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Total Results: 317 records

Showing results for "harm".

21. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Healthcare Safer report , published in 2020, includes 47 evidence-based patient safety practices in selected harm … It includes evidence for more specific harm areas than the preceding reports.

22. Mod03-Gap-Analysis-Guide (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Are bills for hospital or professional fees waived if inappropriate care caused harm? 6. … Is followup provided for staff involved in harm events? … Are the costs associated with inappropriate care- related harm events tracked and trended? … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Is followup provided for staff involved in harm events?

23. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … Organizational Learning and Sustainability “We realize mistakes happen, and we can forgive that; but you harm … Generally, the CANDOR process begins with identification of an event that involves harm.

24. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 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 …

25. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … A traditional approach when unexpected harm occurs often follows a "deny-and-defend" strategy, providing

26. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
    May 01, 2023 - requested clarification but the response or confirmation does not ease the concern about potential harm … the Two-Challenge Rule to situations where the patient or another team member may be at high risk of harm … Can you think of times when using this rule could have prevented harm to a patient?

27. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsletters/e-newsletter/845.html
    January 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.

28. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Her Ambulatory Pediatric Safety Learning Lab  focuses on preventing harm in children caused by the outpatient … She aims to redesign systems of care and coordination between the clinic and home to eliminate harm. … The team received the award for its substantial reduction in preventable harm caused by healthcare to

29. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - These conditions cause harm to patients. … healthcare providers are focused on reducing specific HACs that occur frequently, can cause significant harm

30. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - 2022 • Call to action: recommitment to advance patient and workforce safety to move towards zero harm … by the Veterans Health Administration “VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and

31. Staff-Safety-Assessment (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
    June 01, 2021 - Please describe what you think can be done to prevent or minimize this harm.

32. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
    June 01, 2023 - It allows individuals and teams to take steps to correct the issue before harm or injury to the patient … Cross-monitoring is a harm and error reduction strategy that involves: Monitoring actions of other

33. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
    July 23, 2020 -  VA participation in Patient Safety Measures of Hospital Harm Technical Expert Panel (TEP). … The project aims to develop measures of hospital harm for use in CMS quality and payment programs,

34. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2 SECTION D: Near-Miss Documentation ► When something happens that could harm

35. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - Healthcare Safer report, published in 2020, includes 47 evidence-based patient safety practices in selected harm … It includes evidence for more specific harm areas than the preceding reports.

36. Survey on Patient Safety (facility version) (doc file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?

37. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Research and Quality (AHRQ) shows that rates of in-hospital adverse events for healthcare related patient harm … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with

38. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II (pdf file)
    teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
    January 01, 2023 - (Item B5) 84% 80% Staff tell someone if they see something that might harm a resident. … (Item B6) 89% 85% In this nursing home, we discuss ways to keep residents safe from harm. … (Item B5) 83% Staff tell someone if they see something that might harm a resident. … (Item B5) 79% 89% Staff tell someone if they see something that might harm a resident. … (Item B6) 85% 89% In this nursing home, we discuss ways to keep residents safe from harm.

39. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
    October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.

40. Making Informed Consent an Informed Choice: Training for Health Care Professionals Audio Script | Agency for Healthcare Research and Quality
    teamstepps.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
    September 01, 2020 - Be specific about how long you expect a benefit or harm to last. … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain. … cannot answer these questions correctly, STOP the line; that is, halt any activity that could cause harm