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Showing results for "harm".

401. Bibliography for the AHRQ Research Centers for Excellence in Clinical Preventive Services (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/cfe_bibliography.pdf
     September 18, 2014 - Bibliography for the AHRQ Research Centers for Excellence in Clinical Preventive Services Bibliography for the AHRQ Research Centers for Excellence in Clinical Preventive Services Each of the AHRQ Research Centers for Excellence in Clinical Preventive Services published articles from their research projects and d…

402. Patient Safety Research Summaries | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/research-summaries/index.html
     September 01, 2025 - Patient Safety Research Summaries As the lead federal agency for advancing patient safety, AHRQ invests in research and implementation projects that bridge the gap between research and the delivery of safer patient care. AHRQ-Funded Patient Safety Project Highlights reflect the work of agency grantees and contr…

403. Protecting Patients from Drug-Drug Medication Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-malone.html
     September 01, 2023 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … “While patients can play a critical role in preventing potentially catastrophic harm due to DDIs, there

404. Strategies to Better Manage Lipids – Statin Pearls
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
     November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls Strategies to Better Manage Lipids – Statin Pearls Alex Krist MD MPH Family Physician Virginia Commonwealth University Member, US Preventive Services Task Force ahkrist@vcu.edu ‹#› 5/24/2018 1 Disclaimer Although I am a member of the U.S. Preventive Services Tas…

405. Final Progress Report: Drug-Drug Interaction Clinical Decision Support Conference Series (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/malone-report.pdf
     January 01, 2024 - small subset of known and potentially clinically significant DDIs.8 Although the exact magnitude of harm … The magnitude of harm, frequency, and factors that may modify the risk were considered to be important … evidence evaluation of DDI literature should include suggested approaches to minimize or eliminate harm … Risk factors that may decrease or increase the risk of harm associated with a DDI should be included … Furthermore, suggesting strategies to actively monitor for signs of harm for patients on concomitant

406. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
     January 01, 2025 - Results: All five data sources captured events that potentially lead to patient harm; incidences ranged … Finally, events were classified into whether they could cause potential harm. … However, all five data sources captured events that potentially lead to patient harm (Table 1); the … events Incidence of potential harm events Imaging ordering CPOE system 33,546 630** 391 62.1% … Although the most common step was imaging procedure (54% of reports), potential harm occurred more in

407. Diagnostic Safety Centers of Excellence Grants Awarded in FY 2022 | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/research/grants-2022.html
     August 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

408. Final Progress Report: Addressing Preventable Medication Use Variance in Mississippi (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/brown-report.pdf
     January 01, 2024 - the proposal was to effect changes in healthcare delivery procedures in order to reduce the risk of harm … adverse outcomes, clinical responses to errors, dangerous situations, hazards, “near misses,” no-harm … 87.0% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Period Pe rce nta ge Intercepted No Harm … Harm Intercepted 18.6% 58.1% 80.9% 87.0% No Harm 53.2% 30.9% 14.8% 9.3% Harm 28.1% 11.0% 4.3% 3.7%

409. Using Data To Drive Change and Improve Patient Safety Facilitator Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
     April 01, 2022 - This is particularly impactful since the goal for harm is zero. … On this particular patient harm index, the current year is in patterned blue and the past year is in … This type of data display or harm index could be used for reporting to any group, even hospital boards … , as it is understandable and drives home how many patients are sustaining harm from potentially avoidable … processes provides the opportunity to sustain the gains and continue reaching for the goal of zero harm

410. What is the Network of Patient Safety Databases? | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/what-is-npsd/index.html
     May 01, 2023 - patient safety concerns for the purpose of learning how to mitigate patient safety risks and reduce harm

411. With TeamSTEPPS 3.0, AHRQ Refreshes a Landmark Patient Safety Training Curriculum | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
     September 01, 2023 - momentum going with another important milestone in its ongoing commitment to moving toward zero patient harm

412. AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
     June 02, 2025 - When a mistake is made, but has no potential to harm the patient, how often is this reported? D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? 9.

413. Six Domains of Healthcare Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/six-domains.html
     March 01, 2025 - Medicine (IOM), which includes the following six aims for the healthcare system. [1] Safe : Avoiding harm

414. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/sorraslides.pdf
     January 01, 2014 - Rarely Never P er ce nt o f R es po nd en ts Mistakes that reach the patient and could cause harm … but do not Mistakes that reach the patient but have no potential to harm Mistakes that could have

415. Final Progress Report: Proactive Risk Assessment in the ED: Building the Safety Case (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
     January 01, 2025 - shift – 1/day – 1/week – 1/month – 1/year – 1/year A similar ordinal rating scale for the severity of harm … Normal Operations No cases were identified in association with normal operations in which the risk of harm … Rating scale for severity of harm. … but no harm 3 Treatment or intervention required, temporary harm 4 Initial or prolonged hospitalization … required with temporary harm 5 Permanent harm or near death 6 Death of patient Table 2.

416. 139-Sample-Completed-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/139-sample-completed-staff-safety-assessment.docx
     April 01, 2025 - Please describe what you think can be done to prevent or minimize the harm from identified defects. ·

417. 139-Sample-Completed-Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/139-sample-completed-staff-safety-assessment.docx
     April 01, 2025 - Please describe what you think can be done to prevent or minimize the harm from identified defects. ·

418. Improving Your Laboratory Testing Process Toolkit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
     December 01, 2017 - consistently show that the process for managing tests is a significant source of error and patient harm … The survey also asks staff and physicians to consider the potential harm caused by problems with your … What is the usual harm for patients? … • To score each survey, multiply the “frequency” score by the “harm” score to get a total score … Medical testing errors in this office do not harm patients. 9.

419. Patient Safety Action Alliance: Request for Information (RFI) Summary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
     March 01, 2023 - precondition to advancing patient safety with a unified, total systems-based approach to eliminate harm … o The Alliance should provide a central repository of lessons learned, best practices, and harm events … Where it should say 'medical care harm/injuries,' it's blank. … of research and policymaking in the field of patient safety, we still do not know the magnitude of harm … o The Alliance should provide a central repository of lessons learned, best practices, and harm events

420. Nursing Home Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/nursing-home/resources/search.html?page=0
     January 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections ​This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.