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Showing results for "harm".

21. PowerPoint Presentation
    monahrq.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.

22. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    monahrq.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?

23. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
    monahrq.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?        

24. Inappropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    monahrq.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.

25. Appropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    monahrq.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.

26. Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services (pdf file)
    monahrq.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.

27. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    monahrq.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

28. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    monahrq.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.

29. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    monahrq.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

30. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)
    monahrq.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

31. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    monahrq.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.

32. Mod03-Gap-Analysis-Guide (pdf file)
    monahrq.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?

33. Mod01-Grand-Rounds-Slides (pdf file)
    monahrq.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.

34. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … Organizational Learning and Sustainability “We realize mistakes happen, and we can forgive that; but you harm … Generally, the CANDOR process begins with identification of an event that involves harm.

35. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
    monahrq.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
    June 18, 2015 - How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That … How Antibiotics Can Cause More Harm Than Good Older people have more side effects from medicines, which … develop new symptoms. »Cause nausea, vomiting or diarrhea. »Cause rashes or allergic reactions. »Harm

36. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - 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 …

37. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
    monahrq.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
    January 01, 2024 - A single-center harm-reduction program, Nephrotoxic Injury Negated by Just-in-time Action (NINJA), reduced … Key Words: acute kidney injury, nephrotoxicity, children, harm reduction 2 Purpose A key limitation … It also projects that achieving further harm reduction will require additional innovation. … Preventing health care-associated harm in children. JAMA 2014;311:1731-2. PMID: 24794361. 31. … Temporal trends in rates of patient harm resulting from medical care.

38. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … A traditional approach when unexpected harm occurs often follows a "deny-and-defend" strategy, providing

39. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    monahrq.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
    May 01, 2023 - requested clarification but the response or confirmation does not ease the concern about potential harm … the Two-Challenge Rule to situations where the patient or another team member may be at high risk of harm … Can you think of times when using this rule could have prevented harm to a patient?

40. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
    monahrq.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.