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Total Results: 478 records

Showing results for "harm".

361. TeamSTEPPS Fundamentals Course: Module 5. Situation Monitoring | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module5/igsitmonitor.html
     March 01, 2019 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm

362. Action Planning Worksheets | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/essentials/implguide2.html
     November 01, 2018 - Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process

363. HHS AHRQ Freedom of Information Annual Report - FY 2010 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/policy/foia/foiafy10.html
     November 01, 2020 - requests are not granted: Documents requested were protected by an exemption and release would have caused harm

364. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
     pcmh.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
     March 11, 2022 - made the case that improving diagnosis education was an “ethical imperative,” given the aggregate harm … errors arise from unconscious tendencies that can be avoided or at least recognized in time to avoid harm

365. Breaking Down Barriers to Aseptic Catheter Insertion | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
     December 01, 2017 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery Centers Toolkit CLABSI and …

366. Hospital Survey on Patient Safety Culture: User's Guide (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf
     July 01, 2018 - the patient, and (3) mistakes that could harm the patient but do not. … When a mistake is made, but has no potential to harm the patient, how often is this reported? ...... … When a mistake is made that could harm the patient, but does not, how often is this reported? ..... … 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?

367. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - The extent of harm to the patient and expected duration of harm were also reported with moderate consistency

368. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
     May 01, 2016 - evaluated diagnostic error as a quality-of-care challenge and examined the epidemiology, burden of harm

369. Event Investigation and Analysis Guide: Appendix B | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apb.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

370. Event Investigation and Analysis Guide: Appendix G | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

371. Event Investigation and Analysis Guide: Appendix E | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

372. Event Investigation and Analysis Guide: Appendix C | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

373. Event Investigation and Analysis Guide: Appendix A | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apa.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

374. Event Investigation and Analysis Guide: Appendix F | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

375. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
     August 01, 2022 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall Prevention in Hospitals Training Program Hospital Resources CANDOR Family-Centered Rounds …

376. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/hai/pfp/methods.html
     December 01, 2017 - ratios are, with one exception, all below 1.0 makes intuitive sense: it is credible that the rate of harm

377. Five hours in the PACU? MetroHealth Uses TeamSTEPPS to Improve Patient Transfer from OR to ICU
     pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
     January 01, 2016 - will be posted on the portal Register now for the April webinar: “Using TeamSTEPPS to Reduce Patient Harm

378. TeamSTEPPS Essentials Course | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/teamstepps/instructor/essentials/slessentials.html
     July 01, 2018 - Return to Contents Slide 17: Cross-Monitoring A harm error reduction strategy that involves:

379. Selected Best Practices and Suggestions for Improvement (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
     November 01, 2012 - Chasing zero events of harm: an urgent call to expand safety culture work and customer engagement.

380. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2023 User Database Report Part I (pdf file)
     pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-I-rev.pdf
     January 01, 2023 - Documentation – 2023 SOPS ASC Database Near-Miss Documentation When something happens that could harm … Documentation – 2023 SOPS ASC Database Survey Item % Positive Response When something happens that could harm … Percent Positive Response Near-Miss Documentation Item D1: “When something happens that could harm