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Showing results for "harm".
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Person-Centered Preventive Healthcare: Engaging in Challenging Conversations about Screening (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdfMay 01, 2024 - Overdiagnosis: an underrecognized cause of confusion and harm in cancer screening. … Mammography for breast cancer screening: harm/benefit analysis. … deadopt* OR “de-adopt*”) OR TI (Deimplement* OR "de-implement*" OR "Medical Overuse" OR "Patient Harm … breast cancer screening emphasizes harms of screening: “Mammography for Breast Cancer Screening: Harm … OR ((inappropriate OR appropriate) AND (management OR screening OR use)) OR "harmful service*" OR (harm -
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_Final.docxOctober 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 your family member. · Although we cannot be certain that … Decrease the likelihood that residents experience any harm, including C. diff infections and antibiotic
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www.ahrq.gov/funding/grantee-profiles/index.htmlJune 01, 2025 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.htmlDecember 01, 2017 - What can be done to prevent or minimize this harm? … Severity of harm the defect causes. Frequency of the defect occurrence. … A research framework for reducing patient harm. Oxford Journals 2011;52(4):507-513.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docxApril 01, 2022 - Also, there is Clostridioides difficile diarrhea, the harm and discomfort of central access for antibiotics … Yes, this does help us avoid financial penalties, but more importantly, it’s what is best to prevent harm … patient is asymptomatic. · Make sure staff know and understand that inappropriate urine culturing causes harm
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www.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.htmlOctober 01, 2023 - Grantee Profile Reducing Harms from Unsafe Use of Antibiotics and Preventing the Spread of Antibiotic Resistance Barbara Wells Trautner, M.D., Ph.D. Professor of Infectious Diseases and Health Services Research Michael E. DeBakey VA Medical Center Baylor College of Medicine Barbara Wells Trau…
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Hospital Survey on Patient Safety (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.docJune 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? -
Hospital Survey on Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdfJune 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? ..... -
Hospital Survey on Patient Safety (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdfJune 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/sites/default/files/2024-03/kennerly-report.pdfJanuary 01, 2024 - trigger identified in a chart, the nurse auditors searched for evidence of an AE involving patient harm … Error Reporting and Prevention (NCC MERP) index.2 The audit tool targets AEs linked with patient harm … , so only levels E (an error occurred that contributed to or resulted in temporary harm [or risk] to … greater than E on the NCC MERP index, given that harm was experienced; • The probability that the … at the F through I levels, given that harm occurred.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.htmlAugust 01, 2022 - Transparency is also vital in addressing system factors that may contribute to harm. … choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … recognize when they are engaging in at-risk behavior and how their behavior might cause unjustifiable harm
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Final Progress Report: Ambulatory Patient Safety of Clients in Treatment for Substance Abuse (pdf file)
www.ahrq.gov/sites/default/files/2025-03/mcfarland-report.pdfJanuary 01, 2025 - SCOPE Background, Context Harm to patients from provision of healthcare is a substantial problem … It is reasonable to assume that outpatients may also be at risk of harm from the healthcare system. … patients & visitors or present a risk of harm.” … If there is no harm to a patient, there is no need to address an error. … Competent clinicians do not make patient safety errors that lead to patient harm. -
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdfMarch 06, 2025 - better engineer safety into practice in support of achieving a 50% reduction in patient and workforce harm … equipment, and technology interfaces with human factors principles can reduce the risk of error and harm … Case Study: Caregiver Innovations to Reduce Harm in Neonatal Intensive Care The University of Texas … project to create an environment of collaborative learning focused on reducing all-cause preventable harm … multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm
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Facapplycusp (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docxJune 02, 2025 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm -
www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.htmlFebruary 01, 2024 - interventions in the acute care setting, assessing the impact on diagnostic errors that lead to patient harm … Addressing diagnostic errors proactively using e-triggers to mitigate harm during inpatient episodes
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Tool: SSA (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/staff-safety-asst.docxJanuary 01, 2017 - What do you think can be done to prevent or minimize this harm? -
What Exactly Is Patient Safety? (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdfJuly 02, 2008 - Instead, they were places fraught with risk of patient harm. … call for safety went directly to the central medical professional imperative to “above all, do no harm … The goal of the field of patient safety is to minimize adverse events and eliminate preventable harm … Depending on one’s use of the term “harm,” it is possible to aspire to eliminate all harm in health … as the obvious harm due to actions taken. -
www.ahrq.gov/research/findings/final-reports/index.html?page=5January 01, 2024 - Improve Patient Safety Publication Date: April 2019 Patient-centered Approach to Reducing Harm … Medication Safety Publication Date: March 2019 Transdisciplinary Learning Lab to Eliminate Patient Harm
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www.ahrq.gov/sites/default/files/2025-02/raab-report.pdfJanuary 01, 2025 - (psychological or physical harm). … We defined baseline levels of harm caused by errors in anatomic pathology diagnosis. … Approximately 50%of anatomic pathology diagnostic errors result in patient harm. … We defined baseline rates of anatomic pathology error frequency, cause, and level of harm. … We developed a taxonomy for the harm impact of anatomic pathology diagnostic errors.
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.htmlAugust 01, 2022 - Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse or "harm
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