Results

Total Results: 403 records

Showing results for "harm".

141. Tool: I-PASS | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
     July 01, 2023 - standard approaches to performing structured handoffs, they are more likely to avoid omissions that can harm

142. Community Pharmacy Survey on Patient Safety Culture: 2019 User Database Report (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-pharmacy-sops-database-report-appendix.pdf
     January 01, 2019 - 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 … When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient and could cause harm but does not, how often is it documented?

143. Practice Improvement | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/practiceimprovement/index.html
     August 01, 2022 - Resolution (CANDOR) Toolkit Process for practitioners to use when unexpected events cause patient harm

144. TeamSTEPPS® 2.0: Introduction | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps/instructor/introduction.html
     March 01, 2019 - quality health care and for the prevention and mitigation of medical errors and of patient injury and harm

145. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - meanings, as well as unfamiliar accents or dialects, can all cause confusion that leads to patient harm

146. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.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 …

147. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems (doc file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
     May 01, 2017 - patient or family members believe needs immediate evaluation and response to avoid fetal or maternal harm … patient who has deteriorated physiologically; and · be able to intervene to minimize risk of serious harm … or nurse or patient or family member believes needs immediate evaluation to avoid fetal or maternal harm

148. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - prevent misunderstandings and improve communication, the most significant contributing factor to prevent harm … Transparency is also important in addressing system factors that may contribute to harm.

149. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - , medicine (J Patient Saf 2022;00: 00–00) D iagnostic errors are major contributors to patient harm … Newman-Toker et al20 United States The authors used the NASEM definition and misdiagnosis- related harm … patients with specific abnormal results that are often received by pediatric practices but can cause harm … diagnostic processes49 such as missed opportunities11 and outcomes such as clinical endpoints (e.g., harm … encourage di- versity and innovation in safety measurement as long as the goal is to reduce patient harm

150. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - was some overlap in activities: (1) improving communication by assessing attitudes toward error and harm … Utah, and Sanford Research) addressed improved communication by assessing attitudes toward error and harm … administrative staff to anonymously report near-miss events (errors that do not result in patient harm … warranting an offer of compensation (e.g., they are preventable and reliably identifiable, and the harm … government about its existing liability claims reporting system and the relationship among patient harm

151. Hospital Resources | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - 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 …

152. Organizing Quality Measures by Domains of Health Care Quality | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/talkingquality/translate/organize/quality-domain.html
     December 01, 2022 - categories, or domains, of quality: [2] Care that protects patients from medical errors and does not cause harm

153. Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
     July 01, 2021 - 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 …

154. How Does the NPSD Work? | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/npsd/how-does-npsd-work/index.html
     February 01, 2024 - valuable resource for research and learning about how to improve patient safety and prevent patient harm

155. Tool: DESC | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
     July 01, 2023 - putting the well-being of patients or other team members or staff at risk of physical or emotional harm

156. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014

157. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Medication overdoses can lead to harm, sometimes requiring emergency treatment or hospitalization and … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … With the objective of preventing future harm, this updated process focuses on actions to be taken: Root … Safety Provide Feedback to Front-Line Staff RCA2: Improving Root Cause Analyses and Actions To Prevent Harm

158. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm

159. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     patientregistry.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … patients are often on multiple medications, and side effects and drug-drug interactions may lead to more harm … InfoSAGE, for medication management may save time for both for patient and provider and may reduce harm … The digital doctor: hope, hype, and harm at the dawn of medicine's computer age.

160. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     patientregistry.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
     November 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 …