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Showing results for "harm".

1. All Cause Harm Prevention in Nursing Home—Events Related to Infections | Agency for Healthcare Research and Quality
   www.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
   April 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections Resource: All Cause … Harm Prevention in Nursing Home—Events Related to Infections ​This document is a section of the All … Cause Harm Prevention in Nursing Homes Change Package.

2. Chapter-7 - Harm Due to Anticoagulants (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/anticoagulants-1.pdf
   March 01, 2020 - Chapter-7 - Harm Due to Anticoagulants Harms Due to Anticoagulants 7-1 7.

3. Alcohol Use | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/alcohol-use.html
   This means that their drinking causes distress and harm.

4. Alcohol Consumption | Agency for Healthcare Research and Quality
   www.ahrq.gov/topics/alcohol-consumption.html
   This means that their drinking causes distress and harm.

5. What Can Leaders Achieve by Prioritizing Diagnostic Safety? | Agency for Healthcare Research and Quality
   www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
   June 01, 2021 - Diagnostic safety is vital to learning health systems committed to eliminating preventable harm … disability stem from an inaccurate or delayed diagnosis, making it the number one cause of serious harm … billion is wasted annually on excessive testing and treatment. 27 This overutilization contributes to harm … It is essential that every healthcare encounter is safe and free from harm. … the entire healthcare continuum that promotes robust collaboration among all stakeholders to prevent harm

6. Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/resources/learning-lab/transdisciplinary-learning-long-desc.html
   June 01, 2020 - Transdisciplinary Learning Lab To Eliminate Patient Harm and Reduce Waste Long Description … 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.

7. Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS Collaborative (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-West_102.pdf
   March 31, 2008 - and frequency of harm classified hierarchically into five categories: (1) unknown or no known harm … Harm classification Harm category Example Known clinical harm to the patient A positive herpes simplex … as “known clinical harm.” … As previously stated, in describing the likelihood of clinical harm or future risk of clinical harm … Reports of the errors themselves and any clinical harm (or lack of harm) associated with each error

8. Caregiver Innovations to Reduce Harm in Neonatal Intensive Care | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/resources/learning-lab/caregiver-nicu-long-desc.html
   April 01, 2022 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care Principal Investigator:  Eric … Laboratory was to create an environment of collaborative learning focused on reducing all-cause preventable harm … 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 … Progress Report:  Caregiver Innovations To Reduce Harm in Neonatal Intensive Care.

9. Generic Dashboard Data 2024 (xls file)
   www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
   January 01, 2024 - No Harm 1,650 48.6% Fall Under 18 Female Severe Harm 12 0.4% Fall Under 18 Female Unknown Harm 978 … 18 Male No Harm 1,655 47.1% Fall Under 18 Male Severe Harm * * Fall Under 18 Male Unknown Harm 1,100 … Harm 12 2.2% Fall UNK Male No Harm 328 60.6% Fall UNK Male Severe Harm * * Fall UNK Male Unknown … Harm 74 3.8% Perinatal Under 18 Female No Harm 685 35.1% Perinatal Under 18 Female Severe Harm 14 … Moderate Harm * * Pressure Ulcer UNK Female No Harm 21 24.4% Pressure Ulcer UNK Female Severe Harm

10. Device or Medical/Surgical Supply, Including HIT Dashboard | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/dashboard/devices.html
    September 01, 2024 - This dashboard details the type of device; type of device by residual harm to the patient; device defect … , failure, or user error; device defect, failure, or user error by residual harm to the patient; type … technology (HIT) device in HIT-related report; and type of HIT device in HIT-related report by residual harm

11. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2019.xlsx
    January 01, 2019 - Harm 0.4% 2,718 Blood or Blood Product No Harm 1.0% 6,019 Blood or Blood Product Unknown Harm 0.0% … Unknown Harm 0.0% 203 Fall Death 0.0% 106 Fall Severe Harm 0.1% 419 Fall Moderate Harm 0.4% 2,295 … Other Severe Harm 0.2% 1,352 Other Moderate Harm 1.8% 11,200 Other Mild Harm 14.9% 93,473 Other No … 140 Perinatal Moderate Harm 0.1% 713 Perinatal Mild Harm 1.4% 8,490 Perinatal No Harm 1.3% 8,047 … Harm 0.1% 445 Surgery or Anesthesia Moderate Harm 0.5% 2,820 Surgery or Anesthesia Mild Harm 2.2%

12. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
    January 01, 2022 - Gen_3 Gen_3: Extent of Harm Extent of Harm Percentage Frequency Total No Harm 49.0% 767,738 1,567,355 … Mild Harm 25.6% 401,728 1,567,355 Moderate Harm 2.6% 41,312 1,567,355 Severe Harm 0.4% 6,421 1,567,355 … No Harm 55.2% 121,455 1,567,355 Fall Mild Harm 22.6% 49,754 1,567,355 Fall Moderate Harm 1.6% 3,598 … Harm 0.2% 64 1,567,355 Pressure Ulcer No Harm 24.6% 19,627 1,567,355 Pressure Ulcer Mild Harm 69.0% … Harm 0.0% 64 1,567,355 Pressure Ulcer No Harm 2.6% 19,627 1,567,355 Pressure Ulcer Mild Harm 13.7%

13. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
    January 01, 2021 - Gen_3 Gen_3: Extent of Harm Extent of Harm Percentage Frequency Total No Harm 42.9% 543,640 1,267,662 … Mild Harm 27.7% 350,945 1,267,662 Moderate Harm 2.7% 34,589 1,267,662 Severe Harm 0.4% 4,927 1,267,662 … Fall Mild Harm 23.3% 39,579 1,267,662 Fall Moderate Harm 1.8% 3,050 1,267,662 Fall Severe Harm 0.4% … Mild Harm 52.8% 13,864 1,267,662 Perinatal Moderate Harm 4.3% 1,121 1,267,662 Perinatal Severe Harm … Harm 0.0% 52 1,267,662 Pressure Ulcer No Harm 3.5% 18,821 1,267,662 Pressure Ulcer Mild Harm 15.2%

14. Patient Safety Concerns Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
    January 01, 2020 - Gen_3 Gen_3: Extent of Harm Extent of Harm Percentage Frequency Total No Harm 49.0% 527,228 1,075,547 … Mild Harm 31.8% 342,513 1,075,547 Moderate Harm 3.0% 32,740 1,075,547 Severe Harm 0.4% 4,533 1,075,547 … Fall Mild Harm 26.5% 38,580 1,075,547 Fall Moderate Harm 2.0% 2,964 1,075,547 Fall Severe Harm 0.4% … Mild Harm 52.6% 13,304 1,075,547 Perinatal Moderate Harm 3.8% 973 1,075,547 Perinatal Severe Harm … Other No Harm 50.6% 266,685 1,075,547 Other Mild Harm 41.4% 141,887 1,075,547 Other Moderate Harm

15. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
    www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Error that did not reach the patient NA C Error that reached patient but unlikely to cause harm … Error that reached the patient and could have necessitated monitoring and/or intervention to preclude harm … was ordered for patient instead of extended-release E Error that could have caused temporary harm … medication was inadvertently omitted from the orders F Error that could have caused temporary harm … daily when the patient takes it every other day G Error that could have resulted in permanent harm

16. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Error that did not reach the patient NA C Error that reached patient but unlikely to cause harm … Error that reached the patient and could have necessitated monitoring and/or intervention to preclude harm … was ordered for patient instead of extended-release E Error that could have caused temporary harm … medication was inadvertently omitted from the orders F Error that could have caused temporary harm … daily when the patient takes it every other day G Error that could have resulted in permanent harm

17. Generic Dashboard Data 2023 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
    January 01, 2023 - Harm 40 3,355 1.2% Fall Under 18 Male Mild Harm 734 3,355 21.9% Fall Under 18 Male No Harm 1,475 3,355 … Mild Harm 117 601 19.5% Fall UNK Female No Harm 379 601 63.1% Fall UNK Female Unknown Harm 93 601 15.5% … Fall UNK Male Severe Harm 1 505 0.2% Fall UNK Male Moderate Harm 11 505 2.2% Fall UNK Male Mild Harm … Severe Harm 6 4,016 0.2% Other UNK Female Moderate Harm 26 4,016 0.7% Other UNK Female Mild Harm 167 … Harm 32 3,858 0.8% Other UNK Male Mild Harm 147 3,858 3.8% Other UNK Male No Harm 2,776 3,858 72.0%

18. Medication or Other Substance Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2019.xlsx
    January 01, 2019 - Extent of Harm Percentage Frequency No Harm 57.3% 72,356 Mild Harm 37.7% 47,556 Moderate Harm 3.9% … Incorrect Action No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Other incorrect … Percentage No Harm Frequency Harm Percentage Harm Frequency Missed or omitted dose 43.8% 1,833 32.8% … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Administering … 'No Harm Frequency' or 'Harm Frequency' columns, respectively.

19. Safer Together: A National Action Plan to Advance Patient Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/safer-together.html
    January 01, 2025 - 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

20. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2019.xlsx
    January 01, 2019 - /devices-charts.html Device_1 Device_1: Extent of Harm Extent of Harm Percentage Frequency No Harm … 66.8% 6,833 Mild Harm 27.6% 2,823 Moderate Harm 2.8% 289 Severe Harm 0.4% 38 Death 0.4% 41 Unknown … Type of Device No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Medical equipment … Device Event Description No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Device … No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Electronic health record (EHR)