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Showing results for "harm".

1. 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.

2. 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.

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. 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.

5. 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.

6. 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

7. 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

8. 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

9. 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

10. 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

11. Dashboard Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/dashboard/info.html
    June 01, 2019 - Near miss, or Unsafe condition as well as provides other information relevant to all events (e.g., harm … Answer Values: Incident: A patient safety event that reached a patient and either resulted in no harm … (no harm incident) or harm (harm incident). … action by a healthcare practitioner or worker or healthcare circumstance that exposes a patient to harm … first the word is capitalized, and all letters are italicized (e.g., Unsafe condition ; Moderate harm

12. 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

13. 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

14. Final Progress Report: Reducing Harm to Patients from Diagnostic Errors (pdf file)
    www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
    January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors Final Progress Report Reducing … Harm to Patients from Diagnostic Errors Eta S. … discuss ongoing research on diagnostic error • To stimulate creative thought directed at reducing harm … Adv Health Sci Educ Theory Pract. 2009 Sep;14 Suppl 1:107-12. 9 Final Progress Report Reducing Harm

15. Introduction to Diagnostic Errors | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load1.html
    May 01, 2024 - health problem(s) or communicate that explanation to the patient, 1 ” are a leading cause of patient harm … of Medicine in 1999, was one of the first publications to bring the issue of medical error, patient harm … continued the patient safety discussion with a focus on the impact of diagnostic errors on medical harm … In addition, diagnostic error may result in serious harm to more than 500,000 Americans each year across

16. Staff Safety Assessment | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/safety-assessment.html
    March 01, 2017 - for Long-Term Care: HAIs/CAUTI Purpose: To tap into your experience to determine risks that could harm … You will need details to understand how you can prevent harm. … Please describe what you think can be done to prevent or minimize this harm.

17. Blood and Blood Product Dashboard | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/dashboard/blood.html
    September 01, 2024 - This dashboard details the type of blood product involved, type of blood product by residual harm to … patient, stage of process where event originated, and stage of process where event originated by residual harm

18. Chartbook on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).

19. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
    January 01, 2024 - Dashboard Name Worksheet Name Type of Device Device_1 Type of Device by Extent of Harm … Device_2 Device Event Description Device_3 Device Event Description by Extent of Harm Device … 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 Unknown … Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Electronic health record (EHR) or

20. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - harm, Mild harm, Moderate harm, Severe harm, or Death. … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death).