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Showing results for "harm".

81. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
    August 01, 2022 - designated communicator will engage in followup communication with the patient and/or family about the harm … The patient and/or family have a reasonable expectation to be informed when a harm event has occurred … Patients and families can be engaged as partners in organizational discussions about harm prevention … training appropriate individuals to communicate with patients, families, and staff after a patient harm … appropriate skills and attitudes to communicate with patients, families, and staff after a patient harm

82. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
    August 01, 2022 - possible to patients, health care providers are sometimes faced with the aftermath of adverse patient harm … track" process that allows the caregiver to quickly access support and guidance following a patient harm … promotes the need for a caregiver program to support all team members following an unexpected patient harm … Slide 8 Say: The stages of healing after an unanticipated patient harm event are much like … Addressing an intense fear of the unknown following a patient harm event.

83. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
    February 01, 2024 - About the Course Diagnostic harm is an emerging area of concern in healthcare quality and patient safety … patient safety and risk management literature as well as care delivery research shows that diagnostic harm … Organizations and providers need resources to mitigate diagnostic harm and few tools are available to … their families, and provide assessment and training tools to support local efforts to reduce diagnostic harm

84. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
    September 01, 2022 - At the same time, other people get CPS that have no benefit or even cause harm. … reducing disparities in the delivery of CPS — TEP 6: Stopping the delivery of CPS that may cause more harm

85. PowerPoint Presentation: Learn From Defects Through Sensemaking
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
    December 01, 2017 - A defect can be a specific harm to a patient. … 2) What can you do to prevent this harm or SSI? … ASK: Did the factor increase the harm or the risk for harm or decrease it? … What can I do to prevent that harm? … What can I do to prevent that harm?

86. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Healthcare Safer report , published in 2020, includes 47 evidence-based patient safety practices in selected harm … It includes evidence for more specific harm areas than the preceding reports.

87. Making Healthcare Safer III | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.html
    April 01, 2020 - The 47 practices are categorized among 17 chapters that represent harm areas including medication management

88. PowerPoint Presentation
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
    August 21, 2015 - Engages in subsequent disclosure communications with the patient/family about the harm event. … designated communicator will engage in followup communication with the patient and/or family about the harm … The patient and/or family have a reasonable expectation to be informed when a harm event has occurred … Patients and families can be engaged as partners in organizational discussions about harm prevention … training appropriate individuals to communicate with patients, families, and staff after a patient harm

89. Chapter 1. Background | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter1.html
    August 01, 2022 - Reviewers List of Tables and Exhibits Evidence documenting health care-associated injury/harm … individual States and health care systems have established reporting systems to detect preventable medical harm … reporting mechanisms, and diversify and augment our understanding of the nature and causes of preventable harm

90. CommonSpirit Health Expands CANDOR Toolkit Across Entire Health System | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/202104.html
    October 01, 2021 - adverse event or potential adverse event, and officials estimate 85 patients were spared the additional harm … Traditionally, hospitals and healthcare providers are not fully forthcoming with patients and families when harm … thinking on its head, providing methods and tools for clinicians and others to respond immediately to harm

91. Learn from Defects Tool | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/learn-defects.html
    December 01, 2012 - harm. … Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … If it was involved, did it negatively contribute (increase harm) or positively contribute (reduce impact … of harm) to the incident?

92. Learn-From-Defects-Facilitator-Guide (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - Comprehensive Unit-based Safety Program, or CUSP, Sensemaking tools to help reduce the risk of future harm … the holes symbolize the opportunities for defects to permeate established systems and cause patient harm … What can be done to minimize harm or prevent safety hazards? … of 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

93. Learndefects (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    August 08, 2012 - This could include incidents that you believe caused patient harm or put patients at risk for significant … harm. … Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … of harm) to the incident?

94. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Introduction Much attention has been focused on preventing patient harm since the Institute of Medicine's … a spotlight on patient safety but also highlighted the fact that making progress to reduce patient harm … Persistent support for research focused on understanding health care harm—why it occurs, what can be … PfP is a fully aligned "full-court press" to achieve two aims: 40 percent reduction in preventable harm

95. Mod03-Gap-Analysis-Guide (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Are bills for hospital or professional fees waived if inappropriate care caused harm? 6. … Is followup provided for staff involved in harm events? … Are the costs associated with inappropriate care- related harm events tracked and trended? … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Is followup provided for staff involved in harm events?

96. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/diagnostic-safety/tools/measure-dx.html
    March 01, 2024 - From Diagnostic Safety Events Diagnostic errors are major contributors to patient harm … can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm

97. Mod01-Grand-Rounds-Slides (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Some organizations struggle to improve the way they and their care teams respond to medical harm. … Video: Do Less Harm Slide 2 Say: Today’s Presentation Goals are to: ■ Highlight the gap between … provide excellent, high-quality medical care, but despite all of our patient safety work, patient harm … ■ 1.5% experienced harm that contributed to their death. … ■ An understanding of the changes that have been made to prevent harm to another patient.

98. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
    July 01, 2003 - temporary patient harm F An error occurred that resulted in initial or prolonged hospitalization … and caused temporary patient harm G An error occurred that resulted in permanent patient harm H … basis, could result Advances in Patient Safety: Vol. 2 192 in patient harm, and consequently … A copy of the Laboratory Harm Table is available from the investigators. … The team reasoned that drug-disease interactions are addressed, in part, by the Laboratory Harm Table

99. Tool: Perioperative Staff Safety Assessment (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/perioperative_asst.docx
    December 01, 2017 - What do you think can be done to prevent this harm? … Staff 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.

100. Risk-Based Patient Safety Metrics (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-Scanlon_62.pdf
     March 25, 2008 - Although injury-based metrics might aid the prevention of harm, limitations include poor discrimination … Additionally, not all patient harm is preventable. … be discharged without accurate documentation and coding to reflect the harm event. … This is particularly true of “near-miss” and “no- harm” errors, which do not cause harm and yet might … herald significant potential harm to patients.