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Showing results for "harm".
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pbrn.ahrq.gov/patient-safety/resources/learning-lab/index.htmlFebruary 01, 2024 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care Principal Investigator: Eric J. … multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste Principal Investigator:
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pbrn.ahrq.gov/news/newsletters/e-newsletter/895.htmlJanuary 01, 2024 - researchers concluded that three-quarters of these diagnostic errors contributed to temporary or permanent harm … Parents' understanding of medication at discharge and potential harm in children with medical complexity
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pbrn.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdfSeptember 01, 2022 - Introduction Errors that occur during the diagnostic process can lead to missed or wrong diagnoses and can harm … risks” and “benefits” vs. the more neutral, transparent, and quantifiable comparison of “chance of harm … of patient benefit and harms, tests, like all other health services, will either help patients or harm … results and subsequent missed diagnoses that are truly causing symptoms, with potential for patient harm
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pbrn.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.htmlOctober 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
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pbrn.ahrq.gov/news/newsletters/e-newsletter/881.htmlSeptember 01, 2023 - highlight 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
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pbrn.ahrq.gov/es/nursing-home/resources/search.htmlJanuary 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.
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pbrn.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.htmlFebruary 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?"
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pbrn.ahrq.gov/news/newsroom/press-releases/guiding-principles.htmlDecember 01, 2023 - This is due primarily to biases that result in undue harm to disadvantaged populations, which perpetuates
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pbrn.ahrq.gov/research/publications/search.htmlJanuary 01, 2024 - Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic
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pbrn.ahrq.gov/teamstepps/instructor/introduction.htmlMarch 01, 2019 - quality health care and for the prevention and mitigation of medical errors and of patient injury and harm
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pbrn.ahrq.gov/sops/international/hospital/translators.htmlOctober 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
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pbrn.ahrq.gov/practiceimprovement/index.htmlAugust 01, 2022 - Resolution (CANDOR) Toolkit Process for practitioners to use when unexpected events cause patient harm
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pbrn.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.htmlOctober 01, 2023 - Given the growing concern of harm from antimicrobial-resistant germs in nursing homes, the impact of
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.htmlDecember 01, 2017 - Everyone is held responsible for actions to mitigate potential patient harm. … disciplines are assigned to carry out a "leave-no-stone-unturned" search for opportunities to prevent harm
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pbrn.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.htmlJanuary 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm
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pbrn.ahrq.gov/diagnostic-safety/index.htmlJanuary 01, 2007 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm
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pbrn.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.htmlJuly 01, 2023 - SHARE: More topics in this section Research Publications & Products Research Findings & Reports Grantee Final Reports: Patient Safety Evidence-based Practice Center Reports Fact Sheets National Healthcare Quality & Disparities Rep…
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pbrn.ahrq.gov/talkingquality/translate/organize/quality-domain.htmlDecember 01, 2022 - categories, or domains, of quality: [2] Care that protects patients from medical errors and does not cause harm
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pbrn.ahrq.gov/hai/cauti-tools/phys-championsgd/pocketguide.htmlDecember 01, 2017 - Indwelling devices that HEAL may also HARM! Use them only when necessary.
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pbrn.ahrq.gov/hai/cusp/modules/apply/ac-cusp.htmlDecember 01, 2012 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm
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