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Total Results: 478 records

Showing results for "harm".

121. Improving Your Laboratory Testing Process Toolkit (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
     December 01, 2017 - consistently show that the process for managing tests is a significant source of error and patient harm … The survey also asks staff and physicians to consider the potential harm caused by problems with your … What is the usual harm for patients? … • To score each survey, multiply the “frequency” score by the “harm” score to get a total score … Medical testing errors in this office do not harm patients. 9.

122. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/resources/learning-lab/index.html
     February 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:

123. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/895.html
     January 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

124. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
     September 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

125. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
     pcmh.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

126. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsletters/e-newsletter/881.html
     September 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

127. Nursing Home Resources | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/es/nursing-home/resources/search.html
     January 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.

128. Overview: Getting Patients Off the Ventilator Faster: Facilitator Guide | Agency for Healthcare Research and Quality
     pcmh.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?"

129. Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
     December 01, 2023 - This is due primarily to biases that result in undue harm to disadvantaged populations, which perpetuates

130. Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/publications/search.html
     January 01, 2024 - Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic

131. TeamSTEPPS® 2.0: Introduction | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/introduction.html
     March 01, 2019 - quality health care and for the prevention and mitigation of medical errors and of patient injury and harm

132. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     pcmh.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

133. Practice Improvement | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/practiceimprovement/index.html
     August 01, 2022 - Resolution (CANDOR) Toolkit Process for practitioners to use when unexpected events cause patient harm

134. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
     October 01, 2023 - Given the growing concern of harm from antimicrobial-resistant germs in nursing homes, the impact of

135. AHRQ Quality Indicators Toolkit Facilitates Process Improvement Work at Cedars-Sinai Medical Center | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
     December 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

136. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
     January 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm

137. Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/diagnostic-safety/index.html
     January 01, 2007 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm

138. Making Health Care Safer II | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
     July 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…

139. Organizing Quality Measures by Domains of Health Care Quality | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/translate/organize/quality-domain.html
     December 01, 2022 - categories, or domains, of quality: [2] Care that protects patients from medical errors and does not cause harm

140. Resident Physicians as Champions in Preventing Device-Associated Infections Pocket Guide | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/cauti-tools/phys-championsgd/pocketguide.html
     December 01, 2017 - Indwelling devices that HEAL may also HARM! Use them only when necessary.