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Total Results: 2,183 records

Showing results for "harm".

341. Survey on Patient Safety (facility version) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
     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?

342. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
     January 01, 2017 - All too often we assume that patient harm occurs because of inexperience, lack of supervision, or bad … checks for key processes, we improve our ability to reduce the risks of adverse events resulting in harm … It asks frontline providers to think ahead and taps into their wisdom to prevent patient harm from happening

343. Patient Experience, Patient Safety, and Provider Well-Being: Associations and Paths (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/2023-virtual-research-meeting-summary-patient-experience.pdf
     January 01, 2023 - Study of Medicare Beneficiaries o Session 7: Patient-Provider Communication and Reducing Patient Harm … is necessary to focus on not only what leads to diagnostic problems, but also what to do about the harm … When it comes to harm events, it is human nature to avoid difficult 9 discussions and fear punitive … in a National Study of Medicare Beneficiaries Patient-Provider Communication and Reducing Patient Harm … in a National Study of Medicare Beneficiaries Patient-Provider Communication and Reducing Patient Harm

344. Measure Dx: Making Diagnostic Safety Your Measurement Priority (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdf
     July 01, 2022 - Measure Dx: Making Diagnostic Safety Your Measurement Priority Measure Dx Making Diagnostic Safety Your Measurement Priority 1 Why Diagnostic errors are common, harmful, and costly. 1 in 20 adults will experience a diagnostic error in the outpatient setting every year.a About 250,000 harmful diagnostic erro…

345. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap3.html
     December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…

346. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-appendix.pdf
     January 01, 2025 - (Item B5) 81% 82% 79% Staff tell someone if they see something that might harm a resident. … (Item B5) 78% 81% 86% Staff tell someone if they see something that might harm a resident. … (Item B5) 78% 88% Staff tell someone if they see something that might harm a resident. … (Item B6) 85% 90% In this nursing home, we discuss ways to keep residents safe from harm. … (Item B5) 84% 75% 71% Staff tell someone if they see something that might harm a resident.

347. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - Hand hygiene Hand hygiene is an essential component of preventing harm in hemodialysis patients. … Reduce and remove catheters Catheters contribute to patient harm. … promptly removing them whenever possible, facilities can reduce infection rates and instances of patient harm … the holes symbolize the opportunities for defects to permeate established systems and cause patient harm … Ask yourselves, how did we get this close to a harm, not, how did we manage to avoid it?

348. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/index.html
     July 01, 2018 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm

349. Best Practices: How Successful Units Engaged Their Senior Executive Leaders | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/best-practices-slides/slides.html
     October 01, 2014 - Tennessee Hospital Association Board Aim Vision: Healthier, Safer Tennessee Aim: Zero Preventable Harm … performance on public measures Priorities Focus on achieving THA Board Aim of Zero Preventable Harm

350. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/refs.html
     October 01, 2015 - Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm … Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments … Engaging healthcare workers to prevent catheter-associated urinary tract infection and avert patient harm

351. Chapter 7. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter7.html
     August 01, 2022 - Temporal trends in rates of patient harm resulting from medical care.

352. Engage the Senior Executive Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/engage/exec-notes.html
     December 01, 2012 - Holds Staff Accountable for Reducing Patient Harm Slide 16. … example of adaptive work in which CUSP teams help unit staff understand the effects of preventable harm … Text Description Return to Contents   Slide 15: Holds Staff Accountable for Reducing Patient Harm … risks because team members are responsible for holding each other accountable for reducing patient harm … Infection rate data, stories of recent near-misses, or instances of harm are imperative for the executive

353. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - 2022 • Call to action: recommitment to advance patient and workforce safety to move towards zero harm … by the Veterans Health Administration “VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and

354. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
     December 01, 2017 - checks for key processes, we improve our ability to reduce the risks of adverse events resulting in harm … Anything that might lead to preventable patient harm is a defect. … · What can we do to prevent that harm? … Please note that the tool does not ask how an individual provider will harm a patient but rather, seeks … to identify threats in the patient clinical area that can result in harm and HAIs.

355. 132-Preventing-Clabsi-4-Key-Steps-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/132-preventing-clabsi-4-key-steps-one-pager.docx
     October 01, 2024 - These central line-associated bloodstream infections (CLABSI) cause significant harm to patients and … Guide (.docx)17 References Central Line-Associated Bloodstream Infection (CLABSI) Prevention To Reduce Harm

356. Tool: SSA (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/staff-safety-asst.docx
     January 01, 2017 - What do you think can be done to prevent or minimize this harm?

357. Making Health Care Safer II, Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - In the past 2 years, three studies have found high rates of preventable harm in hospitals,4-6 one of … Most PSP evaluators have not explicitly assessed the possibility of harm. … Consequently, this domain includes evidence of both actual harm and the potential for harm. … harm; in some cases, the evidence was too sparse to provide a rating. … Temporal trends in rates of patient harm resulting from medical care.

358. AHRQ Research Summit Wrap-up (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/epner-summit2016-wrapup.pdf
     September 28, 2016 - • Mission The Society catalyzes and leads change to improve diagnosis and eliminate harm, in partnership … Objective - Identify and disseminate effective tools for improving diagnostic performance and reducing harm

359. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses5.html
     August 01, 2022 - diagnostic safety through the lens of distributed cognition would be a major advance in the quest to limit harm

360. Plan To Help Incorporate the Role of Champions for Resident Physicians | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/section9.html
     October 01, 2015 - Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm