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Showing results for "harm".

1921. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
      May 01, 2016 - anticoagulation can spur chart review to determine if an adverse drug event occurred, to assess the level of harm

1922. Final Progress Report: Improving Transplant Med Safety through a Pharmacist-Led, mHealth-Based Program (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/taber-report.pdf
      January 01, 2024 - predominant causes of graft loss are driven by immunosuppression-related adverse drug events (patient harm

1923. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiif.html
      June 01, 2010 - These outcomes are in the areas of: health, protection from harm, safe environments, human and civil

1924. Final Progress Report: Putting a Face on Hospital Medical Errors: Communication (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/stewart-report.pdf
      January 01, 2024 - The finding that disclosure of errors without harm actually increased trust of the patient after a letter

1925. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
      January 01, 2024 - errors in our preliminary analyses is also low (< 5%), 2x dosing errors of narcotics are a high-risk-of-harm

1926. 053-Dec-Guide-Readiness (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/053-dec-guide-readiness.docx
      October 01, 2024 - skin are harmless or even beneficial, hospitalization increases the risk of these bacteria causing harm

1927. Final Progress Report: Profiling the Needs of Dying Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/feudtner-report.pdf
      January 01, 2024 - First do no harm--to err is human. Eff Clin Pract 2000;3(6):294-6. 7.

1928. Final Progress Report: The Effect of EMR on Medication Safety: A SPUR-Net Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/kuo-report.pdf
      January 01, 2024 - medication error is any preventable event that may cause or lead to inappropriate medication use or patient harm

1929. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
      April 01, 2015 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research 1 Care Management Issue Brief Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Executive Summary Health care delivery systems throughout the United States are employing…

1930. 2019 Hospital Survey Pilot Test Results Part I (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pilot-results-parti.pdf
      September 01, 2019 - 2019 Hospital Survey Pilot Test Results Part I Pilot Test Results From the 2019 AHRQ Surveys on Patient Safety CultureTM (SOPSTM) Hospital Survey Version 2.0 Part I: Overall Results Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 5600 Fishers Lane Rock…

1931. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - Care Management: Implications for Medical Practice, Health Policy, and Health Services Research Care Management Issue Brief Contents: Executive Summary Care Management: a Fundamental Vehicle for Managing the Health of Populations Overview Strategy: Identify Populations with Modifia…

1932. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
      March 03, 2008 - A Model of Care Delivery to Reduce Falls in a Major Cancer Center A Model of Care Delivery to Reduce Falls in a Major Cancer Center Nancy E. Kline, PhD, RN, CPNP, FAAN; Bridgette Thom, MS; Wayne Quashie, MPH, RN; Patricia Brosnan, MPH, RN; Mary Dowling, MSN, RN Abstract Falls are a leading cause of injuries…

1933. Overuse of Computed Tomography Scans for the Evaluation of Children with Atraumatic Headache: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
      November 01, 2019 - guidelines support the use of CT imaging only when clinically indicated in children, decreasing the risk of harm

1934. Final Progress Report: Developing and Disseminating a Patient Safety Risk Assessment (PSRA) Toolkit (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/joseph2-report.pdf
      January 01, 2024 - First, do no harm: Developing a safety risk assessment tool for healthcare building design.

1935. Final progress Report: Improving Over-the-Counter Medication Safety for Older Adults (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/chui-report.pdf
      January 01, 2024 - combination of 10 or more OTC and prescription medications.5 Older adults are at high risk of significant harm

1936. Final Progress Report: Emotional Influences on Diagnostic Error in Emergency Medicine: An Experimental Approach to Understand Diagnostic Failure and Facilitate Improvement for Patients with and without Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/isbell-boudreaux-report.pdf
      January 01, 2025 - to regulate their emotions (especially emotional suppression) to decrease the likelihood of patient harm … for extensive research before introducing interventions into clinical practice, where potential for harm

1937. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
      January 01, 2024 - is evidence that much work remains.19-21 Patient safety, defined by the IOM as the “prevention of harm … to patients, with harm occurring through errors of commission and omission” is, in some ways, much

1938. Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
      May 01, 2017 - be investigated and analyzed (e.g., a root cause analysis may be conducted) to determine if patient harm

1939. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
      December 01, 2017 - Ask: What harm can you avoid? What can we catch with briefings and debriefings?

1940. Final Progress Report: Watchful Waiting as a Strategy for Reducing Low-value Spinal Imaging (pdf file)
      www.ahrq.gov/sites/default/files/2025-07/fenton2-report.pdf
      January 01, 2025 - Appropriate use of diagnostic imaging in low back pain: a reminder that unnecessary imaging may do as much harm