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Total Results: 493 records

Showing results for "harm".

101. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - When a mistake is made, but has no potential to harm the patient, how often is this reported? D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm

102. Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
     February 01, 2024 - and Workforce Safety We stand for a healthcare delivery system that is free from preventable harm … Progression of the LN will be measured and assessed based on: Progress against goal of 50% reduction in harm

103. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/grantee-profiles/index.html
     April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm

104. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
     December 01, 2022 - University of South Carolina (MUSC), aims to develop evidence-based strategies to prevent surgical harm … thinking about what errors really mean, about what systems really mean, and what we can do to avoid harm

105. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/data/visualizations/hiv-prep.html
     October 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

106. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
     January 01, 2021 - I have often talked about the need to get to zero harm and zero defects in healthcare delivery. … complex industries such as aviation and auto manufacturing, they have made tremendous strides toward zero harm … Especially in light of the COVID-19 crisis, we’ve seen the significant harm clinician burnout can have

107. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
     September 01, 2016 - organizations as they strive to eliminate the factors that contribute to medical errors, patient harm … errors are treated not as personal failures, but as opportunities to improve the system and prevent harm … Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital

108. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
     October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the

109. SOPS Community Pharmacy Survey Items and Composites (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
     June 19, 2018 - 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

110. St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsroom/case-studies/cquips1402.html
     January 01, 2014 - total submitted reports, types of events (e.g., medication variances, device failures), severity of harm … professional anguish health care workers can experience after their involvement with unanticipated patient harm

111. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
     January 01, 2019 - CANDOR) process to respond in a timely, thorough, and just way when unexpected events cause patient harm … Missed nursing care is linked to patient harm, including falls and infections. … • Identify system vulnerabilities that could lead to patient harm. … , • Assist interdisciplinary teams in proactively identifying opportunities for reducing patient harm … are designed to help alert hospitals and focus their efforts on errors that cause serious patient harm

112. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 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 … Limitations Examples Routinely recorded quality and safety events Awareness of the impact and harm … Other factors related to diagnostic error, such as the presence of patient harm (e.g., clear evidence … of harm versus “near-misses”), preventability, and actionability, may also be important to define in

113. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
     October 01, 2021 - Four million people a year in the United States suffer serious harm as a result. … and resources for improving diagnostic safety is that they are on the pathway to actually preventing harm

114. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     healthcare411.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - 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 … 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 … Temporal trends in rates of patient harm resulting from medical care.

115. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
     September 01, 2020 - required prior to all surgery, and for any treatments and procedures that involve a significant risk of harm … organization's informed consent policy should include what constitutes an emergency, such as if irreparable harm

116. Facilitator Notes | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
     December 01, 2012 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm

117. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
     January 01, 2011 - Joint Commission's Sentinel Event Database 0 10 20 30 40 50 Pe rc en t Type of Physical Harm … Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients English … patients are more frequently caused by communication problems and are more likely to result in serious harm

118. ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
     April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD Jennifer Bannon RN BSN MSHI Table of Contents Objectives Cardiovascular Disease Cardiovascular Disease (2) ABCS-Aspirin when appropriate Anatomy of a Performance Measure Measure Exce…

119. Resource List - AHRQ Hospital Survey (pdf file)
     healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
     April 01, 2023 - login) This short video and discussion guide describes how disruptive behavior can lead to patient harm … short video and discussion guide provides an example of disruptive behavior, describes how it can harm … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … To focus on the objective of preventing future harm, this updated process focuses on actions to be taken … Missed nursing care is linked to patient harm, including falls and infections.

120. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     healthcare411.ahrq.gov/news/newsletters/e-newsletter/892.html
     December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a