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Showing results for "harm".
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdfJune 03, 2021 - Errors involve common conditions and nearly half of them have potential for patient harm. … diagnostic errors, as they have with progress made in addressing other forms of preventable patient harm … Diagnostic safety is vital to learning health systems committed to eliminating preventable harm. … disability stem from an inaccurate or delayed diagnosis, making it the number one cause of serious harm … It is essential that every healthcare encounter is safe and free from harm. Table 2.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdfJune 03, 2021 - Errors involve common conditions and nearly half of them have potential for patient harm. … diagnostic errors, as they have with progress made in addressing other forms of preventable patient harm … Diagnostic safety is vital to learning health systems committed to eliminating preventable harm. … disability stem from an inaccurate or delayed diagnosis, making it the number one cause of serious harm … It is essential that every healthcare encounter is safe and free from harm. Table 2.
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www.ahrq.gov/workingforquality/about/agency-specific-quality-strategic-plans/nqs4.htmlNovember 01, 2016 - N/A Priorities Making care safer by reducing the harm caused in the delivery of care. … sector projects are created to better manage specific preventable drug risks and reduce preventable harm … collaborations between federal agencies and the broader health care community can reduce preventable drug harm … N/A Priorities Making care safer by reducing the harm caused in the delivery of care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptxSeptember 03, 2014 - improvement efforts Conduct a learning from defects exercise 2 Overview The importance of reducing harm … If not, then improvement is a priority 4 Culture of Safety SAY: Reducing harm at the facility level … Protocols and checklists reduce patient harm through improved standardization and communication. … What can be done to minimize harm or prevent safety hazards? … What can be done to minimize harm or prevent safety hazards?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdfJanuary 01, 2004 - Error factors included level of harm and whether patients and others were aware of the error and the … harm. … .14 Studies indicate that physicians also believe that errors causing harm should be revealed.5, … harm were principal error characteristics related to disclosure. … Justifications for not disclosing an error that did not result in permanent harm included statements
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www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.htmlJanuary 01, 2015 - comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm
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110-Ss-Lfd-Sample (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docxApril 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? -
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdfApril 01, 2018 - accompanied by a potential for causing inadvertent harm while caring for patients. … Variation in Risk of Harm Across Developmental Stages Risk of pediatric patient harm varies with age … Temporal trends in rates of patient harm resulting from medical care. … Methodology and rationale for the measurement of harm with trigger tools. … A trigger tool to detect harm in pediatric inpatient settings.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/index.htmlAugust 01, 2022 - Findings Improving Communication Improving Communication—Lessons Learned Preventing Harm … Through Best Practices Preventing Harm Through Best Practices—Lessons Learned Exploring Alternate
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www.ahrq.gov/patient-safety/settings/hospital/match/figure-11.htmlJuly 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … High-risk areas can be targeted for this evaluation to avoid potential harm (e.g., intensive care units
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-11.htmlJuly 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … High-risk areas can be targeted for this evaluation to avoid potential harm (e.g., intensive care units
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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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Changing-System-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docxJune 01, 2021 - A problem that almost led to patient or resident harm is called a “near-miss.” … · Once the potential for harm is addressed, how do you know the risk was reduced? … Negative contributing factors are those that caused harm or almost caused harm. … Positive contributing factors are those that limit or prevent harm. … Sometimes we forget to acknowledge the factors that reduce potential harm from the adverse event. -
www.ahrq.gov/news/newsroom/press-releases/health-affairs-patient-safety-research.htmlNovember 01, 2018 - This growing momentum signals a sharpening focus on how to significantly reduce the risks of patient harm … Together, members of the committee want to accelerate progress in reducing patient harm.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.htmlOctober 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Examples of Patient Harm … Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-5.htmlJune 01, 2021 - Improvement Leadership References Despite the enormous financial cost and patient harm
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www.ahrq.gov/research/findings/studies/index.html?page=283January 01, 2024 - : Health Personnel, Workforce Olfson M , Wall M , Wang S Suicide after deliberate self-harm … This study’s objective was to identify risk factors for repeated nonfatal self-harm and suicide death … national cohort of patients in the Medicaid program who were followed for up to 1 year after initial self-harm … Hazards of suicide after self-harm were also higher for American Indians and Alaskan natives than for … Suicide after deliberate self-harm in adolescents and young adults.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdfApril 01, 2022 - examination of each catheter-associated infection while the patient is still in the ICU to link the harm … For many clinicians, the harm is not visible, but the perceived impact of not having that line in case … Provide education and use patient case studies with all healthcare providers to address the potential harm … examination of each catheter-associated infection while the patient is still on the unit to link the harm
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www.ahrq.gov/news/newsletters/e-newsletter/845.htmlJanuary 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.
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www.ahrq.gov/prevention/chronic-care/decision/research-centers/index.htmlOctober 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.
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