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Showing results for "harm".

961. Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
     December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Mill…

962. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
     March 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

963. Screening for Asymptomatic Carotid Artery Stenosis, Evidence Synthesis, No. 50 (pdf file)
     www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
     December 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

964. Grants to Enable Diagnostic Excellence | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
     January 01, 2021 - the emergency department based on these e-triggers and describe the burden of preventable diagnostic harm

965. Engageexecnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/engage/engageexecnotes.docx
     June 02, 2025 - example of adaptive work in which CUSP teams help unit staff understand the effects of preventable harm … risks because team members are responsible for holding each other accountable for reducing patient harm … Display statistics that show the positive effects of the CUSP initiative in the areas surrounding patient harm … among hospital staff, which will ultimately increase patient safety and reduce unnecessary expenses and harm … Infection rate data, stories of recent near-misses, or instances of harm are imperative for the executive

966. AHRQ Safety Program for MRSA Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
     October 01, 2024 - Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 2 Patient Safety and Preventable Harm … Ask how staff think the next patient will be harmed and what we can do to prevent that harm from happening … Safety Program for MRSA Prevention | ICU & Non-ICU The Science of Safety 28 Key Takeaways Patient harm

967. 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 .

968. 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

969. 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

970. 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…

971. 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…

972. 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

973. 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?

974. 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 …

975. SNAC Member: Peter Pronovost, M.D., Ph.D. | Agency for Healthcare Research and Quality
     www.ahrq.gov/cpi/about/nac/snac-pronovost.html
     December 01, 2021 - Following his success in eliminating one harm in most health systems across the United States, Dr.

976. Module 2: Communication and Optimal Resolution (CANDOR) Toolkit Module 2: Obtaining Organizational Buy-in and Support
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
     August 14, 2015 - 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

977. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
     June 01, 2023 - concreteness to identify actionable steps that might have prevented the adverse event or mitigated its harm

978. When Do You Need An Antibiotic? | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-brochure.html
     March 01, 2017 - difficile , an infection that can lead to severe symptoms Cause rash or other allergic reactions Harm

979. When Do You Need An Antibiotic? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
     March 01, 2017 - difficile, an infection that can lead to severe symptoms Cause rash or other allergic reactions Harm

980. Making Health Care Safer II | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
     July 01, 2023 - Making Health Care Safer II An Updated Critical Analysis of the Evidence for Patient Safety Practices This evidence report updates the 2001 report, Making Health Care Safer: A Critical Analysis of Patient Safety Practices. Select for a list of 22 patient safety strategies discussed in the new report that a…