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Showing results for "harms".
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www.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.htmlDecember 01, 2017 - Use strategies to educate patients and family members about catheter harms.
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdfJanuary 01, 2024 - Final Progress Report: Proactive Risk Assessment of Primary Care of the Elderly Title: Proactive Risk Assessment of Primary Care of the Elderly Principal Investigator and Team Members: Ben-Tzion Karsh, PhD (PI) Brian Arndt, MD John Beasley, MD Vicki Bier, PhD Roger Brown, PhD Pascale Carayon, PhD Sue Dovey, P…
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cds.ahrq.gov/sites/default/files/cds/artifact/171/NIOSH_Occupational%20Factors%20Impacting%20Diabetes_Decision%20Log_condensed.pdfFebruary 01, 2018 - NIOSH Occupational Factors Impacting Diabetes Decision Log, Condensed February 2018 Guideline Excerpt …Clinicians should ask about relevant features of current job(s) that are recognized to impact diabetes management: shift work, ability to take breaks, exposure to heat or temperature extremes, ability to ea…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptxJuly 07, 2012 - Role of the Nurse Manager, Unit Team Lead Learning Objectives Understand the responsibilities of the nurse manager Understand the leadership and management roles of the nurse manager Learn about key business and health care quality improvement frameworks Learn about the quality improvement measures nurse…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdfJune 02, 2025 - AHRQ Hospital Survey on Patient Safety Culture: Items and Dimensions SOPS® Hospital Survey Items and Composite Version: 1.0 Language: English Note • For more information on getting started, selecting a sample, determining data collection methods, establishing data collection procedures, conducting a …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-slides.pptxJanuary 01, 2017 - Presentation: Program Overview Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-29-EF January 2017 Science of Safety ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Ob…
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Module 2: Example (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docxMay 01, 2017 - Module 2: Example AHRQ Safety Program for Ambulatory Surgery Management Practices for Sustainability Module 5: Visual Management Sample “Plan-Do-Study-Act”[footnoteRef:1] Form [1: “Plan-Do-Study-Act” refers to a method for testing changes in clinical practice. In the “plan” step, lay out the specifications of your… -
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section7.htmlMay 01, 2023 - Resident Physicians as Champions in Preventing Device-Associated Infections Preventing CAUTI: Focus on Culturing Stewardship Previous Page Next Page Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Devices…
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psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitativeNovember 04, 2020 - EMERGING INNOVATIONS The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis Citation Text: Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative compar…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843151/psn-pdfFebruary 01, 2023 - increased substantially over the last 15 years, there continues to be a need to understand the specific harms -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49480/psn-pdfMay 01, 2005 - diagnosis” to a clinical scenario The Commentary In medicine, there is often confusion about which harms -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865532/psn-pdfApril 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act. April 10, 2024 Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act In situ simulation can identi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39679/psn-pdfJanuary 19, 2011 - Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. January 19, 2011 Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers to assess the effects of involveme… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40586/psn-pdfMarch 21, 2017 - Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. March 21, 2017 Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43869/psn-pdfNovember 03, 2015 - Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. November 3, 2015 Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Int J Med In… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39212/psn-pdfMarch 04, 2011 - The impact of computerized provider order entry on medication errors in a multispecialty group practice. March 4, 2011 Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med Inform Assoc. 2010;17(1):78-84. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41027/psn-pdfSeptember 01, 2016 - Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. September 1, 2016 Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36342/psn-pdfMarch 02, 2011 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. March 2, 2011 Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Ann Intern Med. 2006;145(7):488-496. https://psnet.ahrq.gov/issue/missed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43115/psn-pdfDecember 18, 2014 - Multistate point-prevalence survey of health care- associated infections. December 18, 2014 Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. https://psnet.ahrq.gov/issue/multistate-point… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44845/psn-pdfJuly 01, 2016 - Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls. July 1, 2016 Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…
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