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Total Results: 832 records

Showing results for "harm".

161. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

162. Fallpxtool1A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
     January 01, 2004 - 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?

163. Appendix B. Guide to Administering the AHRQ Nursing Home Survey on Patient Safety Culture and Reviewing Results | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/discussion.html
     October 01, 2019 - results are useful for measuring organizational conditions that can lead to adverse events and resident harm … Start the meeting with a story of resident harm and spend a few minutes talking about your feelings associated … with that harm.

164. Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913 (pdf file)
     www.qualitymeasures.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…

165. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/sops/international/hospital/translators.html
     October 01, 2014 - When a mistake is made, but has no potential to harm the patient, how often is this reported? D3. … When a mistake is made that could harm the patient, but does not, how often is this reported? … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm

166. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)
     www.qualitymeasures.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.

167. Module 2: Example (doc file)
     www.qualitymeasures.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

168. Using a Tiered Approach With CUSP Principles Facilitator Guide (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
     April 01, 2022 - As mentioned in Engage the CUSP Team and ICU Staff module, defects that result in error leading to harm … For example, people will not be willing to speak up and identify a mistake or harm if they feel like … back from speaking up, opportunities will be lost to address system factors that may contribute to harm

169. AHRQ Grantee Profiles | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

170. Understand-Facilitator-Guide (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docx
     May 01, 2017 - 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

171. Senior-Leader-Checklist (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/senior-leader-checklist.docx
     March 01, 2017 - Require that the appropriate office (e.g., Infection Prevention) produce a weekly report of harm.

172. FileNewTemplate
     www.qualitymeasures.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

173. Job Aid: Introduction to Quality Improvement (pdf file)
     www.qualitymeasures.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…

174. Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review | Agency for Healthcare Research and Quality
     www.qualitymeasures.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 …

175. Module 3: Problem Solving and Escalation - Facilitator Notes | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

176. Defining the New AHRQ: A Race for 21st Century Care | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

177. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

178. Toolkit To Educate and Engage Residents and Family Members | Agency for Healthcare Research and Quality
     www.qualitymeasures.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

179. SOPS Community Pharmacy Survey Items and Composites (pdf file)
     www.qualitymeasures.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

180. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
     www.qualitymeasures.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.