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Total Results: 520 records

Showing results for "harm".

161. Making Informed Consent an Informed Choice: Training for Health Care Leaders (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
     January 01, 2014 - Assistants, Nurse, or other clinical staff Stop the line (i.e., halt any activity that could cause harm

162. Module 1: Preventing Falls in Hospitals (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
     March 01, 2013 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm

163. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
     March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors: Measure Development: This project

164. National Academy of Medicine (NAM) Reports | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/reports/national-academy-medicine.html
     February 01, 2018 - Sometimes the harm is caused by an error in prescribing or taking the medication, and these damages are

165. Tool: I-PASS | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
     July 01, 2023 - standard approaches to performing structured handoffs, they are more likely to avoid omissions that can harm

166. AHRQ Challenge on Integrating Healthcare System Data With Systematic Review Findings | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/challenges/health-data/index.html
     November 01, 2023 - indicate that responses to PHQ-9 item 9 can accurately identify adolescents at increased risk for self-harm … care visits without mental health diagnosis adds little to identify adolescents with subsequent self-harm

167. Practice Improvement | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/practiceimprovement/index.html
     August 01, 2022 - Resolution (CANDOR) Toolkit Process for practitioners to use when unexpected events cause patient harm

168. Section 2: Explanation of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/curriculum/communication/tools/index.html
     July 01, 2023 - meanings, as well as unfamiliar accents or dialects, can all cause confusion that leads to patient harm

169. Analyzing Big Datasets to Improve Healthcare Quality, Equity | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.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 …

170. PRIMARY CARE OFFICE-BASED TEAMS Situation Monitoring
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon-ig.pptx
     January 20, 2006 - deviations early enough so that they can correct and handle them before they become a problem or pose harm

171. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
     March 01, 2017 - prevent misunderstandings and improve communication, the most significant contributing factor to prevent harm … Transparency is also important in addressing system factors that may contribute to harm.

172. Serious Reportable Adverse Events in Health Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer2.pdf
     December 01, 2000 - Stegun Abstract Health care errors resulting in patient harm are a leading cause of morbidity and … Lapses in patient safety are a major health care quality problem, and the occurrence of patient harm … and when in the care process mishaps occur, and changing processes of care to reduce the chance of harm … reliable information about the occurrence of the most egregious health care errors that cause patient harm … State Governments of standardized information about adverse events that result in death or serious harm

173. Defining Diagnostic Error: A Scoping Review to Assess the Impact of the National Academies’ Report Improving Diagnosis in Health Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/defining-diagnostic-error-a-scoping-review.pdf
     April 27, 2022 - , medicine (J Patient Saf 2022;00: 00–00) D iagnostic errors are major contributors to patient harm … Newman-Toker et al20 United States The authors used the NASEM definition and misdiagnosis- related harm … patients with specific abnormal results that are often received by pediatric practices but can cause harm … diagnostic processes49 such as missed opportunities11 and outcomes such as clinical endpoints (e.g., harm … encourage di- versity and innovation in safety measurement as long as the goal is to reduce patient harm

174. Organizing Quality Measures by Domains of Health Care Quality | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/talkingquality/translate/organize/quality-domain.html
     December 01, 2022 - categories, or domains, of quality: [2] Care that protects patients from medical errors and does not cause harm

175. Hospital Resources | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - 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 …

176. Investing in Primary Care to Ensure High-Quality Care for All Americans | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/blog/ahrqviews/investing-in-primary-care.html
     July 01, 2021 - 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 …

177. How Does the NPSD Work? | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/npsd/how-does-npsd-work/index.html
     February 01, 2024 - valuable resource for research and learning about how to improve patient safety and prevent patient harm

178. Appendix, Sample Letter to Discipline-Specific Leaders on Meeting Regarding Training and Implementation Strategy for Medication Reconciliation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-8.html
     July 01, 2022 - Unfortunately, many of these medication errors are associated with direct harm to patients.

179. Tool: DESC | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
     July 01, 2023 - putting the well-being of patients or other team members or staff at risk of physical or emotional harm

180. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014