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Total Results: 348 records

Showing results for "harm".

21. Module 6: Care for the Caregiver | Agency for Healthcare Research and Quality
    preventiveservices.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 … track" process that allows the caregiver to quickly access support and guidance following a patient harm … promotes the need for a caregiver program to support all team members following an unexpected 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.

22. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    preventiveservices.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. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)
    preventiveservices.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

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

25. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    preventiveservices.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.

26. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

27. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    preventiveservices.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 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
    preventiveservices.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.

29. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/845.html
    January 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.

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

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

32. Why Should Your Practice Focus on Improving Antibiotic Prescribing? – Facilitator Guide (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/antibiotic-prescribing-guide.docx
    September 01, 2022 - From the time the patient presented for medical care to the time harm occurred, there were several opportunities … to prevent harm. … practices in a clinic can help ensure that patients receive antibiotics only when needed to minimize harm … critical for ill-appearing patients with bacterial infections, all antibiotics also have associated harm

33. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    preventiveservices.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. Learn Strategies for Communicating With Colleagues, Patients, and Families About Antibiotic Prescribing | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
    October 01, 2022 - encouraged to understand both the benefits and the risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior. 

35. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 -  VA participation in Patient Safety Measures of Hospital Harm Technical Expert Panel (TEP). … The project aims to develop measures of hospital harm for use in CMS quality and payment programs,

36. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/identify.html
    December 01, 2012 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm … Step 3: What can be done to minimize harm or prevent safety hazards? … 12: Exercise Please complete the following: List all defects that have the potential to cause harm

37. Making Health Care Safer II, Executive Summary (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - In the past 2 years, three studies have found high rates of preventable harm in hospitals,4-6 one of … Most PSP evaluators have not explicitly assessed the possibility of harm. … Consequently, this domain includes evidence of both actual harm and the potential for harm. … harm; in some cases, the evidence was too sparse to provide a rating. … Temporal trends in rates of patient harm resulting from medical care.

38. Staffsafetyassess (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
    August 06, 2012 - Please describe what you think can be done to prevent or minimize this harm.

39. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2 SECTION D: Near-Miss Documentation ► When something happens that could harm

40. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
    December 01, 2012 - Holds Staff Accountable for Reducing Patient Harm Slide 16. … example of adaptive work in which CUSP teams help unit staff understand the effects of preventable harm … Text Description Return to Contents   Slide 15: Holds Staff Accountable for Reducing Patient Harm … risks because team members are responsible for holding each other accountable for reducing patient harm … Infection rate data, stories of recent near-misses, or instances of harm are imperative for the executive