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Total Results: 478 records

Showing results for "harm".

1. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
   June 01, 2020 - QSRS) Simulation Transdisciplinary Learning Lab To Eliminate Patient Harm … engineering methods to partner with patients, patients’ families, and others to eliminate preventable harm … high-reliability hospitals. 1, 2 The roadmap encompasses four phases of work: Eliminating a single harm … the accuracy and efficiency of the protocol, and prevents calculation errors that can lead to patient harm … Final Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste.

2. Caregiver Innovations to Reduce Harm in Neonatal Intensive Care | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
   April 01, 2022 - Safety Review System (QSRS) Simulation Caregiver Innovations to Reduce Harm … 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 … Progress Report:  Caregiver Innovations To Reduce Harm in Neonatal Intensive Care. … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm

3. Medication or Other Substance Dashboard | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/npsd/data/dashboard/medication.html
   October 01, 2023 - This dashboard details the incorrect action taken, incorrect action by residual harm to the patient, … type of incorrect dose, type of incorrect dose by residual harm to the patient, stage of process where … event originated, and stage of process where event originated by residual harm to the patient.

4. Device or Medical/Surgical Supply, Including HIT Dashboard | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/npsd/data/dashboard/devices.html
   October 01, 2023 - This dashboard details the type of device; type of device by residual harm to the patient; device defect … , failure, or user error; device defect, failure, or user error by residual harm to the patient; type … technology (HIT) device in HIT-related report; and type of HIT device in HIT-related report by residual harm

5. Making the Case That Improving Antibiotic Use is a Patient Safety Issue | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/antibiotic-use/acute-care/safety/patient-safety.html
   November 01, 2019 - After viewing or presenting this presentation viewers will be able to— Explain the potential harm … associated with antibiotic use Recognize that patient harm is often preventable Recognize that change … require a focus on systems, not individuals Recognize the importance of diverse input to prevent harm

6. NPSD Dashboards | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/npsd/data/dashboard/index.html
   October 01, 2023 - The dashboard charts detail event type, report type by event type, extent of harm by event type, event … type by extent of harm, and extent of harm.   … Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence … of fall assistance by patient harm, type of fall injury, and fall location.     … to the patient, type of incorrect dose, type of incorrect dose by residual harm to the patient, stage

7. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
   January 01, 2024 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires changes in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm

8. Safer Together: A National Action Plan to Advance Patient Safety | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/patient-safety/reports/safer-together.html
   November 01, 2022 - 2018 by the Institute for Healthcare Improvement and committed to achieving safer care and reducing harm … Though U.S. researchers have identified many evidence-based, effective best practices for harm reduction … Reducing preventable harm requires a total systems approach: a coordinated, proactive strategy in which … precondition to advancing patient safety with a unified, total systems-based approach to eliminate harm

9. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
   pcmh.ahrq.gov/antibiotic-use/acute-care/safety/index.html
   June 01, 2021 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm

10. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - report, To Err Is Human: Building a Safer Health System , the problems associated with injury and harm … the United States provides some of the best health care in the world, unsafe health care processes harm … This statistic represents only one type of patient harm that results during the delivery of patient care … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial

11. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - A CANDOR event is an event that involves unexpected patient harm. … The unexpected harm can be physical, emotional, or financial. … Care for the caregivers is frequently absent in the traditional response to harm. … The CANDOR process promotes the value of disseminating lessons learned and solutions to prevent harm … events, and offering compensation for the patient’s harm, when appropriate.

12. Inappropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/inapp-disclosure.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … This video demonstrates an example of inappropriate disclosure of harm to a patient.

13. Appropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … This video demonstrates an example of appropriate disclosure of harm to a patient.

14. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
    August 01, 2022 - The goal for an organization implementing the CANDOR process is to increase the reporting of patient harm … Do they believe the organization is aware of all the patient harm events? … to prevent future harm events. … The organization should have a mechanism in place to address anonymous reports of harm events. … Identification of innovative solutions to prevent similar harm events and related hazardous behaviors

15. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.html
    March 01, 2024 - Among those patients, about 18 percent of errors caused temporary harm, permanent harm, or death. … errors that persist throughout all care settings, involve common and rare diseases, and continue to harm … They underscore the imperative to mitigate diagnostic errors and harm.

16. Preventing Falls in Hospitals
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
    June 16, 2017 - Falls harm patients. 30% to 51% of falls result in injury. … per 1000 pt days JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm categories … per 1000 pt days JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm categories … 0 Quarter harm from falls Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter JAH VAMC … 0 Quarter harm from falls Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter

17. How To Measure Fall Rates and Fall Prevention Practices
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
    December 03, 2012 - . ‹#› 48 JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm … per 1000 pt days JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm categories … per 1000 pt days JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm categories … 0 Quarter harm from falls Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter JAH VAMC … 0 Quarter harm from falls Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter

18. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Are the costs associated with inappropriate care-related harm events tracked and trended? … Is the investigatory process for harm events designed to afford all members the protections of State … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Have the staff had training related to the vulnerabilities of caregivers involved in harm events? … Is followup provided for staff involved in harm events?

19. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Some organizations struggle to improve the way they and their care teams respond to medical harm. … Video: Do Less Harm Slide 2 Say: Today's Presentation Goals are to: Highlight the gap between … to provide excellent, high-quality medical care, but despite all of our patient safety work, patient harm … Medicare data: 13.5% of hospitalized beneficiaries experienced an adverse event. 1.5% experienced harm … An understanding of the changes that have been made to prevent harm to another patient.

20. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … A traditional approach when unexpected harm occurs often follows a "deny-and-defend" strategy, providing