Results

Total Results: 475 records

Showing results for "harm".

161. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     pbrn.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

162. Toolkit to Engage High-Risk Patients In Safe Transitions Across Ambulatory Settings | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
     December 01, 2017 - opportunities and challenges in engaging patients and their care partners as active participants in preventing harm

163. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     pbrn.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
     October 01, 2015 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Introduction Much attention has been focused on preventing patient harm since the Institute of Medicine … spotlight on patient safety but also highlighted the fact that making progress to reduce patient harm … Persistent support for research focused on understanding health care harm—why it occurs, what can be … Temporal trends in rates of patient harm resulting from medical care.

164. AHRQ’s Toolkit Helped Vanderbilt University Hospital Substantially Reduce Patient Falls | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/case-studies/201616.html
     November 01, 2016 - percent of all falls, down from 19 percent the previous year, with 64 fewer instances of a fall-with-harm

165. Health Literacy | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/ncepcr/research/health-literacy.html
     September 01, 2022 - SHARE: More topics in this section National Center for Excellence in Primary Care Research About the National Center Research Initiatives Behavioral Health and Substance Use Disorders Care Coordination Care Management Disseminatin…

166. Discussing Infectious Concerns About Residents With Family Members and Caregivers | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/antibiotic-use/long-term-care/improve/discuss-family.html
     June 01, 2021 - SHARE: More topics in this section Antibiotic Stewardship Toolkits Acute Care Hospital Toolkit Ambulatory Care Toolkit Long-Term Care Toolkit Four Moments Develop/Improve Stewardship Program Developing a Stewardship Program …

167. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
     January 01, 2011 - Joint Commission's Sentinel Event Database 0 10 20 30 40 50 Pe rc en t Type of Physical Harm … Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients English … patients are more frequently caused by communication problems and are more likely to result in serious harm

168. Improving Teamwork and Communication | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/antibiotic-use/long-term-care/safety/teamwork.html
     June 01, 2021 - SHARE: More topics in this section Antibiotic Stewardship Toolkits Acute Care Hospital Toolkit Ambulatory Care Toolkit Long-Term Care Toolkit Four Moments Develop/Improve Stewardship Program Create a Culture of Safety Partne…

169. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
     April 01, 2024 - SHARE: More topics in this section Funding & Grants Notice of Funding Opportunities Research Policies Funding Priorities Training & Education Funding Grant Application, Review & Award Process Post Award Grants Management AHR…

170. ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
     pbrn.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
     April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD Jennifer Bannon RN BSN MSHI Table of Contents Objectives Cardiovascular Disease Cardiovascular Disease (2) ABCS-Aspirin when appropriate Anatomy of a Performance Measure Measure Exce…

171. Resource List - AHRQ Hospital Survey (pdf file)
     pbrn.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.

172. Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
     July 01, 2021 - SHARE: More topics in this section News Newsroom Blog AHRQ Views Newsletter Events AHRQ Views: Blog posts from AHRQ leaders Investing in Primary Care to Ensure High-Quality Care for All Americans …

173. Safe Medication Administration: Slide Presentation | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
     July 01, 2023 - 1 High-alert medications are "drugs that bear a heightened risk of causing significant patient harm … Inappropriate use of oxytocin is one of the top areas of preventable perinatal harm. 2,3 Types of inappropriate … Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.

174. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - Delayed diagnoses that sometimes cause serious patient harm are often caused by a provider overlooking

175. Dailygoals (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
     January 01, 2003 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and

176. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
     January 01, 2013 - colleagues, first make the CLABSI problem real by identifying a patient on your unit who suffered needless harm … The goal should be that no patient suffers harm from a preventable complication while on your unit. … Your unit’s goal should be that no patient suffers harm from a preventable complication while under … analogous to someone on the health care team entering a patient room and intentionally inflicting harm

177. AHRQ Safety Program Helps Hospitals Decrease Antibiotic Use and Reduce Infections, Study Finds | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/newsroom/press-releases/antibiotic-stewardship-hospital.html
     February 01, 2021 - can make care safer by ensuring that patients get the treatment they need while minimizing unintended harm

178. Measuring Climate Resiliency: A Virtual Roundtable Discussion | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/healthsystemsresearch/virtual-roundtable-discussion/index.html
     March 01, 2023 - The Joint Commission Robin Guenther, F.A.I.A., LEED Fellow, Perkins&Will and Health Care Without Harm

179. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
     September 01, 2022 - Captures an “all-cause harm” measurement that hospitals and clinicians can use to better target and measure

180. Four Moments of Antibiotic Decision Making | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/antibiotic-use/acute-care/four-moments/index.html
     November 01, 2019 - pause and review all relevant clinical and laboratory data and then weigh the potential benefit versus harm