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Total Results: 386 records

Showing results for "harm".

81. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - When a mistake is made, but has no potential to harm the patient, how often is this reported? D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm

82. Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
    February 01, 2024 - and Workforce Safety We stand for a healthcare delivery system that is free from preventable harm … Progression of the LN will be measured and assessed based on: Progress against goal of 50% reduction in harm

83. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm

84. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 01, 2022 - University of South Carolina (MUSC), aims to develop evidence-based strategies to prevent surgical harm … thinking about what errors really mean, about what systems really mean, and what we can do to avoid harm

85. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/data/visualizations/hiv-prep.html
    October 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 …

86. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - I have often talked about the need to get to zero harm and zero defects in healthcare delivery. … complex industries such as aviation and auto manufacturing, they have made tremendous strides toward zero harm … Especially in light of the COVID-19 crisis, we’ve seen the significant harm clinician burnout can have

87. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
    October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the

88. SOPS Community Pharmacy Survey Items and Composites (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient but has no potential to harm the patient, how often is it documented

89. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - CANDOR) process to respond in a timely, thorough, and just way when unexpected events cause patient harm … Missed nursing care is linked to patient harm, including falls and infections. … • Identify system vulnerabilities that could lead to patient harm. … , • Assist interdisciplinary teams in proactively identifying opportunities for reducing patient harm … are designed to help alert hospitals and focus their efforts on errors that cause serious patient harm

90. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - These principles act as “a call to action for all stakeholders in reducing harm, including policymakers … on conditions that have been shown to be relatively common in being missed, which leads to patient harm … Limitations Examples Routinely recorded quality and safety events Awareness of the impact and harm … Other factors related to diagnostic error, such as the presence of patient harm (e.g., clear evidence … of harm versus “near-misses”), preventability, and actionability, may also be important to define in

91. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - Four million people a year in the United States suffer serious harm as a result. … and resources for improving diagnostic safety is that they are on the pathway to actually preventing harm

92. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - required prior to all surgery, and for any treatments and procedures that involve a significant risk of harm … organization's informed consent policy should include what constitutes an emergency, such as if irreparable harm

93. Resource List - AHRQ Hospital Survey (pdf file)
    ahrqpubs.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - login) This short video and discussion guide describes how disruptive behavior can lead to patient harm … short video and discussion guide provides an example of disruptive behavior, describes how it can harm … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … To focus on the objective of preventing future harm, this updated process focuses on actions to be taken … Missed nursing care is linked to patient harm, including falls and infections.

94. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
    ahrqpubs.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 … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a

95. The Effective Health Care Program | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.html
    March 01, 2024 - 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 …

96. Six Domains of Healthcare Quality | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/talkingquality/measures/six-domains.html
    December 01, 2022 - Medicine (IOM), which includes the following six aims for the healthcare system. [1] Safe : Avoiding harm

97. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/895.html
    January 01, 2024 - researchers concluded that three-quarters of these diagnostic errors contributed to temporary or permanent harm … Parents' understanding of medication at discharge and potential harm in children with medical complexity

98. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 01, 2017 - Falls harm patients. 30% to 51% of falls result in injury. Many falls are preventable. … Slide 28: Annotated Run Chart Image: Line graph shows JAH VAMC Med-Surg falls with harm by quarter … The Team and its goals should be: Aligned with its organization’s goals of preventing harm.

99. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
    ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/881.html
    September 01, 2023 - highlight the Veterans Health Administration’s (VHA) Journey to High Reliability: Advancing Toward Zero Harm … Patient Safety , a public–private collaboration to support healthcare delivery systems’ move toward zero harm

100. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     ahrqpubs.ahrq.gov/news/newsletters/e-newsletter/872.html
     July 01, 2023 - Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (