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Showing results for "harm".

  1. www.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
    February 01, 2025 - from them about what went wrong, how delays could be avoided, and what strategies could mitigate any harm … structured family-centered communication intervention (PFC I-PASS) on diagnostic success, errors, and harm … outpatient) to improve patient/family and clinician communication and experience and to reduce errors and harm … knowledge, tools, and strategies that healthcare organizations can use to learn how to prevent and reduce harm
  2. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
    June 01, 2017 - The top center has key measures including number of procedures since last harm event and near miss. … To start with, you can track key outcome measures, including days since last harm event and days since … Agree on a clear definition of both harm and “near miss” so that your tracking is consistent over time … You may choose to start with only a couple of items, such as a measure of last harm together with a visual
  3. www.ahrq.gov/patient-safety/reports/liability/preface.html
    August 01, 2017 - initiatives; the use of reporting systems; the harmful impact of institutional silence when patient harm
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
    May 01, 2017 - The top center has key measures including number of procedures since last harm event and near miss. … To start with, you can track key outcome measures, including days since last harm event and days since … Agree on a clear definition of both harm and “near miss” so that your tracking is consistent over time … You may choose to start with only a couple of items, such as a measure of last harm together with a visual
  5. www.ahrq.gov/hai/cusp/toolkit/staff-safety-assessment.html
    December 01, 2012 - Please describe what you think can be done to prevent or minimize this harm.
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-facguide.docx
    January 01, 2017 - Slide 4 Connect the Safety Dots SAY: The use of any invasive device can lead to harm. … While these are all life-saving events, there is a potential for harm. … In this schematic you can see some of the causes for and outcomes associated with ventilator harm. … As we connect the dots to harm, it’s important to look at the clinical ramifications of VAE. … •  Collecharm –  Avoid failure of infec
  7. www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
    August 01, 2022 - improving patient safety and reducing medical liability: (1) improving communication, (2) preventing harm … Preventing harm through the use of best practices. … an adverse event to the patient or family documented in 79% of cases, explanation of the reason for harm … Selected Grantee-Reported Findings for Projects Focusing on Preventing Harm through Best Practices by … , and a 54% reduction in the rate of serious potential safety risk events where potential or actual harm
  8. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/discussion.html
    October 01, 2019 - results are useful for measuring organizational conditions that can lead to adverse events and resident harm … Start the meeting with a story of resident harm and spend a few minutes talking about your feelings associated … with that harm.
  9. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/2019-nhsops-dbreport-partii.pdf
    January 01, 2019 - When staff report something that could harm a resident, someone takes care of it. … 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. … In this nursing home, we discuss ways to keep residents safe from harm.
  10. www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    June 01, 2025 - 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.
  11. www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/graber-summit2016.pdf
    January 01, 2017 - Diagnostic errors are a significant but underappreciated challenge to health care quality and harm … ” • Add these slides if Victor doesn’t cover them Diagnostic Error Error-related Harm 40,000 … Number 26 Diagnostic errors are a significant but underappreciated challenge to health care quality and harm
  12. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship9.html
    August 01, 2024 - to reductions in diagnostic errors that reach the patient, such as incorrect diagnoses and resulting harm
  13. www.ahrq.gov/patient-safety/reports/healthaffairs.html
    March 01, 2019 - safety research experts in bringing innovative approaches to significantly reduce the risks of patient harm
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
    May 01, 2017 - What might we do to prevent that harm?”)
  15. www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 01, 2015 - Potential or Actual Harm or “Defects” A defect is any clinical event or situation that a staff member … It includes any incident that someone believes caused patient harm or put a patient at risk of harm. …  What can be done to minimize harm or prevent safety hazards? … Patient names can be associated with each harm event to remind staff that there is a real person is … ahead.”10 Aside from an organization’s overall survival, each patient who is spared an HAI or other harm
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - Potential or Actual Harm or “Defects” A defect is any clinical event or situation that a staff member … It includes any incident that someone believes caused patient harm or put a patient at risk of harm. …  What can be done to minimize harm or prevent safety hazards? … Patient names can be associated with each harm event to remind staff that there is a real person is … ahead.”10 Aside from an organization’s overall survival, each patient who is spared an HAI or other harm
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/improve/discussion-guide.docx
    March 01, 2017 - results are useful for measuring organizational conditions that can lead to adverse events and resident harm … about the facility’s strengths and areas for improvement. · Start the meeting with a story of resident harm … and spend a few minutes talking about your feelings associated with that harm. · Discussion questions
  18. www.ahrq.gov/hai/tools/mvp/modules/cusp/staff-safety-asst.html
    January 01, 2017 - What do you think can be done to prevent or minimize this harm?
  19. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    June 02, 2025 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?
  20. www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
    May 01, 2024 - Investments in Primary Care Research for 2021 and 2022 Patient Safety Previous Page Next Page Table of Contents Investments in Primary Care Research for 2021 and 2022 Acknowledgments and Authors Message from the Acting Director of AHRQ's National Center for Excellence in Primary Care Research …

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