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Showing results for "harms".

9021. AHRQ-Funded Patient Safety Project Highlights (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
      July 01, 2024 - ■ Reduce patient harms and errors within hospital settings (e.g., falls, adverse drug interactions, … (CEC) Patient Safety Learning Lab 2018-2022 $2,435,858 Purpose: To reduce health and financial harms

9022. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
      June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…

9023. Code Status vs. Care Status | PSNet
      psnet.ahrq.gov/web-mm/code-status-vs-care-status
      September 30, 2020 - SPOTLIGHT CASE Code Status vs. Care Status Citation Text: Krisman RK, Spero H. Code Status vs. Care Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX End…

9024. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
      January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety Climate Survey: Tool Development and Lessons Learned Lynne M. Connelly, Judy L. Powers Abstract Objective: A key tenet of patient safety programs is the elimination of the “culture of blame.” The On-line P…

9025. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
      January 01, 2025 - Envisioning Patient Safety in the Year 2025: Eight Perspectives Envisioning Patient Safety in the Year 2025: Eight Perspectives Kerm Henriksen, PhD; Caitlin Oppenheimer, MPH; Lucian L. Leape, MD; Kirk Hamilton, FAIA, FACHA, MS; David W. Bates, MD, MSc; Susan Sheridan, MBA; Mark E. Bruley, CCE; David M. Gaba, MD;…

9026. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization Paul Conlon, PharmD, JD; Rebecca Havlisch, RN, JD; Narendra Kini, MD, MSHA; Christine P…

9027. Noninvasive Diagnostic Techniques for the Detection of Skin Cancers (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/skin-lesions-evaluation_technical-brief.pdf
      December 01, 2014 - Adverse events, harms, and safety issues reported vi. … For potential harms with the relevant devices, we queried the FDA Manufacturer and User Facility Device … Experience (MAUDE) database for any reported harms with the use of the relevant devices. … Potential safety issues and harms? nd  nd   nd nd nd nd nd nd d. FDA status1  ? … Little to no data was available to assess the safety and potential harms related to the use of these

9028. Department of Health and Human Services National Institutes of Health - National Institute for Research on Safety and Quality (NIRSQ) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
      January 01, 2021 - $72.032 $72.276 $59.927 FY 2019 Accomplishments by Research Activity: Patient Safety Risks and Harms … The issue of diagnostic safety has not received the same level of attention as other patient safety harms … Research has shown that preventable adverse events constitute nearly 60% of harms experienced by residents … Research Related to Risk and Harms At the FY 2021 President’s Budget level, Research related to Risk … and Harms will total $26.1 million, a decrease of $5.3 million from the FY 2020 Enacted level.

9029. Impoving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/Improving_diagnosis_flyer.pdf
      April 01, 2019 - Impoving Diagnosis Improving Diagnosis Diagnostic error is a significant and under-recognized threat to patient safety. ■ Diagnostic errors affect more than 12 million Americans each year and may seriously harm approximately 4 million. ■ Fifty-five percent of patients said diagnostic errors were a chief conce…

9030. Variation in the Implementation of California's Full-Service Partnerships | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/gilmerstudysnapshot/index.html
      April 01, 2015 - Variation in the Implementation of California's Full-Service Partnerships For Persons With Serious Mental Illness AHRQ Delivery System Research: Study Snapshot Authorized by California's Mental Health Services Act (MHSA), full-service partnerships (FSPs) provide integrated, supported housing and…

9031. Variation in the Implementation of California’s Full-Service Partnerships for Persons With Serious Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/gilmerstudysnapshot/gilmerstudysnapshot.pdf
      April 01, 2015 - Variation in the Implementation of California’s Full-Service Partnerships for Persons With Serious Mental Illness AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT Variation in the Implementation of California’s Full- Service Partnerships for Persons With Serious Mental Illness Todd P. Gilmer, Marian L. Katz, Ana Stefa…

9032. Communication Assessment Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
      August 01, 2022 - Communication Assessment Guide AHRQ Communication and Optimal Resolution Toolkit Purpose: To help you identify members of your organization who are effective at delivering disclosure communications. Who should use this tool? Communication and Optimal Resolution (CANDOR) Implementation Team, Disclosure Lea…

9033. Improving Antibiotic Use is a Patient Safety Issue
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-slides.pptx
      November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue Sustaining Stewardship Activities Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 AHRQ Safety Program for Improving Antibiotic Use – Acute Care Sustaining Stewardship 1 Objectives Review the goals of an anti…

9034. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
      June 01, 2017 - Sample “Plan-Do-Study-Act” Form Use this form to help you plan your introduction of daily huddles. It includes sections to help you plan and manage all the tasks necessary to introduce huddles. You can also use it to gauge the success of your initial attempt at introducing a huddle. Purpose:  Deve…

9035. Antibiotic Stewardship FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-faqs.html
      July 01, 2017 - Antibiotic Stewardship FAQs AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The frequently asked questions (FAQs) that are intended to support long-term care (LTC) facilities in the implementation of efforts to reduce the overuse of antibiotics. The answers to these commonly asked questions are…

9036. Home | PSNet
      psnet.ahrq.gov/
      March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…

9037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33604/psn-pdf
      December 15, 2024 - Pharmacist's Role in Medication Safety December 15, 2024 The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

9038. Variation in the Implementation of California’s Full-Service Partnerships for Persons With Serious Mental Illness (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/gilmerstudysnapshot.pdf
      April 01, 2015 - Variation in the Implementation of California’s Full-Service Partnerships for Persons With Serious Mental Illness AHRQ DELIVERY SYSTEM RESEARCH: STUDY SNAPSHOT Variation in the Implementation of California’s Full- Service Partnerships for Persons With Serious Mental Illness Todd P. Gilmer, Marian L. Katz, Ana Stefa…

9039. Adelman, Jason Stuart | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/adelman-jason-stuart
      July 24, 2024 - Adelman, Jason Stuart Medication Without Harm - How Digital Healthcare Tools Can Support Providers and Improve Patient Safety Event Date July 24, 2024 - 2:30pm - July 24, 2024 - 4:00pm Medication errors are a leading cause of injury and avoidable harm in healthcare, w…

9040. In Conversation with...Bradley T. Rosen, MD, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
      March 01, 2008 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms … In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms