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Showing results for "harm".

1. Generic Dashboard Data 2023 (xls file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
   January 01, 2023 - Harm 40 3,355 1.2% Fall Under 18 Male Mild Harm 734 3,355 21.9% Fall Under 18 Male No Harm 1,475 3,355 … Mild Harm 117 601 19.5% Fall UNK Female No Harm 379 601 63.1% Fall UNK Female Unknown Harm 93 601 15.5% … Fall UNK Male Severe Harm 1 505 0.2% Fall UNK Male Moderate Harm 11 505 2.2% Fall UNK Male Mild Harm … Severe Harm 6 4,016 0.2% Other UNK Female Moderate Harm 26 4,016 0.7% Other UNK Female Mild Harm 167 … Harm 32 3,858 0.8% Other UNK Male Mild Harm 147 3,858 3.8% Other UNK Male No Harm 2,776 3,858 72.0%

2. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2023.xlsx
   January 01, 2023 - Dashboard Name Worksheet Name Type of Device Device_1 Type of Device by Extent of Harm … Device_2 Device Event Description Device_3 Device Event Description by Extent of Harm Device … Type of Device No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total Medical … Device Event Description No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total … Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total Electronic health record (EHR

3. Medication Dashboard Data 2023 (xls file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2023.xlsx
   January 01, 2023 - Med_2 Med_2: Incorrect Action by Extent of Harm Incorrect Action No Harm Percentage No Harm Frequency … Harm Percentage Harm Frequency Total Expired or deteriorated medication or substance 99.6% 263 0.4% … Med_4 Med_4: Description of Incorrect Dose by Extent of Harm Description of Incorrect Dose No Harm … Percentage No Harm Frequency Harm Percentage Harm Frequency Total Overdose 89.0% 3,152 11.0% 391 11,902 … Stage Event Originated No Harm Percentage No Harm Frequency Harm Percentage Harm Frequency Total

4. Blood Dashboard Data (xls file)
   www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2023.xlsx
   January 01, 2023 - reports by type of blood product, by the process of care involved, and by the extent of residual patient harm … Blood_2 Blood_2: Type of Blood Product by Extent of Residual Harm Type of Blood Product No Harm Percentage … No Harm Frequency Harm Percentage Harm Frequency Total Red blood cells 96.5% 2,013 3.5% 73 3,003 … Stage of Process When Blood or Blood Product Event Originated No Harm Percentage No Harm Frequency … Harm Percentage Harm Frequency Total Post-transfusion or administration 99.0% 392 1.0% 4 1,927 Sample

5. NPSD Dashboards | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/npsd/data/dashboard/index.html
   October 01, 2023 - The dashboard charts detail event type, report type by event type, extent of harm by event type, event … type by extent of harm, and extent of harm.   … Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence … of fall assistance by patient harm, type of fall injury, and fall location.     … to the patient, type of incorrect dose, type of incorrect dose by residual harm to the patient, stage

6. Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm or Suicidality, Should Have Documentation in the Hospital Record That Their Caregiver Was Counseled on How To Restrict the Child's/Adolescent's Access | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/inpatient-counseling-access.html
   August 01, 2021 - PQMP Measures Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … Grantees Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … Internet Citation: Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm

7. Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm or Suicidality Should Have Documentation in the Hospital Record of Discussion Between the Hospital Provider and the Patient's Outpatient Provider Regarding the Plan for Follow-Up | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/followup-discussion.html
   August 01, 2021 - PQMP Measures Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm … PQMP Grantees Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm … 2021 Internet Citation: Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm

8. Children/Adolescents Who Present to the ED With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should See a Mental Health Professional for Follow-Up Within 7 Days of Discharge From the ED | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/suicide-followup-after-discharge.html
   August 01, 2021 - Program PQMP Measures Children/Adolescents Who Present to the ED With Dangerous Self-Harm … PQMP Grantees Children/Adolescents Who Present to the ED With Dangerous Self-Harm … 2021 Internet Citation: Children/Adolescents Who Present to the ED With Dangerous Self-Harm

9. Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should Have an Assessment by a Mental Health Professional Prior To Discharge From the ED | Agency for Healthcare Research and Quality
   www.qualitymeasures.ahrq.gov/pqmp/measures/emergency-department-suicide-home.html
   August 01, 2021 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Internet Citation: Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm

10. NPSD Data Spotlight: Patterns of Fall Interventions (pdf file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
    September 01, 2023 - For this analysis, reported EXTENT of HARM were further dichotomized as either No harm or Harm (i.e … ., Mild harm, Moderate harm, Severe harm or Death). … Specifically, we examined the no-harm rate, or the percentage of falls that resulted in no harm to … harm to the patient. … Events Resulting in No Harm to Patient No-harm Rate (%) Low bed, Items in reach, Visible

11. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
    August 01, 2022 - report, To Err Is Human: Building a Safer Health System , the problems associated with injury and harm … the United States provides some of the best health care in the world, unsafe health care processes harm … This statistic represents only one type of patient harm that results during the delivery of patient care … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial … A CANDOR event is defined as an event that involves unexpected harm (physical, emotional, or financial

12. Medications Supplement Dashboard Data 2023 (xls file)
    www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/npsd/Medications_Supplement_Dashboard_Data_2023.xlsx
    January 01, 2023 - (e.g., sustained release instead of immediate release) No Harm 417 95.2% Incorrect dose(s) Harm 967 … 93.9% Incorrect preparation Harm 32 3.1% Incorrect preparation No Harm 993 96.9% Incorrect rate Harm … 72 7.4% Incorrect rate No Harm 904 92.6% Incorrect route of administration Harm 83 9.2% Incorrect … strength or concentration No Harm 467 94.9% Incorrect timing Harm 347 5.7% Incorrect timing No Harm … 5,760 94.3% Multiple Harm 378 12.5% Multiple No Harm 2,635 87.5% Other: Please specify Harm 585 4.5%

13. Dashboard Information | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/npsd/data/dashboard/info.html
    June 01, 2019 - Near miss, or Unsafe condition as well as provides other information relevant to all events (e.g., harm … Answer Values: Incident: A patient safety event that reached a patient and either resulted in no harm … (no harm incident) or harm (harm incident). … action by a healthcare practitioner or worker or healthcare circumstance that exposes a patient to harm … first the word is capitalized, and all letters are italicized (e.g., Unsafe condition ; Moderate harm

14. Module 1: An Overview of the CANDOR Process | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
    August 01, 2022 - A CANDOR event is an event that involves unexpected patient harm. … The unexpected harm can be physical, emotional, or financial. … Care for the caregivers is frequently absent in the traditional response to harm. … The CANDOR process promotes the value of disseminating lessons learned and solutions to prevent harm … events, and offering compensation for the patient’s harm, when appropriate.

15. Medication or Other Substance Dashboard | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/npsd/data/dashboard/medication.html
    October 01, 2023 - This dashboard details the incorrect action taken, incorrect action by residual harm to the patient, … type of incorrect dose, type of incorrect dose by residual harm to the patient, stage of process where … event originated, and stage of process where event originated by residual harm to the patient.

16. Device or Medical/Surgical Supply, Including HIT Dashboard | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/npsd/data/dashboard/devices.html
    October 01, 2023 - This dashboard details the type of device; type of device by residual harm to the patient; device defect … , failure, or user error; device defect, failure, or user error by residual harm to the patient; type … technology (HIT) device in HIT-related report; and type of HIT device in HIT-related report by residual harm

17. Safer Together: A National Action Plan to Advance Patient Safety | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/reports/safer-together.html
    November 01, 2022 - 2018 by the Institute for Healthcare Improvement and committed to achieving safer care and reducing harm … Though U.S. researchers have identified many evidence-based, effective best practices for harm reduction … Reducing preventable harm requires a total systems approach: a coordinated, proactive strategy in which … precondition to advancing patient safety with a unified, total systems-based approach to eliminate harm

18. Silence A Commentary | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/silence.html
    August 01, 2017 - Patients and families realize no provider comes to work with the intent to cause harm. … Yet, when harm does occur, and honest and transparent conversations are not conducted, you harm us again … . 5 I believe there is a fifth desire for some patients and families after harm has occurred, and it … Instead of letting fear drive the actions and behaviors after harm, it is the mindset of courage and … RCA: Improving Root Cause analyses and Actions to Prevent Harm.

19. Create a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
    January 01, 2024 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires changes in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm

20. Develop a Culture of Safety Around Antibiotic Prescribing | Agency for Healthcare Research and Quality
    www.qualitymeasures.ahrq.gov/antibiotic-use/acute-care/safety/index.html
    June 01, 2021 - be encouraged to understand both the benefits and risks of antibiotic use and be engaged in reducing harm … Reducing harm often requires a change in thinking and behavior. … providers in creating a safety culture that values appropriate antibiotic prescribing and takes action when harm