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Total Results: 456 records

Showing results for "harm".

21. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
    February 01, 2024 - About the Course Diagnostic harm is an emerging area of concern in healthcare quality and patient safety … patient safety and risk management literature as well as care delivery research shows that diagnostic harm … Organizations and providers need resources to mitigate diagnostic harm and few tools are available to … their families, and provide assessment and training tools to support local efforts to reduce diagnostic harm

22. AHRQ's Making Healthcare Safer Reports: Shaping Patient Safety Efforts in the 21st Century | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/making-healthcare-safer/index.html
    July 01, 2023 - Healthcare Safer report , published in 2020, includes 47 evidence-based patient safety practices in selected harm … It includes evidence for more specific harm areas than the preceding reports.

23. Appendix F: PowerPoint Presentation: Executive Summary | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/health-literacy/professional-training/lepguide/app-f.html
    September 01, 2020 - Types of Physical Harm Experienced From Adverse Events by English Speaking and LeP Patients. … Bar chart showing percentage of patients in each group experiencing physical harm. … About 70 percent of English speaking patients experienced no harm or no detectable harm. … For LEP patients, only about half experienced no harm or no detectable harm. Slide 6. … patients are more frequently caused by communication problems, and more likely to result in serious harm

24. Learn-From-Defects-Facilitator-Guide (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docx
    May 01, 2017 - Comprehensive Unit-based Safety Program, or CUSP, Sensemaking tools to help reduce the risk of future harm … the holes symbolize the opportunities for defects to permeate established systems and cause patient harm … What can be done to minimize harm or prevent safety hazards? … of safety assessment by completing the following: List all defects that have the potential to cause harm … The consequent event is described in terms of the event’s consequences: Harm that did happen Harm that

25. 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.cahps.ahrq.gov/hai/pfp/hacrate2013.html
    January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Introduction Much attention has been focused on preventing patient harm since the Institute of Medicine's … a spotlight on patient safety but also highlighted the fact that making progress to reduce patient harm … Persistent support for research focused on understanding health care harm—why it occurs, what can be … PfP is a fully aligned "full-court press" to achieve two aims: 40 percent reduction in preventable harm

26. Mod03-Gap-Analysis-Guide (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
    April 01, 2016 - Are bills for hospital or professional fees waived if inappropriate care caused harm? 6. … Is followup provided for staff involved in harm events? … Are the costs associated with inappropriate care- related harm events tracked and trended? … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Is followup provided for staff involved in harm events?

27. Communication and Optimal Resolution (CANDOR) Toolkit | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … Organizational Learning and Sustainability “We realize mistakes happen, and we can forgive that; but you harm … Generally, the CANDOR process begins with identification of an event that involves harm.

28. Sensemaking and Learn From Defects for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Sensemaking tools to help reduce the risk of future harm to your patients. … the holes symbolize the opportunities for defects to permeate established systems and cause patient harm … What can be done to minimize harm or prevent safety hazards? … The consequent event is described in terms of the event's consequences: Harm that did happen. … Harm that did not happen—No-harm event. Event did not reach the patient—Near-miss event.

29. HRQ Safety Program for Perinatal Care: Labor and Delivery Unit Staff Safety Assessment (doc file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docx
    May 01, 2017 - Include any relevant examples that you observed/were concerned about involving patient harm that could … Please describe what you think can be done to prevent or minimize this harm.

30. Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
    March 01, 2004 - was on determining whether groups of ICD codes could be used for statewide surveillance of patient harm … Both harm and the degree to which the AEs were due to care management were operationalized by rating … Surveillance Using ICD-9-CM Surgery Codes 247 Surgery AEs were defined as harm events related to … Roughly one in five codes in these classes referred to patient harm present at admission. … The institute of medicine report on medical errors⎯could it do harm?

31. Sensemaking and Learn from Defects for Perinatal Safety (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdf
    May 01, 2017 - Sensemaking tools to help reduce the risk of future harm to your patients. … cheese model portrays how defects permeate the L&D unit-level systems and contribute to patient harm … What can be done to minimize harm or prevent safety hazards? … The consequent event is described in terms of the event’s consequences: • Harm that did happen • … Harm that did not happen—No-harm event • Event did not reach the patient—Near- Slide 13 Sensemaking

32. Making Healthcare Safer IV | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.html
    April 01, 2024 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

33. Communication and Optimal Resolution (CANDOR) | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/patient-safety/settings/hospital/candor/index.html
    August 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … A traditional approach when unexpected harm occurs often follows a "deny-and-defend" strategy, providing

34. Tool: Two-Challenge Rule | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
    May 01, 2023 - requested clarification but the response or confirmation does not ease the concern about potential harm … the Two-Challenge Rule to situations where the patient or another team member may be at high risk of harm … Can you think of times when using this rule could have prevented harm to a patient?

35. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
    April 01, 2018 - accompanied by a potential for causing inadvertent harm while caring for patients. … Variation in Risk of Harm Across Developmental Stages Risk of pediatric patient harm varies with age … Temporal trends in rates of patient harm resulting from medical care. … Methodology and rationale for the measurement of harm with trigger tools. … A trigger tool to detect harm in pediatric inpatient settings.

36. Open Communication, Involvement in Quality Improvement Reduces Burnout Among Nurses, Study Finds | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/news/newsletters/e-newsletter/845.html
    January 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.

37. PQMP Measures | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/pqmp/measures/index.html?page=3
    March 30, 2024 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Children with Complex Needs (COE4CCN) Children/Adolescents Who Present to the ED With Dangerous Self-Harm … Complex Needs (COE4CCN) Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … with Complex Needs (COE4CCN) Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm

38. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
    October 01, 2023 - Her Ambulatory Pediatric Safety Learning Lab  focuses on preventing harm in children caused by the outpatient … She aims to redesign systems of care and coordination between the clinic and home to eliminate harm. … The team received the award for its substantial reduction in preventable harm caused by healthcare to

39. AHRQ Tools To Reduce Hospital-Acquired Conditions | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/hai/hac/tools.html
    March 01, 2024 - These conditions cause harm to patients. … healthcare providers are focused on reducing specific HACs that occur frequently, can cause significant harm

40. 6 Tk1 T1-Talking With Residents Checklist Version Final (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
    October 01, 2016 - important for treating you when you definitely have an infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt you