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Showing results for "harm".

1. Chapter-7 - Harm Due to Anticoagulants (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
   March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants Harms Due to Anticoagulants 7-1 7.

2. All Cause Harm Prevention in Nursing Home—Events Related to Infections | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
   April 01, 2022 - Home Nursing Home COVID-19 Action Network Resources Catalog All Cause Harm … Prevention in Nursing Home—Events Related to Infections Resource: All Cause Harm Prevention … in Nursing Home—Events Related to Infections ​This document is a section of the All Cause Harm Prevention … reviewed April 2022 Page originally created April 2022 Internet Citation: All Cause Harm … https://www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html  

3. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
   June 01, 2020 - QSRS) Simulation Transdisciplinary Learning Lab To Eliminate Patient Harm … engineering methods to partner with patients, patients’ families, and others to eliminate preventable harm … high-reliability hospitals. 1, 2 The roadmap encompasses four phases of work: Eliminating a single harm … the accuracy and efficiency of the protocol, and prevents calculation errors that can lead to patient harm … Final Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste.

4. Caregiver Innovations to Reduce Harm in Neonatal Intensive Care | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
   April 01, 2022 - multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Progress Report:  Caregiver Innovations To Reduce Harm in Neonatal Intensive Care. … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm

5. Generic Dashboard Data 2023 (xls file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
   January 01, 2023 - Harm 40 3,355 1.2% Fall Under 18 Male Mild Harm 734 3,355 21.9% Fall Under 18 Male No Harm 1,475 3,355 … Mild Harm 117 601 19.5% Fall UNK Female No Harm 379 601 63.1% Fall UNK Female Unknown Harm 93 601 15.5% … Fall UNK Male Severe Harm 1 505 0.2% Fall UNK Male Moderate Harm 11 505 2.2% Fall UNK Male Mild Harm … Severe Harm 6 4,016 0.2% Other UNK Female Moderate Harm 26 4,016 0.7% Other UNK Female Mild Harm 167 … Harm 32 3,858 0.8% Other UNK Male Mild Harm 147 3,858 3.8% Other UNK Male No Harm 2,776 3,858 72.0%

6. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
   March 31, 2008 - and frequency of harm classified hierarchically into five categories: (1) unknown or no known harm … Harm classification Harm category Example Known clinical harm to the patient A positive herpes simplex … as “known clinical harm.” … As previously stated, in describing the likelihood of clinical harm or future risk of clinical harm … Reports of the errors themselves and any clinical harm (or lack of harm) associated with each error

7. Chartbook on Patient Safety (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
   January 01, 2020 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).

8. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
   January 01, 2021 - harm, Mild harm, Moderate harm, Severe harm, or Death. … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).

9. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
   January 01, 2019 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).

10. NPSD Dashboards | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
    October 01, 2023 - The dashboard charts detail event type, report type by event type, extent of harm by event type, event … type by extent of harm, and extent of harm.   … Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence … of fall assistance by patient harm, type of fall injury, and fall location.     … to the patient, type of incorrect dose, type of incorrect dose by residual harm to the patient, stage

11. Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should Have an Assessment by a Mental Health Professional Prior To Discharge From the ED | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/measures/emergency-department-suicide-home.html
    August 01, 2021 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Internet Citation: Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm

12. Children/Adolescents Who Present to the ED With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should See a Mental Health Professional for Follow-Up Within 7 Days of Discharge From the ED | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/measures/suicide-followup-after-discharge.html
    August 01, 2021 - Program PQMP Measures Children/Adolescents Who Present to the ED With Dangerous Self-Harm … PQMP Grantees Children/Adolescents Who Present to the ED With Dangerous Self-Harm … 2021 Internet Citation: Children/Adolescents Who Present to the ED With Dangerous Self-Harm

13. Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm or Suicidality, Should Have Documentation in the Hospital Record That Their Caregiver Was Counseled on How To Restrict the Child's/Adolescent's Access | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/measures/inpatient-counseling-access.html
    August 01, 2021 - PQMP Measures Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … Grantees Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … Internet Citation: Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm

14. Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm or Suicidality Should Have Documentation in the Hospital Record of Discussion Between the Hospital Provider and the Patient's Outpatient Provider Regarding the Plan for Follow-Up | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/pqmp/measures/followup-discussion.html
    August 01, 2021 - PQMP Measures Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm … PQMP Grantees Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm … 2021 Internet Citation: Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm

15. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - While the AHRQ Harm Scale provides the following possible responses: No harm, Mild harm, Moderate … harm, Severe harm, Death, or Unknown harm, due to small counts across the categories of Moderate to … Severe harm, this Chartbook displays falls where the EXTENT OF HARM is categorized as No harm, Harm … (i.e., Mild harm, Moderate harm, Severe harm, or Death), or Unknown harm. … For this figure, all Incident reports with EXTENT OF HARM reported are displayed as either No harm, Harm

16. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
    September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System … September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm … VA Use Only ‹#› 2 VHA’s Journey to High Reliability Foundation Pivotal studies on patient harm … environments Fewer than anticipated accidents or events of harm An “accident or event of harm” could … Culture of Safety Safety values and practices are used to prevent harm and learn from mistakes.

17. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - For this analysis, reported EXTENT of HARM were further dichotomized as either No harm or Harm (i.e … ., Mild harm, Moderate harm, Severe harm or Death). … Specifically, we examined the no-harm rate, or the percentage of falls that resulted in no harm to … harm to the patient. … Events Resulting in No Harm to Patient No-harm Rate (%) Low bed, Items in reach, Visible

18. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
    January 01, 2023 - Residual harm is captured by AHRQ’s Harm Scale and is defined as harm to the patient after discovery … harm, Moderate harm, Severe harm, Death, or Unknown harm. … Incident events where the EXTENT OF HARM is categorized as No harm, Harm, or Unknown harm. … harm, Mild harm, Moderate harm, Severe harm, Death, or Unknown harm. … events where the EXTENT OF HARM was reported as No harm, Harm, or Unknown harm.

19. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - report, To Err Is Human: Building a Safer Health System , the problems associated with injury and harm … the United States provides some of the best health care in the world, unsafe health care processes harm … This statistic represents only one type of patient harm that results during the delivery of patient care … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial

20. Final Progress Report: Pediatric Medication Safety: Analyses from the MEDMARX Medication Error Reporting System (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
    January 01, 2024 - medications, situational characteristics, and patient characteristics that are associated with high-harm … than reports of errors that were not associated with harm. … Specific Aim #2: To examine whether the causes of ‘no-harm’ medication errors are the same as those … Hypothesis: The causes and contributing factors for medication errors not resulting in harm will be … Categories E through H errors not only occurred and reached the patient but also caused harm.