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Showing results for "harm".

581. Role of the Nurse Manager, Unit Team Lead
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
     July 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

582. Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly (pdf file)
     www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
     January 01, 2024 - Some hazards increase the risk of errors, and errors themselves may be hazards for patient harm. … (e.g., needle stick) or patient harm. … Hazards do not necessarily lead to errors or harm, but hazards increase the risk of them. … -No harm, discomfort, annoyance. … Analysing potential harm in Australian general practice: an incident-monitoring study.

583. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
     January 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in healthcare … safety and risk management literature, as well as care delivery research, demonstrates that diagnostic harm … Organizations and providers need resources to mitigate diagnostic harm, but few tools are currently … families, and • Provide assessment and training tools to support local efforts to reduce diagnostic harm … • These gaps can delay diagnostic processes and in some cases result in serious harm or even death

584. Care Affordability Trends and Measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.html
     June 01, 2018 - Inefficient care due to use of services associated with more harm than benefit .

585. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
     April 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

586. Identify Defects Module Alternate Text | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
     March 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

587. Table 5.A.1. Evidence Table (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
     January 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

588. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
     January 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?

589. Getting Ready for Measurement: Overcoming Barriers and Taking Next Steps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
     June 01, 2020 - goals should include: Creating learning opportunities from past events with both potential and real harm … better correlated with not just more timely and accurate diagnosis but also less preventable diagnostic harm

590. II. Hotline Design and Development | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/design2.html
     May 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.

591. 6 Tk1 T6-Managing Resident And Family Expectations Final (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
     October 01, 2016 - Tool 6. Managing Resident and Family Expectations Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may experience pressure from residents and family members to prescribe antibiotics. This is a template for discussing this topic and introducing the talking points to use with residen…

592. 6 Tk1 T6-Managing Resident And Family Expectations Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
     October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Educate & Engage Residents, Family Toolkit To Educate and Engage Residents and Family Members Tool 6. Managing Resident and Family Expectations Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may experience pressure from residen…

593. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - Then, lastly, describe what can be done to minimize patient harm or prevent this safety hazard. … Exercise Please complete the following: List all defects that have the potential to cause to cause harm

594. Discussing Infectious Concerns About Residents With Family Members and Caregivers
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
     June 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

595. Indwelling Urinary Catheter Insertion Facilitator Notes
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
     April 01, 2022 - There can be potential harm involved when an invasive device is inserted, and a mindful approach can … be used to help prevent that harm. … However, the inserter needs to be mindful that any invasive device can cause harm.

596. Appendix A. Teamwork and Communication Definitions and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
     October 01, 2015 - Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm

597. AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
     May 01, 2017 - Require that the appropriate office produce a weekly report of harm, disseminate it to the entire senior

598. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
     January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task …

599. Engage the Senior Executive | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
     December 01, 2012 - 14: The Senior Executive’s Role on the Team Slide 15: Holds Staff Accountable for Reducing Patient Harm … Click to play Return to Contents   Slide 15: Holds Staff Accountable for Reducing Patient Harm

600. National Quality Strategy (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/NQS_overview_slides-2017.pdf
     January 01, 2017 - . 11 THE NATIONAL QUALITY STRATEGY PRIORITIES 12 Priority 1: Making care safer by reducing harm … Reduce harm from inappropriate or unnecessary care. 13 Priority 2: Ensuring that each person and … : How It Works The national quality strategy priorities Priority 1: Making care safer by reducing harm