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Showing results for "harms".

421. Exhibit 3. Reporting of patient safety events | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh3.html
     August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Exhibit 3. Reporting of patient safety events Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Chapter 2. Conceptual Framework and Desi…

422. Resident Physicians as Champions in Preventing Device-Associated Infections | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/phys-championsgd/index.html
     October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices and Complications Examples of Patient Harm Related to Invasive…

423. Module 5: Component Kit (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-component-kit.docx
     May 01, 2017 - Module 5: Component Kit Visual Management Board Component Kit Contents 1. Why Have a Visual Management Board? 2 2. Tips for Using a Visual Management Board 2 3. Plan-Do-Study-Act “Ramp”: Learn To Use a Visual Management Board 2 4. Visual Management Board Example: Elements You Can Use (Figure 1) 4 5. Connections to …

424. Presentation: Science of Improving Patient Safety and Identifying Defects
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
     December 01, 2017 - Presentation: Science of Improving Patient Safety and Identifying Defects The Science of Improving Patient Safety and Identifying Defects AHRQ Safety Program for Surgery Onboarding AHRQ Pub No. 16(18)-0004-15-EF December 2017 Science of Improving Patient Safety ‹#› AHRQ Safety Program for Surgery – …

425. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
     October 01, 2015 - by an expert panel to assess whether the expected benefits of a medical procedure outweigh potential harms … output after discharge home Exceptions: The benefits of urinary catheters may outweigh potential harms … It is also important to address the noninfectious harms of unnecessary urinary catheters such as discomfort

426. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
     February 01, 2024 - Improving the Safety of Diagnosis and Therapy in the Inpatient Setting Principal Investigators: Anuj K. Dalal, M.D., and David Bates, M.D., MSc., Brigham & Women’s Hospital, Boston, MA AHRQ Grant No.: HS26613 Project Period:  09/01/18-06/30/22 Description: The overall goal of this learning lab was to i…

427. HRQ Safety Program for Perinatal Care: Labor and Delivery Unit Staff Safety Assessment (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/assessment.docx
     May 01, 2017 - HRQ Safety Program for Perinatal Care: Labor and Delivery Unit Staff Safety Assessment AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Staff Safety Assessment Purpose: To tap into the knowledge and experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., healt…

428. Addressing Unhealthy Alcohol Use: Resources From AHRQ | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/954.html
     April 01, 2025 - reducing the quantity and frequency of use, improving functional outcomes and minimizing substance-related harms

429. 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state1.html
     January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References …

430. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
     September 01, 2022 - Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Clinical preventive services (CPS), such as vaccinations and cancer screenings, can help individuals live longer, heal…

431. Fall Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Fall_Dashboard_Data_2024.xlsx
     January 01, 2024 - Introduction Introduction-Falls The tables in this workbook present data on Fall 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 frequencies of reports by age group, by the extent of resi…

432. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
     August 01, 2022 - Module 8: Organizational Learning and Sustainability AHRQ Communication and Optimal Resolution Toolkit Facilitator Notes Say: Module 8, the last module in the CANDOR Toolkit, provides an overview of organizational learning and how an organization can develop a sustainability plan to assure the CANDO…

433. 6 Tk1 T5-Suspect A Urinary Tract Infection Brochure Ma Coalition Final (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
     June 02, 2025 - Suspect a Urinary Tract Infection? How Taking Antibiotics When You Don’t Need Them Can Cause More Harm Than Good Did You Know That… »Up to 50 percent of all antibiotics prescribed are not needed or are not prescribed appropriately? »Confusion or sudden behavior changes don’t necessarily indicate a urinary tra…

434. Candor-Impguide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/candor-impguide.pdf
     April 01, 2016 - Purpose: The Communication and Optimal Resolution (CANDOR) 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, implementation phases, resources, and responsibilities to support s…

435. Six Domains of Healthcare Quality | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/measures/six-domains.html
     March 01, 2025 - Six Domains of Healthcare Quality A handful of analytic frameworks for quality assessment have guided measure development initiatives in the public and private sectors. One of the most influential is the framework put forth by the Institute of Medicine (IOM), which includes the following six aims for the health…

436. Funding and Implementation Opportunities | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/funding-opportunities/index.html
     March 01, 2025 - Funding and Implementation Opportunities This is a curated list of active federally sponsored implementation initiatives and funding opportunities geared toward improving patient and healthcare workforce safety to contribute to a more resilient healthcare system.  Implementation Opportunities AHRQ Implementatio…

437. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events | Agency for Healthcare Research and Quality
     www.ahrq.gov/diagnostic-safety/tools/measure-dx.html
     March 01, 2024 - Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events Diagnostic errors are major contributors to patient harm. Strategies to identify and analyze these events are still emerging, but several show promise for use in operational settings. The Agency for Healthcare Resea…

438. SOPS® Nursing Home Survey on Patient Safety (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-english.docx
     September 01, 2024 - SOPS® Nursing Home Survey on Patient Safety SOPS® Nursing Home Survey Version: 1.0 Language: English · For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a web-based survey, and preparing and analyzing data, and prod…

439. 035-Importance-Mrsa-Prevention-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
     October 01, 2024 - Slide 7 Summarizing MRSA as a Threat SAY: To recap, the major harms from MRSA infections include prolonging

440. Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-walsh.html
     October 01, 2023 - Grantee Profile Preventing Medication Errors Among Children With Chronic Conditions in Outpatient and Home Settings Kathleen Walsh, M.D., M.Sc. Director, Patient Safety Research Core Boston Children’s Hospital Kathleen Walsh, M.D., M.Sc. “AHRQ funding enables researchers to build a body of w…