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Total Results: 403 records

Showing results for "harm".

81. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
    February 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?"

82. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
    June 01, 2020 - identifying, assessing, and reducing patient safety threats in real time, before they manifested in actual harm … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm

83. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - ET on the Veterans Health Administration’s (VHA) Journey to High Reliability: Advancing Toward Zero Harm … Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm

84. Comprehensive Unit-based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated Infections | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/hai/cusp/summary/index.html
    September 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm

85. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm

86. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task O…

87. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - When a mistake is made, but has no potential to harm the patient, how often is this reported? D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm

88. Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
    February 01, 2024 - and Workforce Safety We stand for a healthcare delivery system that is free from preventable harm … Progression of the LN will be measured and assessed based on: Progress against goal of 50% reduction in harm

89. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm

90. Human Factors in Surgery: Shifting the Paradigm on Patient Safety | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
    December 01, 2022 - University of South Carolina (MUSC), aims to develop evidence-based strategies to prevent surgical harm … thinking about what errors really mean, about what systems really mean, and what we can do to avoid harm

91. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/data/visualizations/hiv-prep.html
    October 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 …

92. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - I have often talked about the need to get to zero harm and zero defects in healthcare delivery. … complex industries such as aviation and auto manufacturing, they have made tremendous strides toward zero harm … Especially in light of the COVID-19 crisis, we’ve seen the significant harm clinician burnout can have

93. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
    September 01, 2016 - organizations as they strive to eliminate the factors that contribute to medical errors, patient harm … errors are treated not as personal failures, but as opportunities to improve the system and prevent harm … Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital

94. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
    October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the

95. SOPS Community Pharmacy Survey Items and Composites (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - 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

96. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - CANDOR) process to respond in a timely, thorough, and just way when unexpected events cause patient harm … Missed nursing care is linked to patient harm, including falls and infections. … • Identify system vulnerabilities that could lead to patient harm. … , • Assist interdisciplinary teams in proactively identifying opportunities for reducing patient harm … are designed to help alert hospitals and focus their efforts on errors that cause serious patient harm

97. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
    patientregistry.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
    April 02, 2020 - These principles act as “a call to action for all stakeholders in reducing harm, including policymakers … on conditions that have been shown to be relatively common in being missed, which leads to patient harm … Limitations Examples Routinely recorded quality and safety events Awareness of the impact and harm … Other factors related to diagnostic error, such as the presence of patient harm (e.g., clear evidence … of harm versus “near-misses”), preventability, and actionability, may also be important to define in

98. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
    October 01, 2021 - Four million people a year in the United States suffer serious harm as a result. … and resources for improving diagnostic safety is that they are on the pathway to actually preventing harm

99. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
    patientregistry.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
    September 01, 2020 - required prior to all surgery, and for any treatments and procedures that involve a significant risk of harm … organization's informed consent policy should include what constitutes an emergency, such as if irreparable harm

100. Resource List - AHRQ Hospital Survey (pdf file)
     patientregistry.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
     April 01, 2023 - login) This short video and discussion guide describes how disruptive behavior can lead to patient harm … short video and discussion guide provides an example of disruptive behavior, describes how it can harm … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … To focus on the objective of preventing future harm, this updated process focuses on actions to be taken … Missed nursing care is linked to patient harm, including falls and infections.