Results

Total Results: 317 records

Showing results for "harm".

121. Improving Patient Safety in Community Pharmacies: A Resource List for Users of the AHRQ Community Pharmacy Survey on Patient Safety Culture (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-resources.pdf
     May 01, 2023 - Medication overdoses can lead to harm, sometimes requiring emergency treatment or hospitalization and … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm http://www.ihi.org/resources/Pages/Tools … With the objective of preventing future harm, this updated process focuses on actions to be taken: Root … Safety Provide Feedback to Front-Line Staff RCA2: Improving Root Cause Analyses and Actions To Prevent Harm

122. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm

123. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     teamstepps.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … patients are often on multiple medications, and side effects and drug-drug interactions may lead to more harm … InfoSAGE, for medication management may save time for both for patient and provider and may reduce harm … The digital doctor: hope, hype, and harm at the dawn of medicine's computer age.

124. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
     November 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 …

125. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
     January 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm

126. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - information is not effectively communicated, the results can lead to mistakes and potential resident harm … Effective communication could have helped identify a diagnosis and treatment earlier and decreased harm … ineffective communication that could result in a medication error or other mistake that can cause real harm … should investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm

127. Reducing Diagnostic Errors in Primary Care Pediatrics Toolkit | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/settings/ambulatory/diagnostic-safety/toolkit.html
     November 01, 2018 - for improving care Access tools and best practices from national experts Reduce the likelihood of harm

128. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
     June 01, 2023 - Cross-Monitoring A harm error reduction strategy that involves: Monitoring actions of other team

129. Provide a Framework for Understanding Healthcare Quality | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/talkingquality/explain/communicate/framework.html
     December 01, 2022 - included in a quality report: [2] Care that protects patients from medical errors and does not cause harm

130. Core CUSP Toolkit | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/hai/cusp/modules/index.html
     August 01, 2019 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm

131. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - leadership, experience, history and tradition Slide 7 The Culture of Safety and Assessment of Harm … Believe that failure to follow guidelines may cause harm Built in alerts Consequences for failure

132. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - outpatient) to improve patient/family and clinician communication and experience and to reduce errors and harm

133. AHRQ Views: The End of the Public Health Emergency Refocuses the Urgency To Improve Healthcare Quality | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/news/newsletters/e-newsletter/865.html
     May 01, 2023 - Malnutrition among adults with cancer is associated with decreased treatment completion, more harm stemming

134. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/patients-families/index.html
     June 01, 2023 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm

135. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse or "harm

136. The SHARE Approach—Putting Shared Decisionmaking Into Practice: A User’s Guide for Clinical Teams | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-8.html
     September 01, 2020 - 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 …

137. Fact Sheet on Pediatric Quality Indicators (pdf file)
     teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
     October 01, 2015 - reflect the safety climate of the hospital by providing a marker of patient safety (or “avoidance of harm

138. Surge in Drug Shortages Occurred in Wake of Pandemic, Study Finds | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/news/newsletters/e-newsletter/908.html
     April 01, 2024 - Webinar speakers will discuss strategies for achieving 50 percent improvement in preventable harm to

139. National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts To Make Health Care Safer | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/hai/pfp/2015-interim.html
     December 01, 2016 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 980,000 fewer incidents of harm … Cumulatively, approximately 3.1 million fewer incidents of harm occurred in 2011, 2012, 2013, 2014, and

140. Tool: Check-Back (or Repeat-Back) | Agency for Healthcare Research and Quality
     teamstepps.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
     July 01, 2023 - Delayed diagnoses that sometimes cause serious patient harm are often caused by a provider overlooking