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Total Results: 3,156 records

Showing results for "harm".

101. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
     January 01, 2024 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires changes in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm

102. New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/941.html
     December 01, 2024 - New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm Issue Number … Today's Headlines: New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm … New Dashboard Tracks Progress Toward 50 Percent Reduction in Patient and Workforce Harm A new online … AHRQ, whose National Advisory Council established a goal of reducing patient and healthcare workforce harm … to monitor the nation's progress on achieving a vision of safe care everywhere and zero preventable harm

103. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/safety/index.html
     June 01, 2021 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm

104. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/tools/measure-dx.html
     March 01, 2024 - From Diagnostic Safety Events Diagnostic errors are major contributors to patient harm … can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm

105. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
     January 01, 2024 - for preventing patient safety incidents or for detecting them early to mitigate the potential for harm … hospice care have the characteristics (readily identifiable, preventable, and severe potential for harm … Injuries from falls: Common contributing factors for falls leading to harm included: • Patients living … The harm to the patient is obvious, but emotional harm to family, caregivers, and hospice team members … Harm ranged from temporary oversedation to possible hastening of death in an actively dying patient.

106. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
     January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE Title: Patient-centered … approach to reducing harm from VTE Principal Investigator: Michael Rothberg, MD, MPH Team Members: … Risk stratification is key to maximizing the ratio of benefit to harm from VTE prophylaxis. … Title: Patient-centered approach to reducing harm from VTE Abstract Purpose SCOPE METHODS RESULTS

107. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
     March 01, 2020 - Starting from the new conceptual framework, we organized the report by “harm areas.” … Identification, Selection, and Prioritization of Harm Area Topics 3. … scan of patient safety resources to identify existing and potentially new harm areas. … Selecting a particular PSP should be based on the root cause of the harm. … It is clear that many factors impact the success of any PSP on reducing harm.

108. Snac-Final-Report-Mar2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
     January 01, 2025 - We will not compete on safety: How children’s hospitals have come together to hasten harm reduction … v=h2 JxuySrCw0 ***We stand for a healthcare delivery system that is free from preventable harm and … We will reduce all cause harm across settings of care for patients and the healthcare workforce 75% … The National Action Alliance promotes a holistic awareness of harm, with the aim to ensure patients … and the healthcare workforce are free of physical, emotional , and financial harm.

109. British College Uses AHRQ's Patient Safety Indicators to Reduce Patient Harm in National Health Service | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/case-studies/cdom1002.html
     October 01, 2014 - British College Uses AHRQ's Patient Safety Indicators to Reduce Patient Harm in National Health Service … used by U.S. hospitals could also assist British National Health Service efforts to reduce patient harm … These indicators are of value "in directing clinical audit towards important areas of potential patient harm

110. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - Do they believe the organization is aware of all the patient harm events? … Protects patients from future harm events. … to prevent future harm events.   … The organization should have a mechanism in place to address anonymous reports of harm events. … Event Near Miss Unsafe Conditions Actual Harm to Patient Potential Harm to Patient One of the hallmarks

111. The Comprehensive Unit-based Safety Program (CUSP) for MRSA Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
     April 01, 2025 - the frontline staff and focuses on promoting changes in thinking and behavior to reduce preventable harm … In this section, we take a step back and observe the impact of medical errors and preventable harm and … In this section, we take a step back and observe the impact of medical errors and preventable harm and … Psychological Safety  CUSP encourages—and relies on—frontline staff to speak up if they observe preventable harm … Sustainability CUSP encourages—and relies on—on frontline staff to speak up if they observe preventable harm

112. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
     December 01, 2017 - This could include an incident that caused patient harm or put patients at risk for harm, such as a patient … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety … Patient safety or patient harm is a product of that system. … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety

113. Final Progress Report: Identifying and Reducing Errors in Perioperative Anesthesia Medication Delivery (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdf
     January 01, 2025 - Key Words: medication delivery, decision making, human factors, error, harm, safety, systems PURPOSE … A medication error in the perioperative setting is three times more likely to result in harm that in … and the potential for harm. … Of the 94 respondents, 43.6% reported experiencing a near-miss or patient-harm event. … The frequency of near-miss and harm events did not differ by years in practice.

114. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
     January 01, 2024 - We also analyzed our reports from harm. … too early to tell if harm occurred. … Analysis of the taxonomy harm codes revealed that 3% suffered some degree of harm and 26% experienced … Types of harm described by community members included emotional, financial, and physical harm. … Mis-timed procedures or delays in therapy were also associated with clinical harm.

115. Detailed Findings | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
     August 01, 2022 - improving patient safety and reducing medical liability: (1) improving communication, (2) preventing harm … Explanation of the reason for harm was provided in 88 percent of cases, and expressions of sympathy ( … Patient and family member experience of medical harm after adverse event. 6 Seventy-two patients and … Harm. 11 Six months following the end of the intervention, the project demonstrated reduction in harm … Harm and clinical measures.

116. Overview of the National Action Alliance for Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/overview/index.html
     October 01, 2024 - Working together, the National Action Alliance catalyzes change by applying known harm reduction strategies … that healthcare is not safe until it is safe for all, the National Action Alliance works to address harm … The National Action Alliance envisions a future with safe care everywhere and zero preventable harm … partners in the healthcare community collectively achieve a shared goal of eliminating preventable harm

117. Tool: Cross-Monitoring | Agency for Healthcare Research and Quality
     www.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

118. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
     January 01, 2025 - Trigger distribution data allows for population estimates of harm. … Otherwise, in-depth reviews identify any AEs and their level of harm. … This allows reviewers to focus their reviews on detecting harm. … and non-harm events in their EDs for quality improvement purposes. … Preventable harm: getting the measure right. BMJ 2019;366l4611. 62.

119. Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
     March 01, 2017 - Modules Staff Safety Assessment 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. 16-0003-03-EF AHRQ Pub

120. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptx
     June 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm … Steps for Improving the Culture of Patient Safety 3 3 Identifying Targets 3 Recognizing Potential Harm … Describe what you think can be done to prevent this from happening How Can You Identify Potential Harm … problem solving Solves one problem in one particular instance Generally does not help prevent future harm … Start with a problem or potential harm that is easy to fix.