145. Tool: DESC | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
     July 01, 2023 - putting the well-being of patients or other team members or staff at risk of physical or emotional harm

146. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

147. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Medication overdoses can lead to harm, sometimes requiring emergency treatment or hospitalization and … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … With the objective of preventing future harm, this updated process focuses on actions to be taken: Root … Safety Provide Feedback to Front-Line Staff RCA2: Improving Root Cause Analyses and Actions To Prevent Harm

148. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm

149. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     ahrqpubs.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … patients are often on multiple medications, and side effects and drug-drug interactions may lead to more harm … InfoSAGE, for medication management may save time for both for patient and provider and may reduce harm … The digital doctor: hope, hype, and harm at the dawn of medicine's computer age.

150. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
     November 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

151. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
     January 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm

152. Comparative Reports on Home Health Care, Hospice Care, and Other Long-Term Care | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/talkingquality/resources/comparative-reports/home-health.html
     October 01, 2022 - agencies perform on quality measures such as managing daily activities, patient satisfaction, preventing harm

153. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
     June 01, 2023 - Cross-Monitoring A harm error reduction strategy that involves: Monitoring actions of other team

154. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
     November 01, 2018 - for improving care Access tools and best practices from national experts Reduce the likelihood of harm

155. Provide a Framework for Understanding Healthcare Quality | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/talkingquality/explain/communicate/framework.html
     December 01, 2022 - included in a quality report: [2] Care that protects patients from medical errors and does not cause harm

156. Core CUSP Toolkit | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/cusp/modules/index.html
     August 01, 2019 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm

157. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - information is not effectively communicated, the results can lead to mistakes and potential resident harm … Effective communication could have helped identify a diagnosis and treatment earlier and decreased harm … ineffective communication that could result in a medication error or other mistake that can cause real harm … should investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm

158. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - leadership, experience, history and tradition Slide 7 The Culture of Safety and Assessment of Harm … Believe that failure to follow guidelines may cause harm Built in alerts Consequences for failure

159. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - outpatient) to improve patient/family and clinician communication and experience and to reduce errors and harm

160. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/patient-safety/patients-families/index.html
     June 01, 2023 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm