Results

Total Results: 348 records

Showing results for "harm".

1. All Cause Harm Prevention in Nursing Home—Events Related to Infections | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
   April 01, 2022 - Home Nursing Home COVID-19 Action Network Resources Catalog All Cause Harm … Prevention in Nursing Home—Events Related to Infections Resource: All Cause Harm Prevention … in Nursing Home—Events Related to Infections ​This document is a section of the All Cause Harm Prevention … reviewed April 2022 Page originally created April 2022 Internet Citation: All Cause Harm … https://www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html  

2. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
   January 01, 2019 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).

3. NPSD Dashboards | Agency for Healthcare Research and Quality
   preventiveservices.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

4. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
   January 01, 2023 - While the AHRQ Harm Scale provides the following possible responses: No harm, Mild harm, Moderate … harm, Severe harm, Death, or Unknown harm, due to small counts across the categories of Moderate to … Severe harm, this Chartbook displays falls where the EXTENT OF HARM is categorized as No harm, Harm … (i.e., Mild harm, Moderate harm, Severe harm, or Death), or Unknown harm. … For this figure, all Incident reports with EXTENT OF HARM reported are displayed as either No harm, Harm

5. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
   preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
   January 01, 2023 - Residual harm is captured by AHRQ’s Harm Scale and is defined as harm to the patient after discovery … harm, Moderate harm, Severe harm, Death, or Unknown harm. … Incident events where the EXTENT OF HARM is categorized as No harm, Harm, or Unknown harm. … harm, Mild harm, Moderate harm, Severe harm, Death, or Unknown harm. … events where the EXTENT OF HARM was reported as No harm, Harm, or Unknown harm.

6. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.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

7. Dashboard Information | Agency for Healthcare Research and Quality
   preventiveservices.ahrq.gov/npsd/data/dashboard/info.html
   June 01, 2019 - Near miss, or Unsafe condition as well as provides other information relevant to all events (e.g., harm … Answer Values: Incident: A patient safety event that reached a patient and either resulted in no harm … (no harm incident) or harm (harm incident). … action by a healthcare practitioner or worker or healthcare circumstance that exposes a patient to harm … first the word is capitalized, and all letters are italicized (e.g., Unsafe condition ; Moderate harm

8. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
   preventiveservices.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.

9. Device or Medical/Surgical Supply, Including HIT Dashboard | Agency for Healthcare Research and Quality
   preventiveservices.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

10. Medication or Other Substance Dashboard | Agency for Healthcare Research and Quality
    preventiveservices.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.

11. Safer Together: A National Action Plan to Advance Patient Safety | Agency for Healthcare Research and Quality
    preventiveservices.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

12. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    preventiveservices.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

13. Preventing Falls in Hospitals
    preventiveservices.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

14. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    preventiveservices.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. How To Measure Fall Rates and Fall Prevention Practices
    preventiveservices.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

16. Blood and Blood Product Dashboard | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/npsd/data/dashboard/blood.html
    October 01, 2023 - This dashboard details the type of blood product involved, type of blood product by residual harm to … patient, stage of process where event originated, and stage of process where event originated by residual harm

17. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
    March 01, 2021 - of Social Determinants of Health and Systemic Racism on Patient Safety Understanding and Reducing Harm … Understanding and Reducing Harm caused by Diagnostic Errors How are diagnostic errors within and across … events, including psychological/emotional harm, interventions that expand collection and analysis … What can be done immediately to increase the rate of improvement and harm reduction on a larger scale … voice in reporting patient safety events and enlist patients and caregivers in helping to mitigate harm

18. When It Comes to High-Quality Healthcare, Diagnostic Safety Tops the List | Agency for Healthcare Research and Quality
    preventiveservices.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.

19. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/notes.html
    December 01, 2012 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm … What can be done to minimize harm or prevent safety hazards? … safety assessment by completing the following: List all defects that have the potential to cause harm … The consequent event is described in terms of the event's consequences: Harm that did happen. … Harm that did not happen—No harm event. Event did not reach the patient—Near-miss event.

20. Module 5: Response and Disclosure | Agency for Healthcare Research and Quality
    preventiveservices.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