Results

Total Results: 348 records

Showing results for "harm".

61. AHRQ Views Blog Post: With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/880.html
    September 01, 2023 - ET on 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

62. AHRQ's Making Informed Consent an Informed Choice: Training Modules for Health Care Leaders and Professionals | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/health-literacy/professional-training/informed-choice.html
    May 01, 2023 - 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 …

63. Getting Intentional About Equity: New Guide Helps Developers and Users of Digital Healthcare Technologies | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
    April 01, 2024 - Avoiding Harm With an Intentional Approach to Equity In developing the guide, we understood that many … The root causes vary, and the harm to patients—and their caregivers—is real.

64. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
    April 01, 2013 - Again, I think the emphasis is on reducing these types of patient harm events, and they have not been … It is a way of standardizing an approach to a highly variable issue in which patient harm occurs. … But it really does reduce the incidence of harm, and isn’t that what we went to nursing, medical school … Don’t harm me. Working with CUSP has enabled us to really focus on that third piece of no harm. … As far as an outcome, we will be tracking the central line infections as well as other issues of harm

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

66. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - ET on 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

67. Ventilator-Associated Event Surveillance: Facilitator Guide | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
    February 01, 2017 - Slide 5: Connect the Safety Dots Say: The use of any invasive device can lead to harm. … While these are all life-saving events, there is a potential for harm. … In this schematic you can see some of the causes for and outcomes associated with ventilator harm. … As we connect the dots to harm, it’s important to look at the clinical ramifications of VAE.

68. Comprehensive Unit-based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated Infections | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/summary/index.html
    September 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm

69. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm

70. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
    July 01, 2023 - These mistakes sometimes result in no harm, while other times they may result in additional or prolonged … reported in elicited patient narratives 6 Virtually every respondent who reported a persisting harm … Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic

71. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm

72. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/hai/cusp/modules/identify/index.html
    July 01, 2018 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm

73. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - I have often talked about the need to get to zero harm and zero defects in healthcare delivery. … complex industries such as aviation and auto manufacturing, they have made tremendous strides toward zero harm … Especially in light of the COVID-19 crisis, we’ve seen the significant harm clinician burnout can have

74. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-patient-safety-culture-brief.pdf
    September 01, 2016 - organizations as they strive to eliminate the factors that contribute to medical errors, patient harm … errors are treated not as personal failures, but as opportunities to improve the system and prevent harm … Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital

75. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
    October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the

76. SOPS Community Pharmacy Survey Items and Composites (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient but has no potential to harm the patient, how often is it documented

77. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
    April 13, 2017 - The checklist drives us towards zero harm by better communication and teamwork within our facilities.

78. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - CANDOR) process to respond in a timely, thorough, and just way when unexpected events cause patient harm … Missed nursing care is linked to patient harm, including falls and infections. … • Identify system vulnerabilities that could lead to patient harm. … , • Assist interdisciplinary teams in proactively identifying opportunities for reducing patient harm … are designed to help alert hospitals and focus their efforts on errors that cause serious patient harm

79. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Introduction Much attention has been focused on preventing patient harm since the Institute of Medicine … spotlight on patient safety but also highlighted the fact that making progress to reduce patient harm … Persistent support for research focused on understanding health care harm—why it occurs, what can be … Temporal trends in rates of patient harm resulting from medical care.

80. Resource List - AHRQ Hospital Survey (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-v2-resourcelist.pdf
    April 01, 2023 - login) This short video and discussion guide describes how disruptive behavior can lead to patient harm … short video and discussion guide provides an example of disruptive behavior, describes how it can harm … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … To focus on the objective of preventing future harm, this updated process focuses on actions to be taken … Missed nursing care is linked to patient harm, including falls and infections.