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Showing results for "harm".
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SOPS® Nursing Home Survey on Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.pdfSeptember 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 . … Staff tell someone if they see something that might harm a resident ......................... … In this nursing home, we discuss ways to keep residents safe from harm .................. -
www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-situation-monitoring.pptxJanuary 10, 2022 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … team to be resilient, capturing potentially harmful errors in the care process before they result in harm … It allows individuals and teams to take steps to interrupt or correct an action or event before harm … recognize risk or unfolding error An opportunity to interrupt or correct an action or event before harm … Situation monitoring enables team members to identify potential issues before they become a problem or pose harm
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module5-presenters-notes.pdfJanuary 10, 2022 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … team to be resilient, capturing potentially harmful errors in the care process before they result in harm … individuals and teams to take steps to interrupt or correct an action or event before harm … monitoring enables team members to identify potential issues before they become a problem or pose harm … monitoring enables team members to identify potential issues before they become a problem or pose harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence1.htmlApril 01, 2025 - Diagnostic error is a major source of preventable harm and increased costs across healthcare settings … If we are to achieve diagnostic excellence and the goal of zero preventable harm from diagnostic error
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www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.htmlFebruary 01, 2017 - Say: The vision of CUSP is that, by putting this team in place, we are saying that preventable harm … that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator-associated pneumonia, or anything that can lead to preventable patient harm … This assessment tool does not ask how an individual provider might harm a patient, but rather, it seeks … to identify threats in the clinical area that can result in harm to your ventilated patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docxJanuary 01, 2017 - Vision SAY: The vision of CUSP is that, by putting this team in place, we are saying that preventable harm … that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator-associated pneumonia, or anything that can lead to preventable patient harm … This assessment tool does not ask how an individual provider might harm a patient, but rather, it seeks … to identify threats in the clinical area that can result in harm to your ventilated patients.
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/rce_profile_carter.htmlAugust 01, 2014 - then 5-10 years after these things have been implemented we realize that we actually may be doing more harm
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-survey-english.docxJune 02, 2025 - . ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2 3 4 5 9 SECTION D: Near-Miss Documentation ► When something happens that could harm
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www.ahrq.gov/action-alliance/webinars/high-reliability.htmlNovember 01, 2023 - www.youtube-nocookie.com/embed/bfk177p9-Mc VHA's Journey to High Reliability: Advancing Toward Zero Harm
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdfDecember 01, 2020 - Committee for Patient Safety, who are united in their efforts to achieve truly safer care and reduce harm … for them • Provides clear direction for making significant advances toward safer care and reduced harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-2.htmlJune 01, 2020 - These principles act as “a call to action for all stakeholders in reducing harm, including policymakers … on conditions that have been shown to be relatively common in being missed, which leads to patient harm … Data Synthesis Routinely recorded quality and safety events Awareness of the impact and harm … Focus on events with clear potential for harm. … May capture safety breakdowns undetected by algorithmic methods, including “near-miss” and low-harm
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptxJune 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm … Collaborates to develop and implement plans Ensures necessary resources Holds staff accountable for reducing harm … Doing no harm: enabling, enacting, and elaborating a culture of safety in health care.
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www.ahrq.gov/diagnostic-safety/tools/index.htmlJune 01, 2025 - consistently show that the process for managing tests is a significant source of error and patient harm … can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.htmlSeptember 01, 2022 - Errors that occur during the diagnostic process can lead to missed or wrong diagnoses and can harm
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www.ahrq.gov/funding/grantee-profiles/grtprofile-nishisaki.htmlJuly 01, 2025 - Grantee Profile Eliminating Preventable Harms During Pediatric Intubation Akira Nishisaki, M.D., M.S.C.E. Attending Physician, Critical Care Medicine, Children’s Hospital of Philadelphia Co-Medical Director for Center for Simulation, Advanced Education and Innovation, Children’s Hospital of Philadelphia Cha…
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www.ahrq.gov/patient-safety/reports/liability/corbett.htmlAugust 01, 2017 - contextual and complex, but they agreed that full disclosure was desired when an error that caused harm … Full disclosure when harm occurs from a medication error is a best practice. … medical liability issues associated with medication discrepancies that result in permanent patient harm … disclosure should occur when an error that causes harm is identified. … When errors that result in harm occur, full disclosure is the best practice.
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www.ahrq.gov/hai/cauti-tools/ena-slides/case-study.htmlOctober 01, 2015 - Black text box reads "non-maleficence -- Do No Harm. … Drop Target Beneficence ~ Do Good Rectangle 5 Non-maleficence ~ Do No Harm … Right rectangle has the following text: Non maleficence ~ Do No Harm.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.htmlJune 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/penicillin.htmlNovember 01, 2019 - After viewing or presenting this presentation viewers will be able to— Discuss the potential harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdfDecember 01, 2003 - The four tests The deliberate harm test In the overwhelming majority of patient safety incidents, … However, the deliberate harm test helps to identify at the earliest possible stage those rare cases … where harm was intended. … When it appears deliberate harm was intended, the importance of immediate suspension, together with … Doing less harm. 2001 Aug. 3. U.K. Department of Health. Staff in the NHS 2002.
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