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Total Results: 403 records

Showing results for "harm".

41. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
    patientregistry.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

42. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
    patientregistry.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

43. Staff-Safety-Assessment (doc file)
    patientregistry.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.

44. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    patientregistry.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

45. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    patientregistry.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,

46. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
    patientregistry.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

47. An Overview of the CANDOR Process
    patientregistry.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.

48. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    patientregistry.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.

49. Working Together to Tackle Our Most Pressing Safety Issues | Agency for Healthcare Research and Quality
    patientregistry.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

50. Survey on Patient Safety (facility version) (doc file)
    patientregistry.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?

51. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    patientregistry.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

52. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
    January 01, 2023 - (Item B5) 84% 80% Staff tell someone if they see something that might harm a resident. … (Item B6) 89% 85% In this nursing home, we discuss ways to keep residents safe from harm. … (Item B5) 83% Staff tell someone if they see something that might harm a resident. … (Item B5) 79% 89% Staff tell someone if they see something that might harm a resident. … (Item B6) 85% 89% In this nursing home, we discuss ways to keep residents safe from harm.

53. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
    October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.

54. Making Informed Consent an Informed Choice: Training for Health Care Professionals Audio Script | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
    September 01, 2020 - Be specific about how long you expect a benefit or harm to last. … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain. … cannot answer these questions correctly, STOP the line; that is, halt any activity that could cause harm

55. Module 2: Obtaining Organizational Buy-in and Support | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
    August 01, 2022 - Transparency is also vital in addressing system factors that may contribute to harm. … choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … recognize when they are engaging in at-risk behavior and how their behavior might cause unjustifiable harm

56. Improving Medication Safety for Older Adults | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
    March 01, 2022 - safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm … These efforts are helping pharmacists reduce harm from both prescription and over-the-counter (OTC) medication

57. Identifying Strategies to Improve Medication Safety at Home | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
    November 01, 2022 - Resilience for Medication Safety Learning Lab (PROMIS Lab) , aims to reduce preventable medication-related harm

58. Hospital Survey on Patient Safety (doc file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
    June 09, 2016 - 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?

59. Hospital Survey on Patient Safety (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
    December 22, 2017 - 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. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
    August 01, 2022 - focused on three main approaches to improving patient safety and reducing medical liability: Preventing Harm … These projects addressed improved communication by assessing attitudes toward error and harm disclosure