-
patientregistry.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.
-
patientregistry.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.
-
patientregistry.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.
-
patientregistry.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
-
patientregistry.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.
-
patientregistry.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
-
patientregistry.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
-
patientregistry.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.
-
patientregistry.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?
-
patientregistry.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.
-
patientregistry.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
…
-
patientregistry.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
-
patientregistry.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?
-
patientregistry.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.
-
patientregistry.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.
-
patientregistry.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
-
patientregistry.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
-
patientregistry.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
-
patientregistry.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
-
patientregistry.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