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Showing results for "harm".

141. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
     June 02, 2025 - Unsafe Condition Near Miss No Harm Event CANDOR Event Actual harm to patient Potential patient harm … 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. … events, and offering compensation for the patient’s harm, when appropriate.

142. From guideline to order set to patient harm. | PSNet
     psnet.ahrq.gov/issue/guideline-order-set-patient-harm
     October 10, 2017 - Commentary From guideline to order set to patient harm. … From Guideline to Order Set to Patient Harm. … From Guideline to Order Set to Patient Harm.

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866846/psn-pdf
     September 24, 2024 - Point Zero Harm Goals Contribute to Improving Patient Safety Zero harm goes beyond simply declaring … Statistically, patient harm is rare enough that reliably assessing whether a harm is preventable or … Skeptics of zero harm suggest that it is impossible to measure preventable harm reliably and that the … Does a zero harm goal contribute to reducing preventable harm, or does it exploit unreliable metrics … avoidable harm.

144. NPSD Dashboards | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/index.html
     September 01, 2024 - 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.   … Blood Product Dashboard Details the type of blood product involved, type of blood product by residual 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.      

145. To err is human, unless you are a healthcare provider. | PSNet
     psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider
     March 22, 2023 - Intent to harm is a primary factor in the criminalization of patient injury. … current approaches to avoid the use of prosecutorial methods to hold those involved accountable for harm … January 2, 2001 Perspectives on patient and family engagement with reduction in harm: … September 28, 2022 Criminal liability for nursing and medical harm. … 8, 2020 The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm

146. Adverse Events Toolkit: Medical Record Review Methodology. | PSNet
     psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
     July 19, 2023 - Medical record review is a primary tactic to identify health care actions that contribute to patient harm … process used in the 2018 report  Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm … It is a companion toolkit to the Clinical Guidance for Identifying Harm publication. … September 20, 2011 Hospital Incident Reporting Systems Do Not Capture Most Patient Harm … August 9, 2024 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July

147. Appendix 247 - Opioid-Related Hospital Stays Among Women in the United States, 2016 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb247-appendix.pdf
     December 25, 2022 - , intentional self-harm, initial encounter T36.5X2A Poisoning by aminoglycosides, intentional self-harm … drugs, intentional self-harm, initial encounter T47.7X2A Poisoning by emetics, intentional self-harm … , intentional self-harm, initial encounter T51.0X2A Toxic effect of ethanol, intentional self-harm … self-harm, initial encounter T60.2X2A Toxic effect of insecticides, intentional self-harm, initial … self-harm, initial encounter T63.112A Toxic effect of venom of gila monster, intentional self-harm,

148. HCUPanalysisPedEDVisitsSuicide (pdf file)
     hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisPedEDVisitsSuicide.pdf
     November 05, 2019 - self-harm, initial encounter T44.2X2A Poisoning by ganglionic blocking drugs, intentional self-harm … , intentional self- harm, initial encounter T51.0X2A Toxic effect of ethanol, intentional self-harm … self-harm, initial encounter T60.4X2A Toxic effect of rodenticides, intentional self-harm, initial … Intentional self-harm by machine gun discharge, initial encounter X73.8XXA Intentional self-harm by … X77.1XXA Intentional self-harm by hot tap water, initial encounter X77.2XXA Intentional self-harm by

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866847/psn-pdf
     September 25, 2024 - What is zero harm? … In the early 2000s, preventing harm was focused primarily on physical harm to patients and slips, … In a learning organization, an event of harm creates a zero harm gap that we yearn to close. … not experience preventable harm. … with zero harm as the goal.

150. Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet
     psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
     May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm … Reducing anticoagulant medication adverse vents and avoidable patient harm. … Reducing anticoagulant medication adverse vents and avoidable patient harm. … March 9, 2011 Heparin: improving treatment and reducing risk of harm.

151. Implicit bias and patient care: mitigating bias, preventing harm. | PSNet
     psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
     September 22, 2021 - EMERGING INNOVATIONS Implicit bias and patient care: mitigating bias, preventing harm. … Implicit bias and patient care: mitigating bias, preventing harm. … 3) communicate with both the resident and family to diffuse the situation and prevent any potential harm … Implicit bias and patient care: mitigating bias, preventing harm.

152. Do no harm: hospital care in Las Vegas. | PSNet
     psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas
     October 02, 2013 - Multi-use Website Do no harm: hospital care in Las Vegas. … Citation Text: Do no harm: hospital care in Las Vegas. Allen M; Richards A. … March 21, 2011 First do no harm. … October 3, 2017 Patient harm: when an attorney won't take your case. … November 6, 2015 View More Related Resources First do no harm.

153. Chasing Zero: Winning the War on Healthcare Harm. | PSNet
     psnet.ahrq.gov/issue/chasing-zero-winning-war-healthcare-harm
     May 18, 2012 - Audiovisual Chasing Zero: Winning the War on Healthcare Harm. … Citation Text: Chasing Zero: Winning the War on Healthcare Harm. … Cite Citation Citation Text: Chasing Zero: Winning the War on Healthcare Harm

154. Sb249-Appendix (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb249-appendix.pdf
     December 25, 2022 - , intentional self-harm, initial encounter T39092A Poisoning by salicylates, intentional self-harm, … self-harm, initial encounter T415X2A Poisoning by therapeutic gases, intentional self-harm, initial … intentional self-harm, initial encounter T424X2A Poisoning by benzodiazepines, intentional self-harm … , intentional self-harm, initial encounter T484X2A Poisoning by expectorants, intentional self-harm, … , intentional self-harm, initial encounter T510X2A Toxic effect of ethanol, intentional self-harm,

155. Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet
     psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety-collaborative-impact-hospital-acquired-harm
     August 10, 2022 - Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm. … August 10, 2022 Development of an electronic pediatric all-cause harm measurement tool … July 19, 2018 A trigger tool to detect harm in pediatric inpatient settings.

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866848/psn-pdf
     September 25, 2024 - What is zero harm when it is used in literature? … harm.” … value not to harm patients. … Sarah Mossburg: What types of harm does “zero harm” apply to, either as a value or a goal? … You could use the term “harm” in that context.

157. NAA National Webinar, February 2025: Establishing Psychological Safety for Healthcare Workers (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/psychological-safety-slides.pdf
     March 18, 2025 - • Are you aware of any “near misses” in your area that could have caused harm? … Psychological Safety • Transparency is a pre-condition for patient safety* • Clinicians involved in harm … safety *Credit: Julie Morath Why Do We Struggle to Respond to Harm Events? … 9b: Implement and maintain programs for providing appropriate ongoing support in the aftermath of harm … The Ultimate Stress Test for Psychological Safety Why Do We Struggle to Respond to Harm Events?

158. First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet
     psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
     March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses … First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical … First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical … Download Citation Related Resources From the Same Author(s) How to do no harm … Can routinely collected data be repurposed to predict avoidable patient harm?

159. How to do no harm: empowering local leaders to make care safer in low-resource settings. | PSNet
     psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
     March 03, 2021 - Commentary How to do no harm: empowering local leaders to make care safer in low-resource … How to do no harm: empowering local leaders to make care safer in low-resource settings. … How to do no harm: empowering local leaders to make care safer in low-resource settings. … Download Citation Related Resources From the Same Author(s) First do no harm … Can routinely collected data be repurposed to predict avoidable patient harm?

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47995/psn-pdf
     July 24, 2019 - Standardising the classification of harm associated with medication errors: the Harm Associated with … Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with … https://psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm- associated-medication … of existing harm classification tools. … https://psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication