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Showing results for "harm".

1. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
   talkingquality.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
   June 01, 2020 - QSRS) Simulation Transdisciplinary Learning Lab To Eliminate Patient Harm … engineering methods to partner with patients, patients’ families, and others to eliminate preventable harm … high-reliability hospitals. 1, 2 The roadmap encompasses four phases of work: Eliminating a single harm … the accuracy and efficiency of the protocol, and prevents calculation errors that can lead to patient harm … Final Report: Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste.

2. Caregiver Innovations to Reduce Harm in Neonatal Intensive Care | Agency for Healthcare Research and Quality
   talkingquality.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
   April 01, 2022 - multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Progress Report:  Caregiver Innovations To Reduce Harm in Neonatal Intensive Care. … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm

3. NPSD Dashboards | Agency for Healthcare Research and Quality
   talkingquality.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. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
   talkingquality.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

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

6. Medication or Other Substance Dashboard | Agency for Healthcare Research and Quality
   talkingquality.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.

7. Making the Case That Improving Antibiotic Use is a Patient Safety Issue | Agency for Healthcare Research and Quality
   talkingquality.ahrq.gov/antibiotic-use/acute-care/safety/patient-safety.html
   November 01, 2019 - After viewing or presenting this presentation viewers will be able to— Explain the potential harm … associated with antibiotic use Recognize that patient harm is often preventable Recognize that change … require a focus on systems, not individuals Recognize the importance of diverse input to prevent harm

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

9. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
   talkingquality.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
   January 01, 2024 - We also analyzed our reports from harm. … too early to tell if harm occurred. … Analysis of the taxonomy harm codes revealed that 3% suffered some degree of harm and 26% experienced … Types of harm described by community members included emotional, financial, and physical harm. … Mis-timed procedures or delays in therapy were also associated with clinical harm.

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

11. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm

12. Preventing Falls in Hospitals
    talkingquality.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

13. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
    talkingquality.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

14. How To Measure Fall Rates and Fall Prevention Practices
    talkingquality.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

15. Grand Rounds Presentation | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Some organizations struggle to improve the way they and their care teams respond to medical harm. … to provide excellent, high-quality medical care, but despite all of our patient safety work, patient harm … Slide 30 Say: What we have learned from patients and families after a serious harm event is … that every hour that goes by without effective communication results in additional harm to the patient … An understanding of the changes that have been made to prevent harm to another patient.

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

17. Module 7: Resolution | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.html
    August 01, 2022 - Following patient harm events, the patient and/or family might sue the caregiver and/or organization, … Creating a learning organization in which patient harm is reduced through ongoing learning from patient … When harm occurs, patients often express the desire to protect others from future events. … Becoming a learning organization supports the goal of preventing similar harm to patients in the future … patients and families supports the patient’s and/or family’s need for an explanation of the patient harm

18. PowerPoint Presentation
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
    January 01, 2014 - Some organizations struggle to improve the way they and their care teams respond to medical harm. … The CANDOR process aims to change that. 1 Do Less Harm Video 2 Module 1 To get started, let’s watch … Video: Do Less Harm 2 Presentation Goals Highlight the gap between optimal response to medical injury … It is about reducing HARM. Ask what is responsible…not who is responsible. … An understanding of the changes that have been made to prevent harm to another patient.

19. Understanding and Reducing Overuse of Potentially Harmful Screening Tests (pdf file)
    talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/sheridan_screening_overuse.pdf
    January 01, 2014 - Stacey Sheridan, MD MPH AHRQ Grant Number: P01 HS021133 It is just a screening test; what is the harm … While many screening tests are beneficial, some do more harm than good. … How can a screening test cause harm? … educational materials we learned that:  Fewer than half of patients recognize that screening can cause harm

20. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
    August 01, 2022 - Are the costs associated with inappropriate care-related harm events tracked and trended? … Is the investigatory process for harm events designed to afford all members the protections of State … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Have the staff had training related to the vulnerabilities of caregivers involved in harm events? … Is followup provided for staff involved in harm events?