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Total Results: 493 records

Showing results for "harm".

41. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
    August 01, 2022 - The entire CANDOR process fosters a culture of improvement around the response to unexpected patient harm … make the necessary changes that promote a timely, thorough, and just response to unexpected patient harm … training in the CANDOR process, the organization can continue to learn from errors and prevent similar harm … Ask patients and family members to share their stories to put a human face on a harm event and engage … Ask staff to share their stories of patient harm.

42. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsletters/e-newsletter/845.html
    January 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.

43. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Her Ambulatory Pediatric Safety Learning Lab  focuses on preventing harm in children caused by the outpatient … She aims to redesign systems of care and coordination between the clinic and home to eliminate harm. … The team received the award for its substantial reduction in preventable harm caused by healthcare to

44. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - These conditions cause harm to patients. … healthcare providers are focused on reducing specific HACs that occur frequently, can cause significant harm

45. Module 5: Situation Monitoring
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
    January 10, 2022 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … team to be resilient, capturing potentially harmful errors in the care process before they result in harm … It allows individuals and teams to take steps to interrupt or correct an action or event before harm … recognize risk or unfolding error An opportunity to interrupt or correct an action or event before harm … Situation monitoring enables team members to identify potential issues before they become a problem or pose harm

46. 6 Tk1 T1-Talking With Residents Checklist Version Final (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
    October 01, 2016 - important for treating you when you definitely have an infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you

47. Previous TeamSTEPPS Webinars: 2016 | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps/webinars/previous-webinars-2016.html
    June 01, 2017 - Association’s (MHA) efforts to address safety culture to improve the quality of care and reduce patient harm … April Webinar: Using TeamSTEPPS to Reduce Patient Harm: Strategies and Successes Across Multiple Settings … The webinar, "Using TeamSTEPPS to Reduce Patient Harm: Strategies and Successes across Multiple Settings … years of implementation and sustainment; and specific successes related to the reduction of patient harm … results associated with specific TeamSTEPPS interventions that have been linked to reductions in patient harm

48. 6 Tk1 T2-Talking With Residents Family Members Checklist Version Final (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
    October 01, 2016 - your family member when he or she definitely has an infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt your

49. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
    January 01, 2014 - The term safety refers to reducing risk from harm and injury, whereas the term quality suggests striving … detect and reduce risks and hazards associated with their delivery of care that may lead to patient harm … The NPSD will analyze these data in order to better understand the underlying causes of patient harm … sharing examples of how the event reports led to changes that reduced health care risks and patient harm … of PSOs as they work with health care providers to improve patient safety and quality and reduce harm

50. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - 2022 • Call to action: recommitment to advance patient and workforce safety to move towards zero harm … by the Veterans Health Administration “VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and

51. Staff-Safety-Assessment (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Please describe what you think can be done to prevent or minimize this harm.

52. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 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

53. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 -  VA participation in Patient Safety Measures of Hospital Harm Technical Expert Panel (TEP). … The project aims to develop measures of hospital harm for use in CMS quality and payment programs,

54. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm … Step 3: What can be done to minimize harm or prevent safety hazards? … 12: Exercise Please complete the following: List all defects that have the potential to cause harm

55. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2 SECTION D: Near-Miss Documentation ► When something happens that could harm

56. An Overview of the CANDOR Process
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
    August 20, 2015 - performance improvement metrics, which allows for improvement of CANDOR processes, and prevention of similar harm … make the necessary changes that promote a timely, thorough, and just response to unexpected patient harm … training in the CANDOR process, the organization can continue to learn from errors and prevent similar harm … Ask patients and family members to share their stories to put a human face on a harm event and engage … Ask staff to share their stories of patient harm.

57. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - 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.

58. Working Together to Tackle Our Most Pressing Safety Issues | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/blog/ahrqviews/patient-safety-stakeholders.html
    March 01, 2021 - AHRQ’s HAI Program is dedicated to understanding the problems that can harm patients, identifying what … scale that’s needed will require dedicated effort and investments in order to prevent the substantial harm

59. Survey on Patient Safety (facility version) (doc file)
    healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?

60. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    healthcare411.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Research and Quality (AHRQ) shows that rates of in-hospital adverse events for healthcare related patient harm … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with