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Total Results: 520 records

Showing results for "harm".

181. Module 1: Preventing Falls in Hospitals—Training Guide | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
     September 01, 2017 - 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

182. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
     January 01, 2004 - The majority of errors that occur are considered “near misses”—errors that could have caused harm to … another study, 2.4 percent (2,539 out of 105,603) of medication errors reported in hospitals resulted in harm … While not all medication errors result in harm, those that do can be costly. … room that focused on the safety design principles and precarious events, lowering the probability of harm … at the head of the bed with a handrail from the bed to the bathroom, beds that lower to reduce the harm

183. Training Videos | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps/rrs/videos/index.html
     July 01, 2018 - quality healthcare and for the prevention and mitigation of medical errors and of patient injury and harm

184. Improving Your Laboratory Testing Process | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
     January 01, 2018 - consistently show that the process for managing tests is a significant source of error and patient harm

185. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
     January 01, 2024 - reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … reconciling and managing medications after hospital discharge, leading to adverse drug events and harm … patients are often on multiple medications, and side effects and drug-drug interactions may lead to more harm … InfoSAGE, for medication management may save time for both for patient and provider and may reduce harm … The digital doctor: hope, hype, and harm at the dawn of medicine's computer age.

186. Module 3: Component Kit (doc file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-component-kit.docx
     May 01, 2017 - physicians to speak up using the CUS language, you have a powerful combination that can reduce patient harm … (a) Did the CUS language and escalation procedure avoid patient harm?

187. Search Evidence-Based Reports | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/evidence-based-reports/search.html?page=1
     November 01, 2023 - 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 …

188. Module 4: Teamwork and Communication: Facilitator Notes | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module4/mod4-facguide.html
     March 01, 2017 - information is not effectively communicated, the results can lead to mistakes and potential resident harm … Effective communication could have helped identify a diagnosis and treatment earlier and decreased harm … ineffective communication that could result in a medication error or other mistake that can cause real harm … should investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm

189. Section 1: Overview of Key Concepts and Tools | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/teamstepps-program/curriculum/situation/overview/index.html
     June 01, 2023 - Cross-Monitoring A harm error reduction strategy that involves: Monitoring actions of other team

190. Provide a Framework for Understanding Healthcare Quality | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/talkingquality/explain/communicate/framework.html
     December 01, 2022 - included in a quality report: [2] Care that protects patients from medical errors and does not cause harm

191. Core CUSP Toolkit | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/cusp/modules/index.html
     August 01, 2019 - negative events in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm

192. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
     August 01, 2022 - Bylaws for medical staff and/or hospital Peer review process Oversight/management of adverse or "harm

193. Leveraging Cultural Change to Reduce Urinary Catheter Use | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
     December 01, 2017 - leadership, experience, history and tradition Slide 7 The Culture of Safety and Assessment of Harm … Believe that failure to follow guidelines may cause harm Built in alerts Consequences for failure

194. Diagnostic Safety Centers of Excellence | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/diagnostic-excellence-grants/index.html
     June 01, 2023 - outpatient) to improve patient/family and clinician communication and experience and to reduce errors and harm

195. AHRQ Views: The End of the Public Health Emergency Refocuses the Urgency To Improve Healthcare Quality | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/news/newsletters/e-newsletter/865.html
     May 01, 2023 - Malnutrition among adults with cancer is associated with decreased treatment completion, more harm stemming

196. Engaging Patients and Families in Their Health Care | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/patient-safety/patients-families/index.html
     June 01, 2023 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm

197. Part Two: Removing the Obstacles to Practice Change | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
     October 01, 2020 - freely Patient preference Dementia Slide 97 Changing culture Slide 98 First, do no harm … medicine, first expressed by Hippocrates, and translated into Latin as primum no nocere , first do no harm

198. AHRQ Quality Indicators Fact Sheet (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
     October 01, 2015 - reflect the safety climate of the hospital by providing a marker of patient safety (or “avoidance of harm

199. Fact Sheet on Pediatric Quality Indicators (pdf file)
     www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
     October 01, 2015 - reflect the safety climate of the hospital by providing a marker of patient safety (or “avoidance of harm

200. Chartbook on Care Affordability: Slide Presentation | Agency for Healthcare Research and Quality
     www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/careaffordability-slides.html
     September 01, 2018 - Chartbooks Organized Around Priorities of the National Quality Strategy Making care safer by reducing harm … Inefficient care due to use of services associated with more harm than benefit. … Importance: Finding more harm than benefit, in 2008, the U.S.