Email Updates
Go to Basic Search
Results
Total Results: 2,182 records
Showing results for "harm".
-
Changing-System-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docxJune 01, 2021 - A problem that almost led to patient or resident harm is called a “near-miss.” … · Once the potential for harm is addressed, how do you know the risk was reduced? … Negative contributing factors are those that caused harm or almost caused harm. … Positive contributing factors are those that limit or prevent harm. … Sometimes we forget to acknowledge the factors that reduce potential harm from the adverse event. -
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.htmlOctober 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Examples of Patient Harm … Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm
-
www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.htmlOctober 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptxSeptember 03, 2014 - improvement efforts Conduct a learning from defects exercise 2 Overview The importance of reducing harm … If not, then improvement is a priority 4 Culture of Safety SAY: Reducing harm at the facility level … Protocols and checklists reduce patient harm through improved standardization and communication. … What can be done to minimize harm or prevent safety hazards? … What can be done to minimize harm or prevent safety hazards?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdfJanuary 01, 2004 - Error factors included level of harm and whether patients and others were aware of the error and the … harm. … .14 Studies indicate that physicians also believe that errors causing harm should be revealed.5, … harm were principal error characteristics related to disclosure. … Justifications for not disclosing an error that did not result in permanent harm included statements
-
www.ahrq.gov/research/findings/making-healthcare-safer/index.htmlJuly 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdfJune 02, 2025 - , physicians must weigh different factors that influence a screening decision, including potential harm … 15% did not see much harm in ordering screening tests even if they are not recommended.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdfApril 01, 2018 - accompanied by a potential for causing inadvertent harm while caring for patients. … Variation in Risk of Harm Across Developmental Stages Risk of pediatric patient harm varies with age … Temporal trends in rates of patient harm resulting from medical care. … Methodology and rationale for the measurement of harm with trigger tools. … A trigger tool to detect harm in pediatric inpatient settings.
-
www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.htmlOctober 01, 2022 - encouraged to understand both the benefits and the risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docxMay 01, 2017 - Include any relevant examples that you observed/were concerned about involving patient harm that could … Please describe what you think can be done to prevent or minimize this harm.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdfApril 01, 2022 - examination of each catheter-associated infection while the patient is still in the ICU to link the harm … For many clinicians, the harm is not visible, but the perceived impact of not having that line in case … Provide education and use patient case studies with all healthcare providers to address the potential harm … examination of each catheter-associated infection while the patient is still on the unit to link the harm
-
www.ahrq.gov/sites/default/files/2024-01/corbett-report.pdfJanuary 01, 2024 - Unfortunately, the potential for patient harm and increased medical liability due to medication discrepancies … medical liability associated with medication discrepancies according to the potential for patient harm … identify antecedent factors predictive of medication discrepancies for the varying degrees of patient harm … and are surprisingly common in medication classes that are considered at high risk to cause patient harm … . • The risk of harm from identified medication discrepancies is generally minimal but occasionally
-
www.ahrq.gov/npsd/data/dashboard/generic.htmlSeptember 01, 2024 - examines their location and contributing factors, as well as prevention actions and extent of residual harm
-
www.ahrq.gov/hai/pfp/interimhacrate2013.htmlNovember 01, 2015 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Return to Contents Introduction Much attention has been focused on preventing patient harm since … a 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 … PfP is a fully aligned "full-court press" to achieve two aims: 40 percent reduction in preventable harm
-
www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.htmlJuly 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … High-risk areas can be targeted for this evaluation to avoid potential harm (e.g., intensive care units
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.htmlJuly 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … High-risk areas can be targeted for this evaluation to avoid potential harm (e.g., intensive care units
-
www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/index.htmlAugust 01, 2022 - Findings Improving Communication Improving Communication—Lessons Learned Preventing Harm … Through Best Practices Preventing Harm Through Best Practices—Lessons Learned Exploring Alternate
-
www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.htmlDecember 01, 2017 - What can you do to prevent or minimize this harm? … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Opportunity to identify if factor increased or decreased the harm or risk for harm, as well as if factor … Arrow points down to the next box: "What can I do to prevent that harm?"
-
www.ahrq.gov/hai/cusp/modules/learn/index.htmlJuly 01, 2018 - Discusses the effects of errors and patient harm and the underlying causes of errors.
-
www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.htmlJanuary 01, 2015 - comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm
SHARE:
Search the AHRQ Archive
Information and reports more than 5 years old may be found in the AHRQ Archive site.
Search Within A Specific AHRQ Site
You selected to view results for the following site:
