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Showing results for "harm".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdfMay 01, 2017 - The CUSP framework accomplishes this through stressing the fact that patient harm is not an acceptable … communication tools were effective in reducing lapses in team functioning, errors, and the likelihood of harm … should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm.
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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.htmlDecember 01, 2012 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm
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www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdfOctober 27, 2014 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Introduction Much attention has been focused on preventing patient harm since the Institute of Medicine … spotlight on patient safety but also highlighted the fact that making progress to reduce patient harm … Persistent support for research focused on understanding health care harm—why it occurs, what can be … Temporal trends in rates of patient harm resulting from medical care.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.htmlJune 01, 2023 - These mistakes sometimes result in no harm, while other times they may result in additional or prolonged … Virtually every respondent who reported a persisting harm identified at least one action they wished
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www.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.htmlJune 01, 2023 - Regrettably, some organizations acquire a sense of urgency only when a tragic and publicized patient harm … In some cases, inconveniences are not taken seriously by healthcare organizations and harm results (e.g … Highlighting patient stories of both harms and harm avoidance that contrast a culture of safety with
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdfSeptember 01, 2022 - Introduction Errors that occur during the diagnostic process can lead to missed or wrong diagnoses and can harm … risks” and “benefits” vs. the more neutral, transparent, and quantifiable comparison of “chance of harm … of patient benefit and harms, tests, like all other health services, will either help patients or harm … results and subsequent missed diagnoses that are truly causing symptoms, with potential for patient harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.htmlJune 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Intr…
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.htmlJune 01, 2022 - When the potential harm of an increase in gastrointestinal hemorrhage is outweighed by a potential benefit
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www.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.htmlMarch 01, 2024 - The Effective Health Care Program Mission The Effective Health Care (EHC) Program funds individual researchers, research centers, and academic organizations to work with AHRQ to produce patient-centered outcomes research (PCOR) for clinicians, consumers, and policymakers. PCOR is designed to inform health car…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptxMarch 01, 2017 - Believe it or not, even a test as simple as a urine culture can cause resident harm if used incorrectly … But the bacteria in the urine may not be causing any actual harm!
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptxJune 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docxJanuary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?”
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.htmlFebruary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?"
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdfMarch 01, 2020 - , but also ignoring or missing many clinically significant and actionable alarms.3 Importance of Harm … management.10 Methods for Selecting PSPs Initial literature searches for PSPs in the alarm fatigue harm … Results of these searches were reviewed by harm-area task leads to identify PSPs, iterate on searches … The potential for harm due to alarms’ high frequency and low specificity was briefly discussed in the … Alarm Fatigue Introduction Background Importance of Harm Area Methods for Selecting PSPs What’s
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www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdfDecember 01, 2007 - Does screening or CEA result in harm? … Does treatment for asymptomatic CAS 60%-99% with CEA result in harm?............................. … Does screening or CEA for asymptomatic CAS 60%-99% result in harm? … Does treatment for asymptomatic CAS 60%-99% with CEA result in harm? … The Kaplan-Meier curves in ACST cross from net harm to net benefit only at about 1.5 years after CEA
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-2.htmlJune 01, 2021 - diagnostic errors, as they have with progress made in addressing other forms of preventable patient harm
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdfJanuary 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in healthcare … safety and risk management literature, as well as care delivery research, demonstrates that diagnostic harm … Organizations and providers need resources to mitigate diagnostic harm, but few tools are currently … families, and • Provide assessment and training tools to support local efforts to reduce diagnostic harm … • These gaps can delay diagnostic processes and in some cases result in serious harm or even death
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www.ahrq.gov/hai/pfp/interimhac2013-ap2.htmlDecember 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.htmlJune 01, 2018 - Inefficient care due to use of services associated with more harm than benefit .
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdfJanuary 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task …
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