-
www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - errors are treated as an opportunity to learn
about root causes and prevent future errors and risks of harm … Hospice/comfort/palliative care—This is an acceptable indication for catheter use in end-
of-life care … when it facilitates meeting patient and family goals in a dying patient or helps
with patient comfort … An exception would be for patients who are receiving end-of-
life or palliative care and in whom a catheter … Frontline
staff will have daily information about how well they are doing to prevent this patient harm
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Complications ............................................................... 4
Examples of Patient Harm … AHRQ Safety Program for Reducing CAUTI in Hospitals Resident Physicians 6
Examples of Patient Harm … End-of-life care (hospice/comfort/palliative care). This addresses patient comfort at
end of life. … Cultures from nonsterile sites may trigger inappropriate antimicrobial use and risk patient
harm. … ill patients, assist healing of sacral and perineal
wounds in those with incontinence, or improve comfort
-
www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
January 01, 2025 - The sampling rates need to be such that events occurring over seconds and causing harm in minutes
can … be detected and rescue initiated before harm occurs.
6. … No patients experienced permanent harm due to sedative/
analgesic medication administration during the … All patients on the palliative care service were excluded. … a 100% inpatient review, excluding complications present on admission and
patients admitted to the palliative
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … involvement
■ A mucosal, arterial or venous ulcer
■ A diabetic foot ulcer
■ A pressure ulcer related to palliative … DVT and/or PE identified on screening exam or incidentally)
VTE occurring in a patient receiving palliative … or comfort care
Thrombosis involving another venous system such as intracranial veins or sinuses,
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
January 01, 2020 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … DVT and/or PE identified on screening exam or incidentally)
VTE occurring in a patient receiving palliative … or comfort care
Thrombosis involving another venous system such as intracranial veins or sinuses,
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … No Harm, or Harm (i.e., Mild harm, Moderate harm, Severe harm or Death). … DVT and/or PE identified on screening exam or incidentally)
VTE occurring in a patient receiving palliative … or comfort care
Thrombosis involving another venous system such as intracranial veins or sinuses,
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/healthyliving-slides.html
April 01, 2018 - Supportive and Palliative Care. … Chartbooks Organized Around Priorities of the National Quality Strategy
Making care safer by reducing harm … Supportive and Palliative Care. … Reducing the risk of harm from medication errors in children. … Focuses on enhancing patient comfort and quality of life and preventing and relieving symptoms and complications
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/mcc-summit/mcc-summit-proceedings.pdf
October 01, 2021 - measuring engagement; strategies for better aligning
clinical goals and patient goals; understanding harm … They also
underscored the potential harm of health information technology solutions – by adding
complexity … that prioritizes patient goals in
terms of length of life, quality of life, simplicity, dignity, and comfort … as being beneficial for supporting individuals with chronic conditions or
complex disease (e.g., palliative
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/engaging-challenging-full.pdf
May 01, 2024 - Overdiagnosis: an underrecognized cause of confusion and harm in cancer
screening. … Mammography for breast cancer screening:
harm/benefit analysis. … deadopt* OR
“de-adopt*”) OR TI (Deimplement*
OR "de-implement*" OR "Medical
Overuse" OR "Patient Harm … breast cancer screening emphasizes
harms of screening: “Mammography for Breast
Cancer Screening: Harm … System
Chief of UCSF Division of
Geriatrics and Professor of
Medicine; Section Chief,
Geriatrics, Palliative
-
www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - Many
of the cases reviewed resulted in patients suffering death or irreparable harm. … in harm to the patient. … No
detectable
harm
Minimal
temporary
harm
Moderate
temporary
harm
Severe
temporary
harm
Severe … permanent
harm
Death
English Speaking
Limited English Proficient
Figure 3. … Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients
Source:
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pptx
January 01, 2020 - Chartbooks Organized Around Priorities of the National Quality Strategy
Making care safer by reducing harm … Reducing the risk of harm from medication errors in children. … Accessed March 24, 2016.
93
Supportive and Palliative Care
Chartbook on Healthy Living
94
Goals … Supportive and palliative care:
Cuts across many medical conditions. … Focuses on enhancing patient comfort and quality of life and preventing and relieving symptoms and complications
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/healthyliving/qdr2015-chartbook-healthyliving.pdf
January 01, 2020 - Making care safer by reducing harm caused in the delivery of care
2. … Reducing the risk of harm from medication errors in children. … Supportive and Palliative Care
Goals of Supportive and Palliative Care
Disease cannot always be … Supportive and palliative care:
■ Cuts across many medical conditions. … ■ Focuses on enhancing patient comfort and quality of life and preventing and relieving
symptoms
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-older-adults.pdf
January 17, 2024 - challenge and is estimated to affect at least 1 in 20 U.S. adults, with
the potential to lead to severe harm … have
found that symptoms shift to more depression, emptiness, and somatic complaints,33 with self-harm … age 50 lack reliable transportation to meet their
needs.56 Lack of access to public transport can harm … Recent efforts have called for the study and mitigation of harm
from diagnostic errors in older adult … provide structured monitoring and followup of
new medications, improve medication use, and reduce harm
-
www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-4-implementation-guide.pdf
September 01, 2021 - For
example, a patient only receiving palliative care or one with advanced dementia should probably … If you find inaccurate data that could directly harm a patient, then you and your staff should
follow … On the other hand, if the quality issue
doesn’t cause anyone any serious harm, then addressing it is
-
www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/baseline-scan-appendices.pdf
February 22, 2024 - anyone who's really
sick and if the physician has more trust with them, they're more likely to try palliative … anyone who's really sick and if the physician has more trust with them, they're more likely to try palliative
-
www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
January 01, 2024 - Reducing alert fatigue for comfort care and
palliative care hospital patients.
-
www.ahrq.gov/research/shuttered/acfselection/chapter4.html
July 01, 2018 - If palliative care will be necessary, those patients should be cohorted, preferably in a separate area … other countermeasures; health communications;
Security and safety of subjects and staff;
Reasonable comfort