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Total Results: 2,150 records

Showing results for "harms".

361. Mod01-Grand-Rounds-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - 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 aims to change that. Slide 1 Say: To get started, let’s watch this video. Video: Do Less…

362. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
     August 21, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 5: Response and Disclosure Communication In Module 5 of the CANDOR Toolkit, we will discuss the Response and Disclosure component of the CANDOR process. 1 Objectives Define the Response and Disclosure component of the CANDOR Proc…

363. Inappropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/videos/inapp-disclosure.html
     August 01, 2022 - Inappropriate Disclosure to a Patient: Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video…

364. Appropriate Disclosure to a Patient: Video | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/videos/app-disclosure.html
     August 01, 2022 - Appropriate Disclosure to a Patient: Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm. This video d…

365. Mod03-Gap-Analysis-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module3/mod03-gap-analysis-guide.pdf
     April 01, 2016 - Purpose: To evaluate the extent to which current processes align with the Communication and Optimal Resolution (CANDOR) process and includes; ■ Identifying the existing process ■ Identifying the existing outcome(s) ■ Identifying the desired outcome(s) ■ Identifying and documenting the gap(s) Who should use t…

366. Acute Care Learning From Defects
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
     November 01, 2019 - Acute Care Learning From Defects AHRQ Safety Program for Improving Antibiotic Use Making Effective Changes in Antibiotic Decision Making Acute Care AHRQ Pub. No. 17(20)-0028-EF November 2019 Changes in Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use – Acute Care 1 Objectives Id…

367. Staffsafetyassess (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/staffsafetyassess.doc
     June 02, 2025 - Staff Safety Assessment Purpose of this form: This form is designed to tap into your experience at the front line of patient care to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety. Who should us this tool? Health care providers. How to complete this form: Provi…

368. Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/gallagher4-report.pdf
     January 01, 2024 - Final Progress Report: Enhancing the Disclosure Of Medical Errors to Patients FINAL REPORT Agency for Healthcare Research and Quality Title of Project: Enhancing The Disclosure Of Medical Errors To Patients Principal Investigator and Team Members: Thomas H. Gallagher, MD Carolyn Prouty, DVM Mary Lucas Organizati…

369. Breaking Down Barriers to Aseptic Catheter Insertion | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
     December 01, 2017 - task: Multiple steps Something can go wrong at any point Does not evoke visceral response, yet harms

370. Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
     January 01, 2024 - Final Progress Report: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Final Report to Agency for Healthcare Research and Quality Title of Project: Multicenter Medication Reconciliation Quality Improvement Study (MARQUIS) Principal Investigator: Jeffrey L. Schnipper, MD, MPH Team Members:…

371. 110-Ss-Lfd-Sample (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Tool—Sample Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is a Defect? A defect is any clinical or operational event or situation that you would not want to happen again. This could include i…

372. A Conceptual Model for Disclosure of Medical Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Fein.pdf
     January 01, 2004 - A Conceptual Model for Disclosure of Medical Errors 483 A Conceptual Model for Disclosure of Medical Errors Stephanie Fein, Lee Hilborne, Margie Kagawa-Singer, Eugene Spiritus, Craig Keenan, Gregory Seymann, Kaveh Sojania, Neil Wenger Abstract Objective: Patient safety is fundamental to high-quality patient…

373. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
     July 01, 2003 - Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors 185 Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors Emily Beth Devine, Jennifer L. Wilson-Norton, Nathan M. Lawless, Thomas K. Hazlet, R…

374. TeamSTEPPS Diagnosis Improvement Course | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/diagnosis-improvement/index.html
     October 01, 2024 - TeamSTEPPS Diagnosis Improvement Course TeamSTEPPS® is an evidence-based program built on a framework composed of four teachable, learnable skills—communication, leadership, situation monitoring, and mutual support. The TeamSTEPPS for Diagnosis Improvement Course applies the TeamSTEPPS framework to the specific…

375. Module 5: PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
     May 01, 2017 - Module 5: PowerPoint Presentation Management Practices for Sustainability Module 5: Visual Management AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-4-EF May 2017 | ‹#› AHRQ Safety Program for Ambulatory Surgery 1 A Frontline Management System To Promote Safety Standard Work * Qu…

376. Sensemakingnotes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
     June 02, 2025 - SAY: The “Identify Defects Through Sensemaking” module of the Comprehensive Unit-based Safety Program (or CUSP) Toolkit will help you identify recurring defects in your system and apply CUSP and Sensemaking tools to help reduce the risk of future harm to your patients. Slide 1 SAY: Some of the tools that will help…

377. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
     August 24, 2015 - PowerPoint Presentation Communication and Optimal Resolution (CANDOR) Toolkit Module 7: Resolution Module 7 of the CANDOR Toolkit describes the resolution phase of the CANDOR process. 1 Objectives Define the CANDOR Resolution component and its importance in the CANDOR process. List the steps of the resolution pr…

378. National Action Alliance for Patient and Workforce Safety Commitment (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-commitment-statement.pdf
     June 02, 2025 - National Action Alliance for Patient and Workforce Safety Commitment National Action Alliance for Patient and Workforce Safety Commitment Vision Safe care everywhere, zero preventable harm for all. Mission A total systems approach to safety that is focused on culture, leadership, and governance; pa�ent a…

379. Implications for Practice Improvement, Research, and Policy | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults3.html
     August 01, 2024 - This approach can help reduce the risk of overtesting and resulting harms.

380. National Action Alliance Webinar June 18, 2024: Empowering Patient Voice in Safety Strategies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
     January 01, 2024 - National Action Alliance Webinar June 18, 2024: Empowering Patient Voice in Safety Strategies Empowering Patient Voice in Safety Strategies: Understanding and Operationalizing the National Action Alliance Aim #2 NATIONAL WEBINAR SERIES June 18, 2024 Housekeeping Instructions • This webinar will be recorded a…