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Total Results: 2,183 records

Showing results for "harm".

361. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
     www.ahrq.gov/data/visualizations/hiv-prep.html
     October 01, 2023 - Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review This interactive visualization displays pooled estimates of meta-analysis results and individual study estimates of trials of HIV pre-exposure prophylaxis (PrEP) in people without HIV infection at high risk of …

362. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=3
     September 01, 2022 - can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm … Call to Action Diagnostic Safety Issue Brief #5: Despite the enormous financial cost and patient harm

363. Do Transient Working Conditions Trigger Medical Errors? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Grayson.pdf
     January 01, 2003 - or minimal harm to the patient. … We defined a medical error as any deviation from an intended action, whether or not it caused harm … Errors that resulted in more than minimal harm to the patient were not included in this study. … or minimal-harm errors were studied. … It is likely that individuals committing errors where little or no harm to the patient occurred will

364. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
     www.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
     October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the

365. Identify Defects Through Sensemaking | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/identify.html
     December 01, 2012 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm … Step 3: What can be done to minimize harm or prevent safety hazards? … : Exercise Please complete the following: List all defects that have the potential to cause harm

366. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
     January 01, 2024 - medication discrepancies during hospitalization can contribute to adverse drug events, resulting in patient harm … reconciliation QI interventions on unintentional medication discrepancies with potential for patient harm … Unresolved medication discrepancies can contribute to adverse drug events (ADEs), resulting in patient harm … was unintentional medical discrepancies in admission and discharge orders with potential for patient harm … • Sometimes it takes a critical, tangible event (e.g., a case of severe patient harm due to a serious

367. 6 Tk1 T1-Talking With Residents Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_Final.pdf
     October 01, 2016 - • Unneeded antibiotics can do more harm than good. … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you …  Decrease your risk of experiencing any harm, including C. diff infections and antibiotic resistance

368. Conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-5.html
     June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Conclusion Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introductio…

369. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse or "harm

370. Acute Care Behavior Change Theory for Antibiotic Stewardship Leaders
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/behavior-change-slides.pptx
     November 01, 2019 - Drivers of Suboptimal Antibiotic Prescribing Fear of inadequate antibiotic coverage leading to patient harm … (or legal harm) Fear of judgment by peers and superiors (deviation from the norm) Not wanting to change … Drivers of Suboptimal Antibiotic Prescribing Fear of inadequate antibiotic coverage leading to patient harm … (or legal harm) Fear of judgment by peers and superiors (deviation from the norm) Not wanting to change

371. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
     June 01, 2017 - Say: You can have problems that involve results such as harm events or near-misses. … problems and issues require immediate management attention, such as urgent and important issues like a harm … , understand the tools for root cause analysis that your center applies to investigate and document harm

372. Module 3: Script and Slides (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
     May 01, 2017 - SAY: You can have problems that involve results such as harm events or near-misses. … problems and issues require immediate management attention, such as urgent and important issues like a harm … , understand the tools for root cause analysis that your center applies to investigate and document harm

373. Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2023 User Database Report Part II (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
     January 01, 2023 - (Item B5) 84% 80% Staff tell someone if they see something that might harm a resident. … (Item B6) 89% 85% In this nursing home, we discuss ways to keep residents safe from harm. … (Item B5) 83% Staff tell someone if they see something that might harm a resident. … (Item B5) 79% 89% Staff tell someone if they see something that might harm a resident. … (Item B6) 85% 89% In this nursing home, we discuss ways to keep residents safe from harm.

374. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
     January 01, 2024 - confidence (44 percent), sleeping difficulties (42 percent), reduced job satisfaction (42 percent), and harm

375. The Culture of Culturing—The Importance of Knowing When To Order Urine Cultures | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
     April 01, 2017 - Believe it or not, even a test as simple as a urine culture can cause resident harm if used incorrectly … But the bacteria in the urine may not be causing any actual harm!

376. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
     July 01, 2022 - of harm … Spread and Improvements � Increased efforts to measure diagnostic harm. … No Harm � Category A- Circumstances or events that have the capacity to cause error Error, No Harm … to the patient and/or required intervention to preclude harm Error, Harm � Category E- An error occurred … /little or no remediation Minor Harm/remediation or treatment Considerable Harm/remediation or treatment

377. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
     July 01, 2022 - of harm … Spread and Improvements � Increased efforts to measure diagnostic harm. … No Harm � Category A- Circumstances or events that have the capacity to cause error Error, No Harm … to the patient and/or required intervention to preclude harm Error, Harm � Category E- An error occurred … /little or no remediation Minor Harm/remediation or treatment Considerable Harm/remediation or treatment

378. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
     July 23, 2020 -  VA participation in Patient Safety Measures of Hospital Harm Technical Expert Panel (TEP). … The project aims to develop measures of hospital harm for use in CMS quality and payment programs,

379. 066-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/066-staff-safety-assessment.docx
     April 01, 2025 - Please describe what you think can be done to prevent or minimize the harm from identified defects.

380. Impoving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
     April 01, 2019 - ■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately … consistently show that the process for managing medical tests is a significant source of error and patient harm