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Showing results for "harm".

1681. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/carbapenem-resistant-1.pdf
      March 01, 2020 - Importance of Harm Area CRE is commonly associated with clusters and outbreaks in healthcare settings … Carbapenem-Resistant Enterobacteriaceae Introduction Background Importance of Harm Area Methods for

1682. Preventing-Cauti-Icu-Setting-Module 1-Speaker-Notes (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docx
      September 01, 2015 - For example— Can we connect the dots to harm?

1683. Talking With Residents and Family Members About Lower Respiratory Tract Infections (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
      June 01, 2021 - Talking With Residents and Family Members About Lower Respiratory Tract Infections — Talking With Residents and Family Members About Lower Respiratory Tract Infections My mother has a cough. She’s bringing up yellow phlegm. Does she have pneumonia? Last time this happened, the doctor prescribed an …

1684. Talking With Residents and Family Members About Urinary Tract Infections (UTIs) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
      June 01, 2021 - Talking With Residents and Family Members About Urinary Tract Infections (UTIs) Talking With Residents and Family Members About Urinary Tract Infections (UTIs) My father is not himself today. His urine is dark and smells bad. Does he have a urinary tract infection? Last time this happened, the do…

1685. Using ICD-9-CM Codes in Hospital Claims Data to Detect Adverse Events in Patient Safety Surveillance (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-Hougland_26.pdf
      October 01, 2011 - MPH; Wu Xu, PhD Abstract Background: Adverse events (AEs) are significant and common sources of harm … payers of medical care move towards systems that reward high quality and avoid paying for iatrogenic harm … reporting detects only a small fraction of events.10, 11 Chart review can detect a large fraction of harm … ICD-9-CM includes codes that explicitly target some types of iatrogenic harm. … quality throughout the project by reviewing the abstraction forms as they came in, focusing on AE harm

1686. Patient Experience Research Meeting - Agenda (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-ptexp-research-meeting-agenda-2023.pdf
      January 01, 2023 - Patient-Provider Communication and Reducing Patient Harm and the Incidence of Malpractice • Presentation

1687. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
      May 01, 2017 - between 210,000 and 440,000 patients who go to a hospital each year suffer some type of preventable harm

1688. Improving Error Reporting in Ambulatory Pediatrics with a Team Approach (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-Neuspiel_43.pdf
      March 05, 2008 - None of the AEs (e.g., wrong vaccine administered) resulted in significant harm to patients. … Resar26 has noted that the goal of patient safety should be a focus on harm reduction rather than on

1689. Community Pharmacy Survey on Patient Safety Culture: 2015 User Comparative Database Report Part II (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt2.pdf
      January 01, 2015 - 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 … 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 … When a mistake reaches the patient and could cause harm but does not, how often is it documented?

1690. Building an Engaged CUSP Team Facilitator Guide (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
      April 01, 2022 - The CUSP framework accomplishes this through stressing that patient harm is not an acceptable cost of … prioritize improvement efforts, help remove barriers, and provide resources to support preventing patient harm … You also can convey the unit’s commitment to prevent harm. … establishes processes for staff to be included in analyzing defects and developing plans to address harm

1691. Making Informed Consent an Informed Choice: Training for Health Care Leaders (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
      January 01, 2014 - Assistants, Nurse, or other clinical staff Stop the line (i.e., halt any activity that could cause harm

1692. Module 3: PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
      May 01, 2017 - it Understand the tools for root cause analysis that your center applies to investigate and document harm

1693. Mod4-Event-Checklist (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
      April 01, 2016 - ■ Assess event for potential harm based on report/cursory electronic medical record review.

1694. Module 1: Preventing Falls in Hospitals (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
      March 01, 2013 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm

1695. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix L. Intensive Care Unit Infographic Poster (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
      September 01, 2015 - Engaging health care workers to prevent catheter-associated urinary tract infection and avert patient harm

1696. 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Infographic.pdf
      January 01, 2020 - 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic Surveys on Patient Safety Culture (TM) Findings from the 2020 Surveys on Patient Safety Culture (SOPS) Medical Office Database The SOPS Medical Office Survey assesses provider and staff perceptions of their organization's patient sa…

1697. Antibiotic-Use-Commitment-Poster (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/antibiotic-use-commitment-poster.docx
      November 01, 2019 - AHRQ Pub. No. 17(20)-0028-EF November 2019 Our institution is committed to prescribing the most appropriate antibiotics when they are needed and to not prescribing antibiotics when they are not needed. Please ask a member of your medical team if you have any questions about antibiotics. Thank you! Antibiotics are lif…

1698. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
      January 01, 2004 - Medication error (ME) is a significant problem within our health care system, in terms of patient harm … errors per 100 discharges.31 Although the number of reports increased dramatically, the volume of harm … purposes of this study, intercepted error threats were those that did not reach the patient, while harm … medication error by severity of outcome Severity of Outcome No.(%) Intercepted No.(%) No Harm … No.(%) Harm No.(%) Total Paper Web Paper Web Paper Web Paper Web (1994– 2000) (2003) (1994

1699. PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-4-slides.pptx
      September 01, 2015 - PowerPoint Presentation Preventing CAUTI in the ICU Setting AHRQ Safety Program for Reducing CAUTI in Hospitals Module 4: Summary and Next Steps AHRQ Pub No. 15-0073-4-EF September 2015 AHRQ Safety Program for Reducing CAUTI in Hospitals 1 Summary of Module 1 CAUTI is a common and harmful healthcare- associated i…

1700. Cover slide
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
      May 01, 2013 - Communicating about episodes of harm to patients. In: Leonard M, ed.