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
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.
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.
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.
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
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
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
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?”)
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
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
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
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?
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?
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
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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
…