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Showing results for "harm".
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlJuly 01, 2023 - Sensemaking tools to help reduce the risk of future harm to your patients. … the holes symbolize the opportunities for defects to permeate established systems and cause patient harm … What can be done to minimize harm or prevent safety hazards? … The consequent event is described in terms of the event's consequences: Harm that did happen. … Harm that did not happen—No-harm event. Event did not reach the patient—Near-miss event.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/why-cusp.htmlApril 01, 2025 - SSI Prevention The Comprehensive Unit-based Safety Program (CUSP) aims to eliminate any preventable harm … The Comprehensive Unit-based Safety Program (CUSP) aims to eliminate any preventable harm by focusing
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes7.htmlAugust 01, 2022 - Following patient harm events, the patient and/or family might sue the caregiver and/or organization, … Resolution team include: Compensating quickly and fairly when inappropriate medical care causes harm … Creating a learning organization in which patient harm is reduced through ongoing learning from patient … When harm occurs, patients often express the desire to protect others from future events. … Becoming a learning organization supports the goal of preventing similar harm to patients in the future
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdfFebruary 01, 2004 - Categories of medical error and frequency of harm, cont. … The occurrence of an error did not imply harm or injury to the patient. … harm. … Categories of medical error and frequency of harm Table 4. … Types of errors within the medical treatment category and frequency of harm Table 5.
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www.ahrq.gov/patient-safety/capacity/candor/videos/planning.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/teamstepps-program/diagnosis-improvement/index.htmlOctober 01, 2024 - About the Course Diagnostic harm is an emerging area of concern in healthcare quality and patient safety … patient safety and risk management literature as well as care delivery research shows that diagnostic harm … Organizations and providers need resources to mitigate diagnostic harm and few tools are available to … their families, and provide assessment and training tools to support local efforts to reduce diagnostic harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-facguide.docxJanuary 01, 2017 - A defect can be a specific harm to a patient. … or risk for harm. … ASK: What factors contributed to, minimized, or prevented harm? … risk for harm? … With supporting data, show your staff the reduced risks for patient harm.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.htmlFebruary 01, 2017 - A defect can be a specific harm to a patient. … or risk for harm. … Ask: What factors contributed to, minimized, or prevented harm? … risk for harm? … With supporting data, show your staff the reduced risks for patient harm.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.htmlJuly 01, 2023 - 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.
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www.ahrq.gov/patient-safety/capacity/candor/videos/introduction.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/disclosure.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/notification.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/conversation.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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Does Medical Error Disclosure Violate the Medical Malpractice Insurance Cooperation Clause? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Banja.pdfJanuary 01, 2004 - The frank admission of a harm-causing error—e.g., “Mrs. … Jones, an error occurred in your care that was responsible for the harm you experienced, and we apologize … for the harm it caused”—is a slam-dunk admission of liability. … Conclusion It remains possible that a health professional who discloses harm-causing error, despite … Obviously, the eradication of needless fears that compromise the truthful disclosure of harm-causing -
www.ahrq.gov/patient-safety/capacity/candor/videos/meeting.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/compensation.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/physicians.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/nurses.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/patient-safety/capacity/candor/videos/accountability.htmlFebruary 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.ahrq.gov/news/newsroom/case-studies/202104.htmlOctober 01, 2021 - adverse event or potential adverse event, and officials estimate 85 patients were spared the additional harm … Traditionally, hospitals and healthcare providers are not fully forthcoming with patients and families when harm … thinking on its head, providing methods and tools for clinicians and others to respond immediately to harm
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