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Total Results: 3,207 records

Showing results for "harm".

181. 4 Things You Should Know About Urine Cultures | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
     March 01, 2017 - People can have bacteria in the urine that do not cause symptoms or harm; asymptomatic bacteriuria is … Urine culturing can actually harm residents who have no CAUTI symptoms. 4.

182. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
     August 01, 2022 - Type of event: harm event, no harm event, near miss.

183. Understanding Physicians' and Patients' Views of Harms and Clinical Preventive Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
     September 18, 2014 - , 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.

184. Communication and Optimal Resolution (CANDOR): Grand Rounds Presentation Video | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/capacity/candor/videos/grpresentation.html
     February 01, 2017 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm

185. Generic Dashboard | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/generic.html
     September 01, 2024 - examines their location and contributing factors, as well as prevention actions and extent of residual harm

186. National Healthcare Safety Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/national-measures/index.html
     April 01, 2025 - National Action Alliance for Patient and Workforce Safety is "safe care everywhere, zero preventable harm … for all," with a goal to reduce patient and workforce harm by 50 percent from its pandemic-driven high

187. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
     May 01, 2023 - requested clarification but the response or confirmation does not ease the concern about potential harm … the Two-Challenge Rule to situations where the patient or another team member may be at high risk of harm … Can you think of times when using this rule could have prevented harm to a patient?

188. Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
     June 01, 2021 - be able to — · Discuss the potential harms associated with antibiotic use · Recognize that patient harm … However, antibiotics, whether necessary or not, come with risks and may cause harm. … There is a fear of causing harm by stopping a medicine someone else thought the resident needed. … The intent is to reduce preventable harm by identifying problems which cause harm to residents. … The holes are the errors or missed opportunities to stop harm of a resident.

189. Fall Supplement Dashboard Data 2022 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Supplement_Dashboard_Data_2022.xlsx
     January 01, 2022 - tables include the relative frequencies of reports by age group, by the extent of residual patient harm … As a Result of Fall by Age Group Harm No Harm Unknown Total Age Group Percent Frequency Percent … No Harm Patients Who Experienced Harm as a Result of Fall Patients Who Experienced No Harm as a … No Harm Patients Who Experienced HARM Patients Who Experienced NO HARM Intervention(s) in Place … No Harm Patients Who Experienced HARM Patients Who Experienced NO HARM Intervention(s) in Place

190. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
     March 01, 2021 - of Social Determinants of Health and Systemic Racism on Patient Safety Understanding and Reducing Harm … Understanding and Reducing Harm caused by Diagnostic Errors How are diagnostic errors within and … priorities for patient and family engagement: informed consent interventions designed to reduce harm … events, including psychological/emotional harm, interventions that expand collection and analysis … What can be done immediately to increase the rate of improvement and harm reduction on a larger scale

191. PowerPoint Presentation: Learn From Defects Through Sensemaking
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects.pptx
     December 01, 2017 - A defect can be a specific harm to a patient. … 2) What can you do to prevent this harm or SSI? … ASK: Did the factor increase the harm or the risk for harm or decrease it? … What can I do to prevent that harm? … What can I do to prevent that harm?

192. What Do These Stories Tell Us? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/cusp-success/stories.html
     September 01, 2012 - the number of lines inserted and set a goal to cut 25 percent of that “waste” with the potential for harm … insights and lessons to assist other organizations in their CUSP journey to mitigate and eliminate harm … once staff are confident that they will consistently have that support, they will be enabled to reduce harm … Learning from Defects is a powerful tool to protect future patients from harm and reinforces a key practice

193. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
     September 01, 2022 - At the same time, other people get CPS that have no benefit or even cause harm. … reducing disparities in the delivery of CPS — TEP 6: Stopping the delivery of CPS that may cause more harm

194. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - Engages in subsequent disclosure communications with the patient/family about the harm event. … designated communicator will engage in followup communication with the patient and/or family about the harm … The patient and/or family have a reasonable expectation to be informed when a harm event has occurred … Patients and families can be engaged as partners in organizational discussions about harm prevention … training appropriate individuals to communicate with patients, families, and staff after a patient harm

195. 162-Example-Completed-Learning-Defects-Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
     October 01, 2024 - This could include incidents that you believe caused patient harm or put patients at risk for significant … harm. … Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … Positive contributing factors are factors that limited the impact of harm for patients.

196. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/making-healthcare-safer/index.html
     July 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.

197. Perioperative Staff Safety Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
     December 01, 2017 - What do you think can be done to prevent this harm? … NAME (OPTIONAL)   JOB TITLE   DATE   CLINICAL AREA   ASSESS RISK FOR HARM … Please describe what you think can be done to prevent or minimize this harm.    

198. 129-Ss-Blank-Lfd (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
     April 01, 2025 - This could include incidents, such as a surgical site infection (SSI), that you believe caused patient harm … or put patients at risk for significant harm. … Negative contributing factors are those that harmed or increased the risk of harm for a patient. … Positive contributing factors limited the amount of harm. … harm) to the incident?

199. 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/issue-briefs/dxsafety-current-state1.html
     January 01, 2024 - error in the outpatient setting every year, 1 and approximately 0.7 percent of inpatients experience harm … Findings have several implications for future resource investments to reduce harm from diagnostic errors

200. 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state1.html
     January 01, 2024 - error in the outpatient setting every year, 1 and approximately 0.7 percent of inpatients experience harm … Findings have several implications for future resource investments to reduce harm from diagnostic errors