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Showing results for "harms".

  1. Learn about CUSP | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/learn/index.html
    July 01, 2018 - Learn about CUSP The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. It— Shows how CUSP supports other quality and safety tools. Describes the CUSP framework and the goals of the CUSP Toolkit. …

  2. Children/Adolescents Who Present to the ED With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should See a Mental Health Professional for Follow-Up Within 7 Days of Discharge From the ED | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/measures/suicide-followup-after-discharge.html
    August 01, 2021 - Children/Adolescents Who Present to the ED With Dangerous Self-Harm or Suicidality Who Are Discharged to Home Should See a Mental Health Professional for Follow-Up Within 7 Days of Discharge From the ED Measure Domain: Management of Acute Conditions Measure Sub-Domain:  Pediatric Danger to Self PQMP COE: …

  3. Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm or Suicidality, Should Have Documentation in the Hospital Record That Their Caregiver Was Counseled on How To Restrict the Child's/Adolescent's Access | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/measures/inpatient-counseling-access.html
    August 01, 2021 - Children/Adolescents Who Were Admitted to the Hospital for Dangerous Self-Harm or Suicidality, Should Have Documentation in the Hospital Record That Their Caregiver Was Counseled on How To Restrict the Child's/Adolescent's Access Measure Domain: Management of Acute Conditions Measure Sub-Domain: Pediatric D…

  4. Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm or Suicidality Should Have Documentation in the Hospital Record of Discussion Between the Hospital Provider and the Patient's Outpatient Provider Regarding the Plan for Follow-Up | Agency for Healthcare Research and Quality

    www.ahrq.gov/pqmp/measures/followup-discussion.html
    August 01, 2021 - Children/Adolescents Admitted to the Hospital for Dangerous Self-Harm or Suicidality Should Have Documentation in the Hospital Record of Discussion Between the Hospital Provider and the Patient's Outpatient Provider Regarding the Plan for Follow-Up Measure Domain: Management of Acute Conditions Measure Sub-D…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47348/psn-pdf
    September 05, 2018 - Hospital-Acquired Condition Reduction Program (HACRP). September 5, 2018 QualityNet. Centers for Medicare and Medicaid Services. https://psnet.ahrq.gov/issue/hospital-acquired-condition-hac-reduction-program Eliminating hospital-acquired harm requires policy, organizational, and individual approaches to motivate …

  6. Medication Mix-Up: From Bad to Worse | PSNet

    psnet.ahrq.gov/web-mm/medication-mix-bad-worse
    March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - A Double “Never Event”: Wrong Patient and Wrong Side. September 27, 2023 Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side The Case A first-year orthopedic surgery resident was consulted…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49633/psn-pdf
    September 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33654/psn-pdf
    August 01, 2007 - In Conversation with...James L. Reinertsen, MD August 1, 2007 In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md Editor's Note: James L. Reinertsen, MD, heads the Reinertsen Group, a prominent health care consulting firm …

  10. Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdf
    May 01, 2017 - Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety AHRQ Publication No. 17-0003-1-EF May 2017 SAY: This module introduces the comprehensive unit-based safety program, …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49531/psn-pdf
    March 01, 2007 - Failure to Report March 1, 2007 Spath P. Failure to Report. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/failure-report Case Objectives List common causes of medical errors. Appreciate the magnitude of underreporting of adverse events. List the common barriers to reporting adverse events and near misses…

  12. Facilitator Notes | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
    December 01, 2012 - Facilitator Notes CUSP Toolkit, Apply CUSP The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPPS®…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865656/psn-pdf
    April 24, 2024 - Verbal Orders and Medication Overrides: A Dangerous Combination April 24, 2024 Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination The Case A 26-ye…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47740/psn-pdf
    April 10, 2019 - Abandon the term "second victim." April 10, 2019 Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233. https://psnet.ahrq.gov/issue/abandon-term-second-victim The term "second victim," coined by Dr. Albert Wu, has engendered mixed responses from …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842435/psn-pdf
    January 26, 2023 - Driving Learning and Improvement After RCA2 Event Reviews. January 11, 2023 Collaborative for Accountability and Improvement. January 26, 2023. https://psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews Root cause analysis (RCA) is a recognized approach to examining failures by identify…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44504/psn-pdf
    March 15, 2016 - Do clinician disruptive behaviors make an unsafe environment for patients? March 15, 2016 Dang D, Bae S-H, Karlowicz KA, et al. Do Clinician Disruptive Behaviors Make an Unsafe Environment for Patients? J Nurs Care Qual. 2016;31(2):115-123. doi:10.1097/NCQ.0000000000000150. https://psnet.ahrq.gov/issue/do-clinicia…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39818/psn-pdf
    January 04, 2011 - Diagnostic error in a national incident reporting system in the UK. January 4, 2011 Sevdalis N, Jacklin R, Arora S, et al. Diagnostic error in a national incident reporting system in the UK. J Eval Clin Pract. 2010;16(6):1276-81. doi:10.1111/j.1365-2753.2009.01328.x. https://psnet.ahrq.gov/issue/diagnostic-error-n…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45008/psn-pdf
    June 28, 2018 - Opioid Overdose. June 28, 2018 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/opioid-overdose Concerns about patient harm from prescription opioid misuse are increasing in the United States. This website provides guidelines for use of opioid medications and information to raise awareness …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50939/psn-pdf
    February 26, 2020 - Homecare safety virtual quality improvement collaboratives February 26, 2020 Miller W, Asselbergs M, Bank J, et al. Homecare safety virtual quality improvement collaboratives. Healthc Q. 2020;22(SP). doi:10.12927/hcq.2020.26042. https://psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaborative…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50759/psn-pdf
    December 18, 2019 - The lurking danger in the “business case” for patient safety December 18, 2019 Millenson ML. Health Affairs Blog. December 2, 2019. https://psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety The two decades since To Err Is Human was published have raised and addressed a myriad of concerns affecting …
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