Email Updates
Go to Basic Search
Results
Total Results: 832 records
Showing results for "harm".
-
Mod03-Gap-Analysis-Guide (pdf file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdfApril 01, 2016 - Are bills for hospital or professional fees waived if inappropriate care caused harm? 6. … Is followup provided for staff involved in harm events? … Are the costs associated with inappropriate care- related harm events tracked and trended? … Are bills for hospital or professional fees waived if inappropriate care caused harm? … Is followup provided for staff involved in harm events? -
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/modules.htmlAugust 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … Organizational Learning and Sustainability “We realize mistakes happen, and we can forgive that; but you harm … Generally, the CANDOR process begins with identification of an event that involves harm.
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.htmlJuly 01, 2023 - Sensemaking tools to help reduce the risk of future harm to your patients. … 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? … The consequent event is described in terms of the event's consequences: Harm that did happen. … Harm that did not happen—No-harm event. Event did not reach the patient—Near-miss event.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docxMay 01, 2017 - Include any relevant examples that you observed/were concerned about involving patient harm that could … Please describe what you think can be done to prevent or minimize this harm.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/sensemaking/learn-from-defects-facilitator-guide.pdfMay 01, 2017 - Sensemaking tools to help reduce the risk of future harm to your patients. … cheese model portrays how defects permeate the L&D unit-level systems and contribute to patient harm … What can be done to minimize harm or prevent safety hazards? … The consequent event is described in terms of the event’s consequences: • Harm that did happen • … Harm that did not happen—No-harm event • Event did not reach the patient—Near- Slide 13 Sensemaking
-
Module 5: Component Kit (doc file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docxMay 01, 2017 - 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. … observations and any training or safety meetings HRET call 10 am Number of Procedures since last harm … ###1 Ardella Ruffo A16:00 ####4 Safety Check 4 5 6 7 Our Surgery Center “Excellence in Safety: No Harm -
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdfJune 18, 2015 - How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That … How Antibiotics Can Cause More Harm Than Good Older people have more side effects from medicines, which … develop new symptoms. »Cause nausea, vomiting or diarrhea. »Cause rashes or allergic reactions. »Harm
-
www.qualitymeasures.ahrq.gov/research/findings/making-healthcare-safer/mhs4/index.htmlApril 01, 2024 - 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 …
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/index.htmlAugust 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm … A traditional approach when unexpected harm occurs often follows a "deny-and-defend" strategy, providing
-
www.qualitymeasures.ahrq.gov/research/findings/evidence-based-reports/adverse-events.htmlApril 01, 2018 - 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 …
-
Changing-System-Facilitator-Guide (doc file)
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docxJune 01, 2021 - A problem that almost led to patient or resident harm is called a “near-miss.” … · Once the potential for harm is addressed, how do you know the risk was reduced? … Negative contributing factors are those that caused harm or almost caused harm. … Positive contributing factors are those that limit or prevent harm. … Sometimes we forget to acknowledge the factors that reduce potential harm from the adverse event. -
www.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.htmlMay 01, 2023 - requested clarification but the response or confirmation does not ease the concern about potential harm … the Two-Challenge Rule to situations where the patient or another team member may be at high risk of harm … Can you think of times when using this rule could have prevented harm to a patient?
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdfApril 01, 2018 - accompanied by a potential for causing inadvertent harm while caring for patients. … Variation in Risk of Harm Across Developmental Stages Risk of pediatric patient harm varies with age … Temporal trends in rates of patient harm resulting from medical care. … Methodology and rationale for the measurement of harm with trigger tools. … A trigger tool to detect harm in pediatric inpatient settings.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/brady-summit2016-plenary.pdfSeptember 28, 2016 - Presentation Agenda • National Progress in Hospital Safety ► Measurable improvement, but some harm … press- releases/2015/saving-lives.html Patient Safety in the United States: National Progress, but Harm … Hospital Safety and Measurable Impact Patient Safety in the United States: National Progress, but Harm
-
www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/845.htmlJanuary 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.
-
www.qualitymeasures.ahrq.gov/pqmp/measures/index.html?page=3March 30, 2024 - Children/Adolescents Who Present to the Emergency Department (ED) With Dangerous Self-Harm … Children with Complex Needs (COE4CCN) Children/Adolescents Who Present to the ED With Dangerous Self-Harm … Complex Needs (COE4CCN) Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm … with Complex Needs (COE4CCN) Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm
-
www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/safety-assessment.htmlMarch 01, 2017 - for Long-Term Care: HAIs/CAUTI 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.
-
www.qualitymeasures.ahrq.gov/hai/hac/tools.htmlMarch 01, 2024 - These conditions cause harm to patients. … healthcare providers are focused on reducing specific HACs that occur frequently, can cause significant harm
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptxJune 01, 2021 - Negative contributing factors are those that harmed or increased risk of harm Positive contributing … factors limited the impact of harm 14 Changing the System 14 What Could You Do To Reduce the … System 17 Review Consider system/active failures which may have led to the problem or potential for harm
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-slides.pptxJune 01, 2021 - science of safety Improve teamwork and communication Recognize current practices that may lead to patient harm … Collaborates to develop and implement plans Ensures necessary resources Holds staff accountable for reducing harm … Doing no harm: enabling, enacting, and elaborating a culture of safety in health care.
SHARE:
Search the AHRQ Archive
Information and reports more than 5 years old may be found in the AHRQ Archive site.
Search Within A Specific AHRQ Site
You selected to view results for the following site:
