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Total Results: 2,150 records

Showing results for "harms".

281. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
     September 03, 2014 - Some harms are unavoidable. Many others are avoidable. … Near misses should be examined as closely as actual harms. … occur more frequently, are less sensitive and more proactive, and do not lead to immediately visible harms

282. Overview of the Comprehensive Unit-based Safety Program for Application to Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
     February 01, 2017 - training, providers will have begun to develop those system lenses which are alert to potential patient harms

283. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
     January 01, 2017 - training, providers will have begun to develop those system lenses which are alert to potential patient harms

284. Medication Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
     January 01, 2024 - Introduction Introduction-Medication or Other Substance The tables in this workbook present data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include the relative frequency…

285. Learning From Diagnostic Errors | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-psychological-safety-1.html
     September 01, 2023 - Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnostic Errors Previous Page Next Page Table of Contents Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error Learning From Diagnost…

286. Implementation Guide for the CANDOR Process | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
     August 01, 2022 - Implementation Guide for the CANDOR Process Communication and Optimal Resolution Toolkit Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…

287. Blood and Blood Product Dashboard | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/blood.html
     September 01, 2024 - Blood and Blood Product Dashboard Learn more about how the dashboards are set up . This dashboard details the type of blood product involved, type of blood product by residual harm to the patient, stage of process where event originated, and stage of process where event originated by residual harm to the pat…

288. Staff-Safety-Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
     March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Staff Safety Assessment Purpose: To tap into your experience to determine risks that could harm residents. Who should use this tool? Anyone who works in or provides services to this nursing home. How should you use this tool? Provid…

289. New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsroom/press-releases/new-national-healthcare-safety-dashboard.html
     December 01, 2024 - New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm Press Release Date: December 5, 2024 Today, the National Action Alliance for Patient and Workforce Safety (NAA) at the U.S. Department of Health and Human Services (HHS) launched the National Healthcare Safety Dashboard ,…

290. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - An Overview of the CANDOR Process Communication and Optimal Resolution (CANDOR) Toolkit Module 4: Event Reporting, Event Investigation and Analysis Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process. 1 Objectives Define the key elements …

291. Final Progress Report: Demonstration Project To Refine, Automate and Test a Novel Emergency Department Trigger Tool (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
     January 01, 2025 - A new, evidence-based estimate of patient harms associated with hospital care.

292. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
     April 01, 2025 - Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Issue Brief #26 Exploration of Foundational Terminology and Paradigms for Improving Diagnosis Prepared for: Monika Haugstetter, M.H.A., M.S.N., R.N., CPHQ Contract Officer Representative Agency for Healthc…

293. AHRQ Views: Continuing a 35-Year History, AHRQ Pursues Vital Pathways To Improve Patient Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/914.html
     May 01, 2024 - part of the agency’s  Making Healthcare Safer IV  report, a continuous updating of evidence on safety harms

294. New Interactive Data Resource Illustrates Trends in Sepsis Hospital Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/949.html
     March 01, 2025 - the federal agency leading support for research and initiatives to protect patients from avoidable harms

295. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
     June 03, 2021 - Knowledge of the harms associated with missed, delayed, or inaccurate diagnoses is emerging. … Serious misdiagnosis-related harms in malpractice claims: the “Big Three” – vascular events, infections

296. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
     June 03, 2021 - Knowledge of the harms associated with missed, delayed, or inaccurate diagnoses is emerging. … Serious misdiagnosis-related harms in malpractice claims: the “Big Three” – vascular events, infections

297. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013.html
     January 01, 2018 - An estimated 1.3 million fewer harms were experienced by patients from 2010 to 2013 than would have occurred

298. Making the Case That Improving Antibiotic Use is a Patient Safety Issue | Agency for Healthcare Research and Quality
     www.ahrq.gov/antibiotic-use/acute-care/safety/patient-safety.html
     November 01, 2019 - Making the Case That Improving Antibiotic Use is a Patient Safety Issue After viewing or presenting this presentation viewers will be able to— Explain the potential harm associated with antibiotic use Recognize that patient harm is often preventable Recognize that change efforts often require a focus…

299. Gap Analysis Facilitator's Guide: Appendix B | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
     August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix B Gap Analysis Structured Interview Questions The Gap Analysis Structured Interview Questions allow the facilitator to lead participants through a set of questions designed to elicit participant views on a variety of key policies and practices. Leadership and Cul…

300. Grand Rounds Presentation | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
     August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…