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Total Results: 2,182 records

Showing results for "harm".

181. CMV_27_M3_CUSP_SSA_Premortem
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-slides.pptx
     January 01, 2017 - each patient the same way we would want our family members treated We do not accept any preventable harm … What can be done to prevent or minimize this harm? … 2 What can be done to prevent or minimize this harm? … identified defects using the following criteria: Likelihood of the defect harming the patient Severity of harm … What can be done to prevent or minimize this harm?

182. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - reference for organizational leaders who are committed to improving their response to unexpected patient harm … ) report, To Err Is Human: Building a Safer Health System, the problems associated with injury and harm … the United States provides some of the best health care in the world, unsafe health care processes harm … This statistic represents only one type of patient harm that results during the delivery of patient … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial

183. Making Healthcare Safer III Patient Safety Practices | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
     April 01, 2020 - The practices are listed among the report’s 17 chapters, which represent harm areas researched.

184. PQMP Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/index.html?page=3
     Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Children with Complex Needs (COE4CCN) Children/Adolescents Who Present to the ED With Dangerous Self-Harm … Complex Needs (COE4CCN) Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … with Complex Needs (COE4CCN) Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm

185. Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/961.html
     June 01, 2025 - Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs … Today’s Headlines: Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in … Researcher Akira Nishisaki Designs Quality Improvement Processes To Reduce Harm in Pediatric ICUs Akira

186. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
     www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
     October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.

187. Identify Defects Through Sensemaking, Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/notes.html
     December 01, 2012 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm … recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future 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.

188. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module6/module6-care-for-caregiver.pptx
     May 01, 2011 - possible to patients, health care providers are sometimes faced with the aftermath of adverse patient harm … detailed information concerning the elements of disclosure to patients and families following a patient harm … track” process that allows the caregiver to quickly access support and guidance following a patient harm … : “Health care team members who are involved in an unanticipated patient event, which might involve harm … Addressing an intense fear of the unknown following a patient harm event.

189. Children/Adolescents Who Present to the ED With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should See a Mental Health Professional for Follow-Up Within 7 Days of Discharge From the ED | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/suicide-followup-after-discharge.html
     August 01, 2021 - Children/Adolescents Who Present to the ED With Dangerous Self-Harm or Suicidality Who Are Discharged

190. Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm or Suicidality, Should Have Documentation in the Hospital Record That Their Caregiver Was Counseled on How To Restrict the Child's/Adolescent's Access | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/inpatient-counseling-access.html
     August 01, 2021 - Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm or Suicidality, Should

191. Medical Product Safety Network (MedSun) Collaborates with Medical Product Users to Create Specialty Subnetworks (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
     June 04, 2008 - The very large percentage of reported problems falling into the “potential for harm” category speaks … 2007 Reported outcome Na Death 184 Serious injury/illness 828 Minor injury 1,132 Potential harm … to patients 5,312 Potential harm to health care provider 371 “Other” (e.g., out-of-box failures, … to obtain information from MedSun sites about adverse events and events representing potential for harm … related safety information, including noninfectious adverse events and problems with potential for harm

192. Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should Have an Assessment by a Mental Health Professional Prior To Discharge From the ED | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/emergency-department-suicide-home.html
     August 01, 2021 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm or Suicidality

193. Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm or Suicidality Should Have Documentation in the Hospital Record of Discussion Between the Hospital Provider and the Patient's Outpatient Provider Regarding the Plan for Follow-Up | Agency for Healthcare Research and Quality
     www.ahrq.gov/pqmp/measures/followup-discussion.html
     August 01, 2021 - Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm or Suicidality Should Have Documentation

194. Mixed Methods Analysis of Medical Error Event Reports: 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/vol2/Harris.pdf
     June 30, 2004 - and risk of harm. … ‡ Fixed choice (Yes/No) + optional brief narrative Was there patient harm? … were of this type, even though they resulted in harm about as frequently as reported events that did … Thus, reported diagnostic testing errors are both common and associated with harm or the possibility … of harm.

195. Adverse Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/adverse-events.html
     April 01, 2018 - Adverse Events Structured Abstract Full Title: Empirical Evaluation of the Association Between Methodological Shortcomings and Estimates of Adverse Events Objective: Accurate harms data are necessary to appropriately assess the balance between benefits and harms of interventions. Numerous deficiencies in t…

196. ChartBook On Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
     March 04, 2016 -  An ADE is an injury—including physical harm, mental harm, or loss of function— resulting from … to preclude the harm. … No Harm, But Monitoring Temporary Harm P e rc e n t Compounding Errors by Related Harm and Pharmacy … No Harm, But Monitoring Temporary Harm P er ce n t Compounding Errors by Related Harm and Pharmacy … despite no harm.

197. Recommendations from the Subcommittee to Inform the National Action Alliance to Advance Patient and Workforce Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
     February 01, 2024 - and Workforce Safety We stand for a healthcare delivery system that is free from preventable harm … Progression of the LN will be measured and assessed based on: Progress against goal of 50% reduction in harm

198. A Path Forward for Diagnostic Safety Improvement Leadership | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.html
     June 01, 2021 - Improvement Leadership References Despite the enormous financial cost and patient harm

199. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
     July 01, 2022 - Research and Quality (AHRQ) shows that rates of in-hospital adverse events for healthcare related patient harm … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with

200. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-6.html
     August 01, 2023 - pediatric diagnostic safety faces many unique challenges, it is imperative that focus remains on reducing harm