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Showing results for "harm".

61. Understanding and Reducing Overuse of Potentially Harmful Screening Tests (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
    January 01, 2014 - Stacey Sheridan, MD MPH AHRQ Grant Number: P01 HS021133 It is just a screening test; what is the harm … While many screening tests are beneficial, some do more harm than good. … How can a screening test cause harm? … educational materials we learned that:  Fewer than half of patients recognize that screening can cause harm

62. Prologue—Volume 2—Systems Thinking and Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schyve.pdf
    April 27, 2005 - This should come as no surprise, given that “first, do no harm” has been the ethical watchword throughout … of techniques that we might employ to bring reality closer to the ideal of doing no (preventable) harm … The realization of the magnitude of this failure and that there are potential routes to reducing harm … Even today, preventable patient harm is too often associated with error—usually human error—both within … How can we intervene to prevent harm from unintended consequences?

63. Module 7: Resolution | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Following patient harm events, the patient and/or family might sue the caregiver and/or organization, … Creating a learning organization in which patient harm is reduced through ongoing learning from patient … When harm occurs, patients often express the desire to protect others from future events. … Becoming a learning organization supports the goal of preventing similar harm to patients in the future … patients and families supports the patient’s and/or family’s need for an explanation of the patient harm

64. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
    January 01, 2013 - Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients English … Percent Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … 366 (46.1%) 89 (40.1%) No harm 194 (24.4%) 24 (10.8%) No detectable harm 177 (22.3%) 58 (26.1%) Minimal … temporary harm 46 (5.8%) 43 (19.4%) Moderate temporary harm 7 (0.9%) 7 (3.2%) Severe temporary harm … Percent Types of Physical Harm Experienced from Adverse Events by English Speaking and LEP Patients

65. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - Some organizations struggle to improve the way they and their care teams respond to medical harm. … The CANDOR process aims to change that. 1 Do Less Harm Video 2 Module 1 To get started, let’s watch … Video: Do Less Harm 2 Presentation Goals Highlight the gap between optimal response to medical injury … It is about reducing HARM. Ask what is responsible…not who is responsible. … An understanding of the changes that have been made to prevent harm to another patient.

66. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - negative events 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.

67. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
    March 01, 2004 - determined that a significant number of such events do have the potential to cause serious patient harm … error, harm includes Categories E–I events … § No harm definition: An event that reached the patient but did not result in harm. ** Harm definition … Additionally, 9 of the 10 leading “harm” drugs in the DoD data and 8 of the 10 leading “harm” drugs … Percentage of inpatient and outpatient events, stratified by harm and reported Table 2.

68. A New Model of Thinking in Clinical Preventive Services (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
    February 01, 2014 - help save lives, but not everyone realizes that preventive services also have the potential to cause harm … preventive services to be of value, the potential for benefit must be greater than the potential for harm

69. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Are the costs associated with inappropriate care-related harm events tracked and trended? … Is the investigatory process for harm events designed to afford all members the protections of State … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Have the staff had training related to the vulnerabilities of caregivers involved in harm events? … Is followup provided for staff involved in harm events?

70. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
    August 01, 2022 - Are the costs associated with inappropriate care-related harm events tracked and trended?       … Is the investigatory process for harm events designed to afford all members the protections of State … Are bills for hospital or professional fees waived if inappropriate care caused harm?         … Have the staff had training related to the vulnerabilities of caregivers involved in harm events?   … Is followup provided for staff involved in harm events?        

71. Inappropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/videos/inapp-disclosure.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … This video demonstrates an example of inappropriate disclosure of harm to a patient.

72. Appropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … This video demonstrates an example of appropriate disclosure of harm to a patient.

73. Learn From Defects in Care of Mechanically Ventilated Patients: Slide Presentation | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-slides.html
    February 01, 2017 - harm. 1 Image: Man wearing jeans and orange/black striped T-shirt sitting with hands raised to chin … What can you do to prevent or minimize this harm? … or risk of harm, decreased it, or was not applicable. … or risk of harm, decreased it, or was not applicable. … or risk of harm, decreased it, or was not applicable.

74. Module 5: PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
    May 01, 2017 - Ambulatory Surgery Management Practices for Sustainability Key outcome measures Days since last harm … 221 Werner  111 Carletta  221 Safety training chart Date Revised Number of Procedures since last harm … Date Opportunity Action Results Smith ASC Excellence in Safety: No Harm … Keep track of count of procedures since last harm incident each day update the board. … ###1 Ardella Ruffo  A16:00 ####4 Safety Check 4 5 6 7 Our Surgery Center “Excellence in Safety: No Harm

75. Learning from Errors in Ambulatory Pediatrics (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
    February 01, 2004 - Categories of medical error and frequency of harm, cont. … The occurrence of an error did not imply harm or injury to the patient. … harm. … Categories of medical error and frequency of harm Table 4. … Types of errors within the medical treatment category and frequency of harm Table 5.

76. Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdf
    January 01, 2004 - The frank admission of a harm-causing error—e.g., “Mrs. … Jones, an error occurred in your care that was responsible for the harm you experienced, and we apologize … for the harm it caused”—is a slam-dunk admission of liability. … Conclusion It remains possible that a health professional who discloses harm-causing error, despite … Obviously, the eradication of needless fears that compromise the truthful disclosure of harm-causing

77. Examples of Patient Harm Related to Invasive Devices | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
    October 01, 2015 - Program Tools Reducing CAUTI in Hospitals Modules Examples of Patient Harm … Resident Physicians as Champions in Preventing Device-Associated Infections Examples of Patient Harm … Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm … October 2015 Page originally created October 2015 Internet Citation: Examples of Patient Harm

78. Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
    September 18, 2014 - , physicians must weigh different factors that influence a screening decision, including potential harm …  15% did not see much harm in ordering screening tests even if they are not recommended.

79. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
    September 01, 2023 - define and enumerate diagnostic errors, but we are often reminded by patients and clinicians of the harm … Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic

80. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
    June 01, 2021 - be able to — · Discuss the potential harms associated with antibiotic use · Recognize that patient harm … However, antibiotics, whether necessary or not, come with risks and may cause harm. … There is a fear of causing harm by stopping a medicine someone else thought the resident needed. … The intent is to reduce preventable harm by identifying problems which cause harm to residents. … The holes are the errors or missed opportunities to stop harm of a resident.