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Total Results: 490 records

Showing results for "harm".

121. PowerPoint Presentation
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
     January 20, 2006 - recognize risk or unfolding error An opportunity to interrupt or correct an action or event before there is harm

122. Making Health Care Safer II | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
     July 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 …

123. Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/reports/liability/crane.html
     August 01, 2017 - Near-miss events, where no actual harm comes to the patient, represent a lower‑risk opportunity to improve … recognize a near-miss event (as opposed to an adverse event or an error that had no potential for patient harm … in each practice who would review the report to make sure that the report was a near-miss (i.e., no harm … came to the patient) and not an adverse event (AE, where the patient had suffered some harm). … Ultimately, disclosure of errors in the care process, particularly those events where no harm came to

124. Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
     February 02, 2017 - Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations SNAC Submission Form Measure 2: ADHD Behavior Therapy Section 2: Detailed Measure Specifications Attachment 2: EHR Recommended Data Locations Th…

125. Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/publications/search.html
     January 01, 2024 - Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic

126. Chlorhexidine Bathing Routine Reduces Infections in Nursing Homes | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
     October 01, 2023 - Given the growing concern of harm from antimicrobial-resistant germs in nursing homes, the impact of

127. Nursing Home Resources | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/es/nursing-home/resources/search.html
     January 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections ​This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.

128. National Action Alliance: Webinars | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/action-alliance/webinars/index.html
     April 01, 2024 - Webinar speakers will discuss strategies for achieving 50 percent improvements in preventable harm to

129. Understand the Science of Safety for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
     July 01, 2023 - between 210,000 and 440,000 patients who go to a hospital each year suffer some type of preventable harm … influenced by the environment in which he or she works and can be responsible for mistakes that inflict harm … specific results, they are better prepared to join system improvement activities for reducing patient harm

130. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
     March 08, 2019 - • Contributions of human factors to errors that have led to harm.

131. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
     June 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm

132. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
     June 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm

133. National Action Alliance Previous Webinars | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/cpi/about/otherwebsites/action-alliance/past-webinars.html
     October 01, 2023 - Video: VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System

134. Learn about CUSP | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/hai/cusp/modules/learn/index.html
     July 01, 2018 - Discusses the effects of errors and patient harm and the underlying causes of errors.

135. Sensemaking and Learn From Defects for Perinatal Safety | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
     July 01, 2023 - Then, lastly, describe what can be done to minimize patient harm or prevent this safety hazard. … Exercise Please complete the following: List all defects that have the potential to cause to cause harm

136. Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/research/publications/search.html?page=8
     May 01, 2016 - 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 …

137. AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Under the Science of Safety
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
     May 01, 2017 - between 210,000 and 440,000 patients who go to a hospital each year suffer some type of preventable harm

138. TeamSTEPPS® Rapid Response Systems Guide | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/teamstepps/rrs/index.html
     March 01, 2019 - quality healthcare and for the prevention and mitigation of medical errors and of patient injury and harm

139. AHRQ Quality and Safety Review System (QSRS) | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
     March 01, 2021 - Captures an "all-cause harm" measurement that hospitals and clinicians can use to better target and measure

140. Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018 | Agency for Healthcare Research and Quality
     www.innovations.ahrq.gov/data/hcup/mental-disorders.html
     May 01, 2023 - psychotic disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm