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Showing results for "harm".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptxMarch 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!
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www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdfAugust 01, 2024 - RCA2: Improving Root Cause Analyses and Actions To Prevent Harm. … ; 2015. https://www.ihi.org/resources/tools/rca2-improving-root-cause-analyses-and- actions-prevent-harm … https://www.ihi.org/resources/tools/rca2-improving-root-cause-analyses-and-actions-prevent-harm https … ://www.ihi.org/resources/tools/rca2-improving-root-cause-analyses-and-actions-prevent-harm https://www.ahrq.gov
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www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.htmlApril 01, 2013 - Again, I think the emphasis is on reducing these types of patient harm events, and they have not been … It is a way of standardizing an approach to a highly variable issue in which patient harm occurs. … But it really does reduce the incidence of harm, and isn’t that what we went to nursing, medical school … Don’t harm me. Working with CUSP has enabled us to really focus on that third piece of no harm. … As far as an outcome, we will be tracking the central line infections as well as other issues of harm
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptxJune 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm
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Table 5.A.1. Evidence Table (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdfJanuary 01, 2014 - .1 – Evidence table Type of Evidence Findings Citations Use of Trigger Tools to Identify Patient Harm … events and levels of harm in pediatric inpatients with the Global Trigger Tool. … Adverse drug event trigger tool: a practical methodology for measuring medication related harm … focused trigger tool to identify harm in North American NICUs. … testing, and findings of a pediatric-focused trigger tool to identify medication- related harm in -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/gilmerstudysnapshot/gilmerstudysnapshot.pdfApril 01, 2015 - They emphasize consumer choice, self- determination, and independence; actively use harm reduction, motivational … Similarly, 76 percent endorsed a harm- reduction approach to substance use, and most adhered to standards
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www.ahrq.gov/sites/default/files/publications/files/gilmerstudysnapshot.pdfApril 01, 2015 - They emphasize consumer choice, self- determination, and independence; actively use harm reduction, motivational … Similarly, 76 percent endorsed a harm- reduction approach to substance use, and most adhered to standards
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Module 2: Example (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docxMay 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm -
www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.htmlFebruary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?"
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docxJanuary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptxJuly 07, 2012 - safety and quality through their leadership Nurse managers support nursing staff in preventing patient harm … scores and action to improve Staff involvement in analyzing defects and developing plans to address harm
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdfMarch 01, 2020 - , but also ignoring or missing many clinically significant and actionable alarms.3 Importance of Harm … management.10 Methods for Selecting PSPs Initial literature searches for PSPs in the alarm fatigue harm … Results of these searches were reviewed by harm-area task leads to identify PSPs, iterate on searches … The potential for harm due to alarms’ high frequency and low specificity was briefly discussed in the … Alarm Fatigue Introduction Background Importance of Harm Area Methods for Selecting PSPs What’s
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www.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.htmlMarch 01, 2021 - Captures an "all-cause harm" measurement that hospitals and clinicians can use to better target and measure
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.htmlJuly 01, 2023 - Require that the appropriate office produce a weekly report of harm, disseminate it to the entire senior
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.htmlMarch 01, 2013 - Step 3: What can be done to minimize harm or prevent safety hazards? … The bottom arrow contains the text: 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
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www.ahrq.gov/patient-safety/reports/hotline/design2.htmlMay 01, 2016 - They understood the concepts of “medical mistake” and “harm/injury” more clearly than they understood … We therefore revised the initial reporting form to use the terms “mistake” and “harm” throughout, added … or injury; and (2) negative effects related to health care (e.g., harm, injury, adverse event). … Third, to clarify areas of a report that were confusing or ambiguous (e.g., degree or nature of harm, … scale, and duration of harm.
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www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdfDecember 01, 2007 - Does screening or CEA result in harm? … Does treatment for asymptomatic CAS 60%-99% with CEA result in harm?............................. … Does screening or CEA for asymptomatic CAS 60%-99% result in harm? … Does treatment for asymptomatic CAS 60%-99% with CEA result in harm? … The Kaplan-Meier curves in ACST cross from net harm to net benefit only at about 1.5 years after CEA
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptxJanuary 01, 2017 - These could include incidents that you believe caused patient harm or put patients at risk for significant … harm.1 Pronovost PJ, Holzmueller CG, et al. … What can you do to prevent or minimize this harm?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-2.htmlJune 01, 2021 - diagnostic errors, as they have with progress made in addressing other forms of preventable patient harm
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptxJune 01, 2021 - 0029 June 2021 Discussing Concerns With Family 1 Objectives Review strategies to discuss potential harm … to be contaminated, could lead to treating her for an infection she does not have, which may cause harm … of life 15 Discussing Concerns With Family 15 End-of-Life Care4,5 Antibiotic therapy may cause harm
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