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Total Results: 1,819 records

Showing results for "harm".

141. New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
     December 01, 2020 - Committee for Patient Safety, who are united in their efforts to achieve truly safer care and reduce harm … for them • Provides clear direction for making significant advances toward safer care and reduced harm

142. Chapter-8 - Diabetes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdf
     March 01, 2020 - Professionals/Resources/National-Diabetes-Audit/NDA-reports Harms Due to Diabetic Agents 8-2 Importance of Harm … Methods for Selecting PSPs Initial literature searches for PSPs in the harm area of medication management … Results of these searches were reviewed by harm-area task leads to identify PSPs, and as needed, searches … 14,15 and identification of specific phenotypes16 to help address this important potential patient-harm … Harms Due to Diabetic Agents Introduction Background Importance of Harm Area Methods for Selecting

143. Nursing Home Survey on Patient Safety (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.doc
     June 16, 2021 - When staff report something that could harm a resident, someone takes care of it (1 (2 (3 (4 (5 … Staff tell someone if they see something that might harm a resident (1 (2 (3 (4 (5 (9 7. … In this nursing home, we discuss ways to keep residents safe from harm (1 (2 (3 (4 (5 (9 9. … In this survey, “resident safety” means preventing resident injuries, incidents, and harm to residents

144. TeamSTEPPS® Diagnosis Improvement: Module 5 Situation Monitoring To Improve Diagnosis - Facilitator’s Notes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-presenters-notes.pdf
     January 10, 2022 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … team to be resilient, capturing potentially harmful errors in the care process before they result in harm … individuals  and  teams  to  take  steps  to  interrupt  or  correct  an  action  or  event  before  harm … monitoring enables team members to identify potential issues before they become a problem or pose harm … monitoring enables team members to identify potential issues before they become a problem or pose harm

145. Module 5: Situation Monitoring
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
     January 10, 2022 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … team to be resilient, capturing potentially harmful errors in the care process before they result in harm … It allows individuals and teams to take steps to interrupt or correct an action or event before harm … recognize risk or unfolding error An opportunity to interrupt or correct an action or event before harm … Situation monitoring enables team members to identify potential issues before they become a problem or pose harm

146. 6 Tk1 T1-Talking With Residents Checklist Version Final (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
     October 01, 2016 - important for treating you when you definitely have an infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you

147. 6 Tk1 T1-Talking With Residents Checklist Version Final (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.docx
     October 01, 2016 - important for treating you when you definitely have an infection, but unneeded antibiotics can do more harm … Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you.

148. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
     October 01, 2016 - your family member when he or she definitely has an infection, but unneeded antibiotics can do more harm … Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt your family

149. PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptx
     June 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm … Collaborates to develop and implement plans Ensures necessary resources Holds staff accountable for reducing harm … Doing no harm: enabling, enacting, and elaborating a culture of safety in health care.

150. Sensemakingnotes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     August 08, 2012 - recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm … What can be done to minimize harm or prevent safety hazards? … safety assessment by completing the following: · List all defects that have the potential to cause harm … The consequent event is described in terms of the event's consequences: · Harm that did happen · Harm … that did not happen—No harm event · Event did not reach the patient—Near-miss event We then ask why

151. Special Considerations for Measurement of Diagnostic Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.html
     June 01, 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 … Operationalizing Data Synthesis Routinely recorded quality and safety events Awareness of the impact and harm … Focus on events with clear potential for harm. Captured events that are not representative. … May capture safety breakdowns undetected by algorithmic methods, including “near-miss” and low-harm

152. Perioperative Staff Safety Assessment | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
     December 01, 2017 - What do you think can be done to prevent this harm? … Safety Assessment NAME (OPTIONAL)   JOB TITLE   DATE   CLINICAL AREA   ASSESS RISK FOR HARM … Please describe what you think can be done to prevent or minimize this harm.    

153. Previous TeamSTEPPS Webinars: 2016 | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
     June 01, 2017 - Association’s (MHA) efforts to address safety culture to improve the quality of care and reduce patient harm … April Webinar: Using TeamSTEPPS to Reduce Patient Harm: Strategies and Successes Across Multiple Settings … The webinar, "Using TeamSTEPPS to Reduce Patient Harm: Strategies and Successes across Multiple Settings … years of implementation and sustainment; and specific successes related to the reduction of patient harm … results associated with specific TeamSTEPPS interventions that have been linked to reductions in patient harm

154. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
     October 01, 2016 - your family member when he or she definitely has an infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt your

155. 1. Introduction | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state1.html
     January 01, 2024 - error in the outpatient setting every year, 1 and approximately 0.7 percent of inpatients experience harm … Findings have several implications for future resource investments to reduce harm from diagnostic errors

156. Medication Error Reporting Systems: Challenges, Lessons, Future Direction (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/cousins-report.pdf
     January 01, 2024 - policymakers, and others seeking to improve the value obtained from these systems reduce preventable harm … of voluntary reporting systems is usually on errors that have resulted in minimal or no patient harm … objective of identifying and addressing vulnerabilities in systems of care before the occurrence of harm … useful for understanding the characteristics of the event and prompting actions to avert patient harm … Is more attention given to events resulting in patient harm than to near misses?

157. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
     January 01, 2014 - The term safety refers to reducing risk from harm and injury, whereas the term quality suggests striving … detect and reduce risks and hazards associated with their delivery of care that may lead to patient harm … The NPSD will analyze these data in order to better understand the underlying causes of patient harm … sharing examples of how the event reports led to changes that reduced health care risks and patient harm … of PSOs as they work with health care providers to improve patient safety and quality and reduce harm

158. 4 Things You Should Know about Urine Cultures (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdf
     March 01, 2017 - People can have bacteria in the urine that do not cause symptoms or harm; asymptomatic bacteriuria … Urine culturing can actually harm residents who have no CAUTI symptoms. 4.

159. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - 2022 • Call to action: recommitment to advance patient and workforce safety to move towards zero harm … by the Veterans Health Administration “VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and

160. Community Pharmacy Survey on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/toolkit/PharmSOPSform.pdf
     June 06, 2018 - Patient safety is the prevention of patient harm resulting from the processes of health care delivery … or quality-related event, regardless of whether or not it reaches the patient or results in patient harm … 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