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Showing results for "harm".

21. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    pbrn.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.

22. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    pbrn.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

23. Module 7: Resolution | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Following patient harm events, the patient and/or family might sue the caregiver and/or organization, … Creating a learning organization in which patient harm is reduced through ongoing learning from patient … When harm occurs, patients often express the desire to protect others from future events. … Becoming a learning organization supports the goal of preventing similar harm to patients in the future … patients and families supports the patient’s and/or family’s need for an explanation of the patient harm

24. Improving Patient Safety Systems for Limited English Proficiency Patients
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
    January 01, 2011 - Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients English … Percent Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … 366 (46.1%) 89 (40.1%) No harm 194 (24.4%) 24 (10.8%) No detectable harm 177 (22.3%) 58 (26.1%) Minimal … temporary harm 46 (5.8%) 43 (19.4%) Moderate temporary harm 7 (0.9%) 7 (3.2%) Severe temporary harm … Percent Types of Physical Harm Experienced from Adverse Events by English Speaking and LEP Patients

25. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    pbrn.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.

26. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    pbrn.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

27. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    pbrn.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?

28. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    pbrn.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

29. Improving Safety for Patients with Limited English Proficiency: TeamSTEPPS
    pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptx
    January 01, 2013 - Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients English … Percent Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … 366 (46.1%) 89 (40.1%) No harm 194 (24.4%) 24 (10.8%) No detectable harm 177 (22.3%) 58 (26.1%) Minimal … temporary harm 46 (5.8%) 43 (19.4%) Moderate temporary harm 7 (0.9%) 7 (3.2%) Severe temporary harm … Percent Types of Physical Harm Experienced from Adverse Events by English Speaking and LEP Patients

30. PowerPoint Presentation
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - Some organizations struggle to improve the way they and their care teams respond to medical harm. … The CANDOR process aims to change that. 1 Do Less Harm Video 2 Module 1 To get started, let’s watch … Video: Do Less Harm 2 Presentation Goals Highlight the gap between optimal response to medical injury … It is about reducing HARM. Ask what is responsible…not who is responsible. … An understanding of the changes that have been made to prevent harm to another patient.

31. A New Model of Thinking in Clinical Preventive Services (pdf file)
    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/new_model_thinking.pdf
    February 01, 2014 - help save lives, but not everyone realizes that preventive services also have the potential to cause harm … preventive services to be of value, the potential for benefit must be greater than the potential for harm

32. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    pbrn.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 … detailed information concerning the elements of disclosure to patients and families following a patient harm … track" process that allows the caregiver to quickly access support and guidance following a 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.

33. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    pbrn.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

34. Reducing Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/hai/hac/index.html
    June 01, 2021 - Reducing hospital-acquired conditions (HACs) is an important patient safety goal, because HACs cause harm

35. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    pbrn.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

36. Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services (pdf file)
    pbrn.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.

37. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - 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…

38. Alcohol Use | Agency for Healthcare Research and Quality
    pbrn.ahrq.gov/topics/alcohol-use.html
    This means that their drinking causes distress and harm.

39. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)
    pbrn.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

40. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
    pbrn.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.