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Showing results for "harm".
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdfJune 04, 2008 - The very large percentage of reported problems falling into the “potential for harm” category speaks … 2007 Reported outcome Na Death 184 Serious injury/illness 828 Minor injury 1,132 Potential harm … to patients 5,312 Potential harm to health care provider 371 “Other” (e.g., out-of-box failures, … to obtain information from MedSun sites about adverse events and events representing potential for harm … related safety information, including noninfectious adverse events and problems with potential for harm
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/corbett.htmlAugust 01, 2017 - contextual and complex, but they agreed that full disclosure was desired when an error that caused harm … Full disclosure when harm occurs from a medication error is a best practice. … medical liability issues associated with medication discrepancies that result in permanent patient harm … disclosure should occur when an error that causes harm is identified. … When errors that result in harm occur, full disclosure is the best practice.
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Nursing Home Survey on Patient Safety (pdf file)
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nh-survey-06-16-21.pdfJune 16, 2021 - Patient Safety In this survey, “resident safety” means preventing resident injuries, incidents, and harm … When staff report something that could harm a resident, someone takes care of it ..... … Staff tell someone if they see something that might harm a resident ............................. … In this nursing home, we discuss ways to keep residents safe from harm ...................... -
Identifying-Antibiotic-Adverse-Events-Form (doc file)
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/identifying-antibiotic-adverse-events-form.docxNovember 01, 2019 - Please describe what you think can be done to prevent or minimize this harm. -
Staff-Safety-Assessment (doc file)
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docxJune 01, 2021 - Please describe what you think can be done to prevent or minimize this harm. -
Mixed Methods Analysis of Medical Error Event Reports: 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/vol2/Harris.pdfJune 30, 2004 - and risk of harm. … ‡ Fixed choice (Yes/No) + optional brief narrative Was there patient harm? … were of this type, even though they resulted in harm about as frequently as reported events that did … Thus, reported diagnostic testing errors are both common and associated with harm or the possibility … of harm. -
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdfJuly 01, 2022 - Measure Dx: Making Diagnostic Safety Your Measurement Priority Measure Dx Making Diagnostic Safety Your Measurement Priority 1 Why Diagnostic errors are common, harmful, and costly. 1 in 20 adults will experience a diagnostic error in the outpatient setting every year.a About 250,000 harmful diagnostic erro…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docxMay 01, 2017 - What might we do to prevent that harm?”) AHRQ Publication No. 17-0003-10-EF May 2017
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.htmlFebruary 01, 2017 - Say: The vision of CUSP is that, by putting this team in place, we are saying that preventable harm … medication error, ventilator-associated pneumonia, or anything that can lead to preventable patient harm … staff: How will your next ventilated patient be harmed, what can be done to prevent or minimize this harm … This assessment tool does not ask how an individual provider might harm a patient, but rather, it seeks … to identify threats in the clinical area that can result in harm to your ventilated patients.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/team-buy-in-transcript.pdfApril 01, 2022 - Of late, and this is something that we began doing recently, about people who speak up to prevent harm … press releases, and so it gets published in their local paper, "Mary Smith spoke up and prevented harm … I look at event data when harm reaches the patient versus a near miss or a precursor event, and one … In the harm event, communication was missing. … And so, are we, as we think about the harm that we're causing, as we understand where our bright spots
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Collecting Bacterial Cultures (pdf file)
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdfJune 01, 2021 - may be due to poor collection techniques, can lead to unnecessary antibiotic prescribing and cause harm -
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/common-cold-guide.docxSeptember 01, 2022 - Slide 4 Harm Associated With Antibiotics SAY: Antibiotics should not be prescribed for the common … Antibiotics will not help a patient with a viral upper respiratory infection, and they can cause harm … Harm associated with antibiotics includes adverse drug events, microbiome disruption, and antibiotic … cold medicines and multi-ingredient products for children under 6 years of age because of reports of harm … viral upper respiratory infections because they don’t help with symptoms and could cause avoidable harm
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptxMarch 01, 2017 - It won’t do any harm. Probably the urine. Needs an antibiotic. … It won't do any harm." [CLICK] Or this, “It’s probably the urine. … She needs an antibiotic.“ [CLICK] Today we will talk about the potential harm of antibiotics and try … Antibiotics can actually lead to harm; side effects are pretty common with antibiotics. … Residents may want antibiotics because they think there is no harm in them.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docxJanuary 01, 2017 - Vision SAY: The vision of CUSP is that, by putting this team in place, we are saying that preventable harm … that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator-associated pneumonia, or anything that can lead to preventable patient harm … This assessment tool does not ask how an individual provider might harm a patient, but rather, it seeks … to identify threats in the clinical area that can result in harm to your ventilated patients.
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Partnering-Executive-Facilitator-Guide (doc file)
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docxJune 01, 2021 - better equip you with how to use your technical antibiotic knowledge to reduce preventable antibiotic harm … It strives to eliminate preventable harm. … problems they have noticed around antibiotic prescribing that may be putting residents at risk for harm … There are good posters highlighting the importance of using antibiotics carefully to avoid unnecessary harm … ensure teams have resources to conduct their work · Holding staff accountable for reducing resident harm -
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docxSeptember 01, 2022 - From the time the patient presented for medical care to the time harm occurred, there were several opportunities … to prevent harm. … practices in a clinic can help ensure that patients receive antibiotics only when needed to minimize harm … critical for ill-appearing patients with bacterial infections, all antibiotics also have associated harm
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.htmlSeptember 01, 2022 - terms of patient benefit and harms, tests, like all other health services, will either help patients or harm … results and subsequent missed diagnoses that are truly causing symptoms, with potential for patient harm
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ce.effectivehealthcare.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.htmlOctober 01, 2022 - encouraged to understand both the benefits and the risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior.
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.htmlJune 01, 2023 - It allows individuals and teams to take steps to correct the issue before harm or injury to the patient … Cross-monitoring is a harm and error reduction strategy that involves: Monitoring actions of other
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.htmlFebruary 01, 2017 - We do not accept any preventable harm as an option. … What can be done to prevent or minimize this harm? … Severity of harm the defect causes. Frequency of the defect occurrence. … What can be done to prevent or minimize this harm?
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