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Total Results: 505 records

Showing results for "harm".

81. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
    June 01, 2020 - identifying, assessing, and reducing patient safety threats in real time, before they manifested in actual harm … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm

82. Winners Selected in Challenge Competition To Create TeamSTEPPS Training Videos | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/news/newsletters/e-newsletter/878.html
    August 01, 2023 - ET on the Veterans Health Administration’s (VHA) Journey to High Reliability: Advancing Toward Zero Harm … Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm

83. Comprehensive Unit-based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated Infections | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/cusp/summary/index.html
    September 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm

84. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/diagnostic-safety/workgroup/index.html
    March 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm

85. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
    January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 Final Topic Refinement Document Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913 Date: 05/29/2014 Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913 EPC: Pacific Northwest EPC AHRQ Task O…

86. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - The CUSP framework accomplishes this through stressing the fact that patient harm is not an acceptable … communication tools were effective in reducing lapses in team functioning, errors, and the likelihood of harm … should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm.

87. Module 2: Example (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
    May 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

88. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/funding/grantee-profiles/index.html
    April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm

89. FileNewTemplate
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
    January 01, 1995 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … recognize risk or unfolding error An opportunity to interrupt or correct an action or event before there is harm … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury

90. Job Aid: Introduction to Quality Improvement (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
    May 18, 2021 - Job Aid: Introduction to Quality Improvement Primary Care Practice Facilitator Training Series 1 Job Aid: Introduction to Quality Improvement Quality Improvement (QI) Basics The QI Process You will be helping practices to:  Identify areas for improvement.  Set goals.  Develop a plan that…

91. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
    June 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

92. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/data/visualizations/hiv-prep.html
    October 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 …

93. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
    January 01, 2021 - I have often talked about the need to get to zero harm and zero defects in healthcare delivery. … complex industries such as aviation and auto manufacturing, they have made tremendous strides toward zero harm … Especially in light of the COVID-19 crisis, we’ve seen the significant harm clinician burnout can have

94. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/patient-safety/reports/liability/etchegaray.html
    August 01, 2017 - given that no foreseeable improvement in health care delivery will eliminate all errors that seriously harm … to know about medical errors, with virtually all patients wanting to know about errors that directly harm … serious error (i.e., error that causes permanent injury or transient but potentially life-threatening harm … errors, suggesting that clinicians are even less likely to meet patients’ expectations after minor harm … their relationship with the patient may outweigh the benefit to the patient of knowing about minor harm

95. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
    October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the

96. SOPS Community Pharmacy Survey Items and Composites (pdf file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
    June 19, 2018 - When a mistake reaches the patient and could cause harm but does not, how often is it documented? … When a mistake reaches the patient but has no potential to harm the patient, how often is it documented

97. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
    www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
    April 13, 2017 - The checklist drives us towards zero harm by better communication and teamwork within our facilities.

98. Chapter 1: Background on Patient Safety and LEP Populations | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
    September 01, 2020 - States showed that LEP patients are more likely than English-speaking patients to suffer from physical harm … hospitalizations than patients whose families are English proficient. 26 Figure 3: Types of Physical Harm … malpractice carrier that insures in four States to identify when language barriers may have resulted in harm … appropriate language services: The cases resulted in many patients suffering death or irreparable harm

99. Management Practices for Sustainability Module 5: Visual Management | Agency for Healthcare Research and Quality
    www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - surgical checklist use and the outcomes of observation, and measures such as number of days since last harm … concerns  Slide 5: Basic Set of Metrics (Minimal Version) Key outcome measures Days since last harm

100. ADHD: Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of ADHD in Children and Adolescents (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
     February 02, 2012 - able, the clinician needs to weigh the risks of starting med­ ication at an early age against the harm … were based on high- to moderate- quality scientific evidence and a pre­ ponderance of benefit over harm … ● Benefits-harms assessment: The ben­ efits far outweigh the harm. … ● Benefits-harms assessment: There is a preponderance of benefit over harm. … ● Benefits-harms assessment: There is a preponderance of benefit over harm.