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Showing results for "harm".
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www.talkingquality.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.htmlSeptember 01, 2020 - patients are more frequently caused by communication problems and more likely to result in serious harm … Figure C: Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … Many of the cases reviewed resulted in patients suffering death or irreparable harm. … Family members may also suffer psychological harm if they make an error in interpretation that results … in harm to the patient.
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www.talkingquality.ahrq.gov/patient-safety/resources/learning-lab/index.htmlFebruary 01, 2024 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care Principal Investigator: Eric J. … multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste Principal Investigator:
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/teamstepps-30.htmlSeptember 01, 2023 - momentum going with another important milestone in its ongoing commitment to moving toward zero patient harm
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.htmlJuly 01, 2023 - What might we do to prevent that harm?")
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www.talkingquality.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.htmlFebruary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?"
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www.talkingquality.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.htmlJune 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
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/878.htmlAugust 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
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www.talkingquality.ahrq.gov/hai/cusp/summary/index.htmlSeptember 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm
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www.talkingquality.ahrq.gov/diagnostic-safety/workgroup/index.htmlMarch 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdfJanuary 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…
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Module 2: Example (doc file)
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docxMay 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 -
Understand-Facilitator-Guide (doc file)
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docxMay 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 -
www.talkingquality.ahrq.gov/funding/grantee-profiles/index.htmlApril 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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptxJanuary 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
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Job Aid: Introduction to Quality Improvement (pdf file)
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdfMay 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… -
www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.htmlJune 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
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www.talkingquality.ahrq.gov/data/visualizations/hiv-prep.htmlOctober 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 …
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www.talkingquality.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.htmlJanuary 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
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www.talkingquality.ahrq.gov/patient-safety/reports/liability/etchegaray.htmlAugust 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
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www.talkingquality.ahrq.gov/nhguide/toolkits/educate-and-engage/index.htmlOctober 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
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