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Showing results for "harm".

41. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
    August 22, 2023 - 2022 • Call to action: recommitment to advance patient and workforce safety to move towards zero harm … by the Veterans Health Administration “VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and

42. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/liability/corbett.html
    August 01, 2017 - contextual and complex, but they agreed that full disclosure was desired when an error that caused harm … Full disclosure when harm occurs from a medication error is a best practice. … medical liability issues associated with medication discrepancies that result in permanent patient harm … disclosure should occur when an error that causes harm is identified. … When errors that result in harm occur, full disclosure is the best practice.

43. AHRQ Safety Program for Perinatal Care: Board Checklist (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
    May 01, 2017 - What might we do to prevent that harm?”) AHRQ Publication No. 17-0003-10-EF May 2017

44. Making Health Care Safer II, Executive Summary (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
    March 01, 2013 - In the past 2 years, three studies have found high rates of preventable harm in hospitals,4-6 one of … Most PSP evaluators have not explicitly assessed the possibility of harm. … Consequently, this domain includes evidence of both actual harm and the potential for harm. … harm; in some cases, the evidence was too sparse to provide a rating. … Temporal trends in rates of patient harm resulting from medical care.

45. Figure 11: Comparison of Audit Techniques | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/figure-11.html
    July 01, 2022 - Tracks the type of discrepancies, number of interventions, drug/drug class involved, harm averted, etc … High-risk areas can be targeted for this evaluation to avoid potential harm (e.g., intensive care units

46. Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
    July 01, 2004 - The MPSMS explicit review is a patient-centered process focusing on patient harm rather than provider … Definition of variables and explicit criteria An adverse event is defined as an unintended harm, injury … Webster’s New World Dictionary defines safety as “the condition of being free from harm, injury, or … In this definition, the operative words are “patient” and “harm.” 4 Not addressed is the concept of … This focus on patient harm, with limited consideration of mitigating factors, is our definition of

47. SOPS Nursing Home Survey Items and Composite Measures (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/sops-nurse-home-items-06-16-21.pdf
    January 01, 2000 - When staff report something that could harm a resident, someone takes care of it. B5. … Staff tell someone if they see something that might harm a resident. B8. … In this nursing home, we discuss ways to keep residents safe from harm.

48. Ambulatory Procedure/Surgery Center Survey on Patient Safety (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
    June 06, 2018 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2 SECTION D: Near-Miss Documentation ► When something happens that could harm

49. Labor and Delivery Unit Staff Safety Assessment | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.html
    July 01, 2023 - 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.  

50. Case Study | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/hai/cauti-tools/ena-slides/case-study.html
    October 01, 2015 - Black text box reads "non-maleficence -- Do No Harm. … Drag Item Drop Target Beneficence ~ Do Good Rectangle 5 Non-maleficence ~ Do No Harm … Right rectangle has the following text: Non maleficence ~ Do No Harm.

51. Module 5: Script and Slides (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
    May 01, 2017 - The top center has key measures including number of procedures since last harm event and near miss. … To start with, you can track key outcome measures, including days since last harm event and days since … Agree on a clear definition of both harm and “near miss” so that your tracking is consistent over time … You may choose to start with only a couple of items, such as a measure of last harm together with a visual

52. Comparison Tables for Making Healthcare Safer Reports | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
    September 01, 2022 - 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.

53. Survey on Patient Safety (facility version) (doc file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
    November 15, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?

54. Survey on Patient Safety (facility version) (pdf file)
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.pdf
    November 18, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?

55. Longitudinal Evaluation of the Patient Safety and Medical Liability Reform Demonstration Program | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
    August 01, 2022 - focused on three main approaches to improving patient safety and reducing medical liability: Preventing Harm … These projects addressed improved communication by assessing attitudes toward error and harm disclosure

56. Major Study Finds Significant National Patient Safety Improvement | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
    July 01, 2022 - Research and Quality (AHRQ) shows that rates of in-hospital adverse events for healthcare related patient harm … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with

57. Research Centers for Excellence in Clinical Preventive Services | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
    October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.

58. Making Informed Consent an Informed Choice: Training for Health Care Professionals Audio Script | Agency for Healthcare Research and Quality
    www.cpsi.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
    September 01, 2020 - Be specific about how long you expect a benefit or harm to last. … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain. … cannot answer these questions correctly, STOP the line; that is, halt any activity that could cause harm

59. Module 3: Script and Slides (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-facnotes.docx
    May 01, 2017 - SAY: You can have problems that involve results such as harm events or near-misses. … problems and issues require immediate management attention, such as urgent and important issues like a harm … , understand the tools for root cause analysis that your center applies to investigate and document harm

60. Strategies to Better Manage Lipids – Statin Pearls
    www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
    November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls Strategies to Better Manage Lipids – Statin Pearls Alex Krist MD MPH Family Physician Virginia Commonwealth University Member, US Preventive Services Task Force ahkrist@vcu.edu ‹#› 5/24/2018 1 Disclaimer Although I am a member of the U.S. Preventive Services Tas…