Results

Total Results: 1,819 records

Showing results for "harm".

121. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
     December 01, 2017 - This could include an incident that caused patient harm or put patients at risk for harm, such as a patient … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety … Patient safety or patient harm is a product of that system. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety

122. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
     April 01, 2018 - accompanied by a potential for causing inadvertent harm while caring for patients. … Variation in Risk of Harm Across Developmental Stages Risk of pediatric patient harm varies with age … Temporal trends in rates of patient harm resulting from medical care. … Methodology and rationale for the measurement of harm with trigger tools. … A trigger tool to detect harm in pediatric inpatient settings.

123. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - The entire CANDOR process fosters a culture of improvement around the response to unexpected patient harm … make the necessary changes that promote a timely, thorough, and just response to unexpected patient harm … training in the CANDOR process, the organization can continue to learn from errors and prevent similar harm … Ask patients and family members to share their stories to put a human face on a harm event and engage … Ask staff to share their stories of patient harm.

124. Making It Work Tip Sheet: Overcoming the Just in Case Mindset (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
     April 01, 2022 - examination of each catheter-associated infection while the patient is still in the ICU to link the harm … For many clinicians, the harm is not visible, but the perceived impact of not having that line in case … Provide education and use patient case studies with all healthcare providers to address the potential harm … examination of each catheter-associated infection while the patient is still on the unit to link the harm

125. Making Healthcare Safer Practices: 10. Harms Due to Opioids (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/opioids-1.pdf
     March 01, 2020 - and cancer pain, there is limited evidence of their efficacy for chronic pain.2,3 Importance of Harm … Harms Due to Opioids Introduction Background Importance of Harm Area Methods for Selecting Patient

126. Learning From Defects Through Sensemaking: Slide Presentation | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
     December 01, 2017 - What can you do to prevent or minimize this harm? … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Arrow points down to the next box: "What can I do to prevent that harm?"

127. Making Healthcare Safer III Patient Safety Practices | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
     April 01, 2020 - The practices are listed among the report’s 17 chapters, which represent harm areas researched.

128. Conclusion | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-4.html
     June 01, 2020 - data gathering, HCOs have a variety of options to begin measurement to reduce preventable diagnostic harm … any setting to assess how they could begin their journey to measure and reduce preventable diagnostic harm

129. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/845.html
     January 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.

130. PQMP Measures | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/pqmp/measures/index.html?page=3
     April 24, 2024 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Children with Complex Needs (COE4CCN) Children/Adolescents Who Present to the ED With Dangerous Self-Harm … Complex Needs (COE4CCN) Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … with Complex Needs (COE4CCN) Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm

131. Fall Dashboard Data 2023 (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2023.xlsx
     January 01, 2023 - tables include the relative frequencies of reports by age group, by the extent of residual patient harm … of Frequent Intervention Patterns Among Patients Ambulating Prior to Falls that Resulted in Residual Harm … Frequent Intervention Patterns Among Patients Ambulating Prior to Falls that Resulted in NO Residual Harm … of Frequent Intervention Patterns Among Patients Toileting Prior to Falls that Resulted in Residual Harm … NO Residual Harm Falls_10 Comparison of Frequent Intervention Patterns for Falls that Resulted in

132. The National Action Alliance to Advance Patient Safety Summer Webinar Series - PowerPoint Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
     May 25, 2023 - OSHA,PSOs) • Alliance providing a central repository of lessons learned, best practices, harm events … research and policymaking in the field of patient safety, we still do not know the magnitude of harm … Where it should say 'medical care harm/injuries', it's blank. … • The Plan provides clear direction for making significant advances toward safer care and reduced harm … steps: • Micro-learnings, on-line tools • Discussion and affinity groups “Harm

133. Staff Safety Assessment | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/safety-assessment.html
     March 01, 2017 - for Long-Term Care: HAIs/CAUTI Purpose: To tap into your experience to determine risks that could harm … You will need details to understand how you can prevent harm. … Please describe what you think can be done to prevent or minimize this harm.      

134. CMV_27_M3_CUSP_SSA_Premortem
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
     January 01, 2017 - each patient the same way we would want our family members treated We do not accept any preventable harm … What can be done to prevent or minimize this harm? … 2 What can be done to prevent or minimize this harm? … identified defects using the following criteria: Likelihood of the defect harming the patient Severity of harm … What can be done to prevent or minimize this harm?

135. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Her Ambulatory Pediatric Safety Learning Lab  focuses on preventing harm in children caused by the outpatient … She aims to redesign systems of care and coordination between the clinic and home to eliminate harm. … The team received the award for its substantial reduction in preventable harm caused by healthcare to

136. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - possible to patients, health care providers are sometimes faced with the aftermath of adverse patient harm … detailed information concerning the elements of disclosure to patients and families following a patient harm … track” process that allows the caregiver to quickly access support and guidance following a patient harm … : “Health care team members who are involved in an unanticipated patient event, which might involve harm … Addressing an intense fear of the unknown following a patient harm event.

137. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/hac/tools.html
     March 01, 2024 - These conditions cause harm to patients. … healthcare providers are focused on reducing specific HACs that occur frequently, can cause significant harm

138. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
     August 01, 2022 - Type of event: harm event, no harm event, near miss.

139. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
     June 01, 2021 - Negative contributing factors are those that harmed or increased risk of harm Positive contributing … factors limited the impact of harm 14 Changing the System 14 What Could You Do To Reduce the … System 17 Review Consider system/active failures which may have led to the problem or potential for harm

140. Candor-Impguide (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - reference for organizational leaders who are committed to improving their response to unexpected patient harm … ) 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 … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial