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Total Results: 426 records

Showing results for "harm".

101. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
     talkingquality.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

102. Operational Measurement of Diagnostic Safety: State of the Science (pdf file)
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/state-of-science.pdf
     April 02, 2020 - These principles act as “a call to action for all stakeholders in reducing harm, including policymakers … on conditions that have been shown to be relatively common in being missed, which leads to patient harm … Limitations Examples Routinely recorded quality and safety events Awareness of the impact and harm … Other factors related to diagnostic error, such as the presence of patient harm (e.g., clear evidence … of harm versus “near-misses”), preventability, and actionability, may also be important to define in

103. Advancing Diagnostic Safety: An AHRQ Leadership Conversation | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
     October 01, 2021 - Four million people a year in the United States suffer serious harm as a result. … and resources for improving diagnostic safety is that they are on the pathway to actually preventing harm

104. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
     talkingquality.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.

105. Making Informed Consent an Informed Choice: Training for Health Care Leaders Audio Script | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script-leaders.html
     September 01, 2020 - required prior to all surgery, and for any treatments and procedures that involve a significant risk of harm … organization's informed consent policy should include what constitutes an emergency, such as if irreparable harm

106. Facilitator Notes | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
     December 01, 2012 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm

107. Resource List - AHRQ Hospital Survey (pdf file)
     talkingquality.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.

108. AHRQ Views: Biden Administration Tackles Financial Strains on Healthcare Consumers | Agency for Healthcare Research and Quality
     talkingquality.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

109. The Effective Health Care Program | Agency for Healthcare Research and Quality
     talkingquality.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 …

110. Six Domains of Healthcare Quality | Agency for Healthcare Research and Quality
     talkingquality.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

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

112. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality
     talkingquality.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

113. Dailygoals (doc file)
     talkingquality.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

114. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
     talkingquality.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.

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

116. Register Now: July 25 Webinar by National Action Alliance Will Address Involving Patients and Families in Safety | Agency for Healthcare Research and Quality
     talkingquality.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 (

117. AHRQ Safety Program for Perinatal Care: Safe Medication Administration
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
     May 01, 2017 - Medications1 High-alert medications are “drugs that bear a heightened risk of causing significant patient harm … Inappropriate use of oxytocin is one of the top areas of preventable perinatal harm.2,3 Types of inappropriate … Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.

118. Antibiotic Stewardship Slides, Part 2
     talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
     March 01, 2017 - frequently used in long-term care They comprise about 40% of all prescriptions Antibiotics can cause harm … your communication consider having a brochure ready to provide more information about the potential harm

119. Ingestion of Illicit Substances Among Young Children Increased Significantly During COVID-19 Pandemic | Agency for Healthcare Research and Quality
     talkingquality.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

120. Antibiotic Use Significantly Reduced in Long-Term Care Facilities Participating in AHRQ-Funded Project | Agency for Healthcare Research and Quality
     talkingquality.ahrq.gov/news/newsletters/e-newsletter/803.html
     March 01, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … The reduction not only prevented patient harm, it also saved an estimated $385,000 in healthcare costs