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Showing results for "harm".
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptxJune 16, 2017 - Falls harm patients. 30% to 51% of falls result in injury. … per 1000 pt days JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm categories … per 1000 pt days JAH VAMC Med-Surg Falls with Harm by Quarter per 1000 pt days (Includes all harm categories … 0 Quarter harm from falls Pilot Unit (5 South) Harm from Falls per 1000 pt days by Quarter JAH VAMC … 0 Quarter harm from falls Pilot Unit (7 North) Harm from Falls per 1000 pt days by Quarter
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.htmlAugust 01, 2022 - The goal for an organization implementing the CANDOR process is to increase the reporting of patient harm … Do they believe the organization is aware of all the patient harm events? … to prevent future harm events. … The organization should have a mechanism in place to address anonymous reports of harm events. … Identification of innovative solutions to prevent similar harm events and related hazardous behaviors
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Antibiotic-Targets-Facilitator-Guide (doc file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docxJune 01, 2021 - Slide 3 Recognizing Potential Harm SAY: Before we move forward, let’s take a moment to talk about … the potential for patient or resident harm. … Slide 4 Examples of Potential Harm SAY: A few examples of potential harm related to antibiotic use … Moment 4 may have caused the most notable harm in this case. … This type of problem solving generally does not help prevent future harm from occurring. -
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/match/table-6.htmlAugust 01, 2012 - Error that did not reach the patient NA C Error that reached patient but unlikely to cause harm … Error that reached the patient and could have necessitated monitoring and/or intervention to preclude harm … metoprolol was ordered for patient instead of extended-release E Error that could have caused temporary harm … pressure medication was inadvertently omitted from the orders F Error that could have caused temporary harm … ordered daily when the patient takes it every other day G Error that could have resulted in permanent harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-slides.pptxJune 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm … Steps for Improving the Culture of Patient Safety 3 3 Identifying Targets 3 Recognizing Potential Harm … Describe what you think can be done to prevent this from happening How Can You Identify Potential Harm … problem solving Solves one problem in one particular instance Generally does not help prevent future harm … Start with a problem or potential harm that is easy to fix.
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Staff-Safety-Assessment (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/staff-safety-assessment.docxMarch 01, 2017 - Modules Staff Safety Assessment Purpose: To tap into your experience to determine risks that could harm … You will need details to understand how you can prevent harm. … Please describe what you think can be done to prevent or minimize this harm. 16-0003-03-EF AHRQ Pub -
Learning-From-Antibiotic-Adverse (doc file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docxJune 01, 2021 - any event or situation that you would not want to happen again because it either caused your patient harm … or had the potential to cause harm. … Negative contributing factors increase the risk of harm. We want to change these. … Positive contributing factors limit the impact of harm. We want to keep these. -
www.qualitymeasures.ahrq.gov/npsd/data/dashboard/blood.htmlOctober 01, 2023 - This dashboard details the type of blood product involved, type of blood product by residual harm to … patient, stage of process where event originated, and stage of process where event originated by residual harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptxJune 01, 2021 - Safety 1 Objectives Discuss the potential harms associated with antibiotic use Recognize that patient harm … Strive to reduce preventable harm by identifying problems that cause harm to residents. … Recognize current practices that may lead to patient harm. … Create independent checks to reduce potential harm. … Strive to eliminate preventable harm!
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www.qualitymeasures.ahrq.gov/action-alliance/commitment/index.htmlMarch 01, 2024 - Consider joining us as we continue our collective journey toward zero preventable harm in healthcare. … Alliance for Patient and Workforce Safety Commitment Vision Safe care everywhere, zero preventable harm … safety and well-being; and learning health system development toward our vision of zero preventable harm
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www.qualitymeasures.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-tops-the-list.htmlMarch 01, 2024 - Among those patients, about 18 percent of errors caused temporary harm, permanent harm, or death. … errors that persist throughout all care settings, involve common and rare diseases, and continue to harm … They underscore the imperative to mitigate diagnostic errors and harm.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-oct2013.pptxJanuary 01, 2013 - Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients English … Percent Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … 366 (46.1%) 89 (40.1%) No harm 194 (24.4%) 24 (10.8%) No detectable harm 177 (22.3%) 58 (26.1%) Minimal … temporary harm 46 (5.8%) 43 (19.4%) Moderate temporary harm 7 (0.9%) 7 (3.2%) Severe temporary harm … Percent Types of Physical Harm Experienced from Adverse Events by English Speaking and LEP Patients
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.htmlAugust 01, 2022 - Are the costs associated with inappropriate care-related harm events tracked and trended? … Is the investigatory process for harm events designed to afford all members the protections of State … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Have the staff had training related to the vulnerabilities of caregivers involved in harm events? … Is followup provided for staff involved in harm events?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptxMay 01, 2017 - Ambulatory Surgery Management Practices for Sustainability Key outcome measures Days since last harm … 221 Werner 111 Carletta 221 Safety training chart Date Revised Number of Procedures since last harm … Date Opportunity Action Results Smith ASC Excellence in Safety: No Harm … Keep track of count of procedures since last harm incident each day update the board. … ###1 Ardella Ruffo A16:00 ####4 Safety Check 4 5 6 7 Our Surgery Center “Excellence in Safety: No Harm
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Antibiotic-Patient-Safety-Facilitator-Guide (doc file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docxJune 01, 2021 - be able to — · Discuss the potential harms associated with antibiotic use · Recognize that patient harm … However, antibiotics, whether necessary or not, come with risks and may cause harm. … There is a fear of causing harm by stopping a medicine someone else thought the resident needed. … The intent is to reduce preventable harm by identifying problems which cause harm to residents. … The holes are the errors or missed opportunities to stop harm of a resident. -
www.qualitymeasures.ahrq.gov/research/findings/making-healthcare-safer/index.htmlJuly 01, 2023 - 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.
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www.qualitymeasures.ahrq.gov/news/newsroom/case-studies/202104.htmlOctober 01, 2021 - adverse event or potential adverse event, and officials estimate 85 patients were spared the additional harm … Traditionally, hospitals and healthcare providers are not fully forthcoming with patients and families when harm … thinking on its head, providing methods and tools for clinicians and others to respond immediately to harm
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www.qualitymeasures.ahrq.gov/health-literacy/professional-training/lepguide/app-f.htmlSeptember 01, 2020 - Types of Physical Harm Experienced From Adverse Events by English Speaking and LeP Patients. … Bar chart showing percentage of patients in each group experiencing physical harm. … About 70 percent of English speaking patients experienced no harm or no detectable harm. … For LEP patients, only about half experienced no harm or no detectable harm. Slide 6. … patients are more frequently caused by communication problems, and more likely to result in serious harm
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Learn-From-Defects-Facilitator-Guide (doc file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.docxMay 01, 2017 - Comprehensive Unit-based Safety Program, or CUSP, Sensemaking tools to help reduce the risk of future harm … the holes symbolize the opportunities for defects to permeate established systems and cause patient harm … What can be done to minimize harm or prevent safety hazards? … of safety assessment by completing the following: List all defects that have the potential to cause harm … The consequent event is described in terms of the event’s consequences: Harm that did happen Harm that -
www.qualitymeasures.ahrq.gov/hai/pfp/hacrate2013.htmlJanuary 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … Introduction Much attention has been focused on preventing patient harm since the Institute of Medicine's … a spotlight on patient safety but also highlighted the fact that making progress to reduce patient harm … Persistent support for research focused on understanding health care harm—why it occurs, what can be … PfP is a fully aligned "full-court press" to achieve two aims: 40 percent reduction in preventable harm
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