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Total Results: 348 records

Showing results for "harm".

81. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/892.html
    December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a

82. The Effective Health Care Program | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.html
    March 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 …

83. Making Healthcare Safer Practices: 14. Delirium (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
    March 01, 2020 - Introduction Patient safety research and quality improvement efforts have been underway in the delirium harm … Importance of Harm Area With a longstanding and still-growing body of evidence pointing to significant … Methods for Selecting Patient Safety Practices Initial literature searches for PSPs in the delirium harm … Results of these searches were reviewed by harm-area task leads to identify PSPs, iterate on searches … Given the importance of delirium as a harm area in many healthcare settings, additional research appears

84. Glossary | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/questions/resources/glossary.html
    November 01, 2020 - Risk: The possibility of suffering harm or loss; danger.

85. Highlights From AHRQ's Patient Safety Network | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/psnet.html
    April 01, 2024 - Drug-drug interactions and actual harm to hospitalized patients: a multicentre study examining the prevalence

86. Advancing Patient Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/reports/advancing/index.html
    July 01, 2022 - Nearly 100 grants were awarded to lay the groundwork for reducing harm to patients. … Using Simulation To Prevent Harm Patients can sometimes be harmed unintentionally as clinicians learn … Much of the time the harm is not serious; however, some procedures, such as complex surgical operations … likelihood that they are among the first health care professionals to recognize errors and prevent harm

87. Six Domains of Healthcare Quality | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/talkingquality/measures/six-domains.html
    December 01, 2022 - Medicine (IOM), which includes the following six aims for the healthcare system. [1] Safe : Avoiding harm

88. Healthcare, Climate Change, Environmental Justice, and AHRQ | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/blog/ahrqviews/healthcare-climate-change.html
    October 01, 2021 - and exacerbated long-standing racial, ethnic, and economic health disparities, with disproportionate harm

89. Diagnostic Errors Are Common in Seriously Ill Hospitalized Adults | Agency for Healthcare Research and Quality
    preventiveservices.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

90. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/diagnostic-safety/research/grants-2019.html
    March 01, 2024 - the emergency department based on these e-triggers and describe the burden of preventable diagnostic harm

91. Dailygoals (doc file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
    January 01, 2003 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and

92. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 01, 2017 - Falls harm patients. 30% to 51% of falls result in injury. Many falls are preventable. … Slide 28: Annotated Run Chart Image: Line graph shows JAH VAMC Med-Surg falls with harm by quarter … The Team and its goals should be: Aligned with its organization’s goals of preventing harm.

93. Tools for Reducing Central Line-Associated Blood Stream Infections (pdf file)
    preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
    January 01, 2013 - colleagues, first make the CLABSI problem real by identifying a patient on your unit who suffered needless harm … The goal should be that no patient suffers harm from a preventable complication while on your unit. … Your unit’s goal should be that no patient suffers harm from a preventable complication while under … analogous to someone on the health care team entering a patient room and intentionally inflicting harm

94. New Challenge Competition Offers Prizes for Ideas on Advancing AHRQ’s CDS Connect | Agency for Healthcare Research and Quality
    preventiveservices.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

95. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/872.html
    July 01, 2023 - Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (

96. Ingestion of Illicit Substances Among Young Children Increased Significantly During COVID-19 Pandemic | Agency for Healthcare Research and Quality
    preventiveservices.ahrq.gov/news/newsletters/e-newsletter/861.html
    April 01, 2023 - Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm … initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm

97. Guiding Principles Help Healthcare Community Address Potential Bias Resulting from Algorithms | Agency for Healthcare Research and Quality
    preventiveservices.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

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

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

100. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
     January 01, 2022 - hospital-community collaborative transitions of care (TOC) program to decrease medication-related harm