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Showing results for "harm".
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Learn From Defects Tool (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docxDecember 01, 2017 - This could include an incident that caused patient harm or put patients at risk for harm, such as a patient … Harmful contributing factors contribute to patient harm; protective factors contribute to patient safety … Patient safety or patient harm is a product of that system. … This could include an incident that caused patient harm or put patients at risk for harm, such as … This could include an incident that caused patient harm or put patients at risk for harm, such as a -
www.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.htmlJuly 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
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/pocketguide.htmlDecember 01, 2017 - Indwelling devices that HEAL may also HARM! Use them only when necessary.
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdfSeptember 28, 2016 - Presentation Agenda • National Progress in Hospital Safety ► Measurable improvement, but some harm … press- releases/2015/saving-lives.html Patient Safety in the United States: National Progress, but Harm … Hospital Safety and Measurable Impact Patient Safety in the United States: National Progress, but Harm
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_gilliam.htmlJanuary 01, 2014 - Training the Next Generation of Leaders in Clinical Preventive Services Profiles from the AHRQ Research Centers for Excellence Meredith Gilliam: Research Center for Excellence in Clinical Preventive Services (ReCPS) at the University of North Carolina, Chapel Hill Meredith Gilliam, an M.D./M.P.H. student at…
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Community Pharmacy Survey on Patient Safety (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.docxJune 02, 2025 - ► Patient safety is the prevention of patient harm resulting from the processes of health care delivery … or quality-related event, regardless of whether or not it reaches the patient or results in patient harm … When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient but has no potential to harm the patient, how often is it documented -
Community Pharmacy Survey on Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/community-pharmacy/pharmacy-survey-english.pdfJune 02, 2025 - Patient safety is the prevention of patient harm resulting from the processes of health care delivery … or quality-related event, regardless of whether or not it reaches the patient or results in patient harm … When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient but has no potential to harm the patient, how often is it documented -
www.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.htmlMay 01, 2025 - Making Healthcare Safer IV A Continuous Updating of Patient Safety Harms and Practices Making Healthcare Safer reports I, II, and III have shown a positive impact of patient safety practices on the reduction of medical errors. However, threats to patient safety are still emerging and evolving in a dynamic wor…
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www.ahrq.gov/sites/default/files/2025-02/catchpole2-report.pdfJanuary 01, 2025 - Key Words: medication delivery, decision making, human factors, error, harm, safety, systems PURPOSE … A medication error in the perioperative setting is three times more likely to result in harm that in … and the potential for harm. … Of the 94 respondents, 43.6% reported experiencing a near-miss or patient-harm event. … The frequency of near-miss and harm events did not differ by years in practice.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-1.htmlAugust 01, 2023 - References Pediatric clinicians self-report making diagnostic errors resulting in harm
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www.ahrq.gov/news/newsletters/e-newsletter/921.htmlJuly 01, 2024 - patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm … ET: Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient … Harm Reduct J 2024 Jun 27;21(1):125. Access the abstract on PubMed®.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cuspmvp-slides.htmlFebruary 01, 2017 - We do not accept any preventable harm as an option. … What can be done to prevent or minimize this harm? … Severity of harm the defect causes. Frequency of the defect occurrence. … What can be done to prevent or minimize this harm?
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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.pdfJune 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. -
www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/index.htmlAugust 01, 2024 - The 47 practices are categorized among 17 chapters that represent harm areas including medication management
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/4-things.pdfMarch 01, 2017 - People can have bacteria in the urine that do not cause symptoms or harm; asymptomatic bacteriuria … Urine culturing can actually harm residents who have no CAUTI symptoms. 4.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptxJune 01, 2021 - Negative contributing factors are those that harmed or increased risk of harm Positive contributing … factors limited the impact of harm 14 Changing the System 14 What Could You Do To Reduce the … System 17 Review Consider system/active failures which may have led to the problem or potential for harm
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ChartBook On Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdfMarch 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. -
www.ahrq.gov/sites/default/files/2024-10/kennerly-ballard-report.pdfJanuary 01, 2024 - , and an additional 9% were associated with increased risk of clinical harm.8 With respect to ADEs, a … Relationships between physician characteristics and harm may highlight groups of practitioners that … This group of AEs will be stratified based on impact (harm and preventability) and other attribution … Methodology and rationale for the measurement of harm with trigger tools. Qual Saf Health Care. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm.
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Chapter-8 - Diabetes (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/diabetes-1.pdfMarch 01, 2020 - Professionals/Resources/National-Diabetes-Audit/NDA-reports Harms Due to Diabetic Agents 8-2 Importance of Harm … Methods for Selecting PSPs Initial literature searches for PSPs in the harm area of medication management … Results of these searches were reviewed by harm-area task leads to identify PSPs, and as needed, searches … 14,15 and identification of specific phenotypes16 to help address this important potential patient-harm … Harms Due to Diabetic Agents Introduction Background Importance of Harm Area Methods for Selecting -
SOPS® Nursing Home Survey on Patient Safety (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docxSeptember 01, 2024 - (Version 1.0) In this survey, “resident safety” means preventing resident injuries, incidents, and harm … When staff report something that could harm a resident, someone takes care of it 1 2 3 4 5 9 … Staff tell someone if they see something that might harm a resident 1 2 3 4 5 9 7. … In this nursing home, we discuss ways to keep residents safe from harm 1 2 3 4 5 9 9.
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