-
ce.effectivehealthcare.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - of harm … after date/time of hospital
discharge
Clinical Exclusion
� Deceased at discharge or code
status of comfort … Transfers for postprocedure care
� >2 prior hospitalizations in the
past year
� Transfer to hospice or palliative … Pediatric clinician comfort discussing
diagnostic errors for improving patient safety: a survey. … We want to know: patient comfort
speaking up about breakdowns in care and patient experience.
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - Explain what preventable harm means and share success stories about how patient harms were prevented. … The other numbers are as follows: 1 – bed rest orders, 2 – patient on comfort/palliative care measures
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.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/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/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/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_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/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
-
digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review.pdf
January 01, 2021 - Transitions of Care for COPD Patients (TELE-
TOC), will let patients talk virtually with pharmacists, in the comfort … parent
engagement in the care of their hospitalized children, to improve patient care and
prevent harm … Identifying EHR usability issues and potential harm to patients
The research team developed algorithms … Explicit language was
identified to associate possible patient harm with an EHR usability
issue, in … These combined factors increase the likelihood of clinician
error, which in turn can harm patients.
-
www.ahrq.gov/research/findings/studies/index.html?page=84
January 01, 2024 - sought to identify participant-rated items contributing to patient attitudes, beliefs, and level of comfort … found that participants expressed significant support for intraoperative telemedicine use and greater comfort … highlights the importance of patient safety and that encourages team collaboration has demonstrated that harm
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/evidence-map-hcbs-draft-technical-brief.pdf
December 07, 2023 - care
A prospective study to
evaluate quality of home-
based palliative care in
Hawaii
Outcomes … Care
Leff and
Ritchie80
Patients for home-
based primary and
palliative care
Quality of care … Increased satisfaction with care and lower
costs: results of a randomized trial of in-
home palliative … Innovative models of home-based palliative
care. … Home-
based palliative care services for
underserved populations.
-
www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
-
monahrq.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
-
cahps.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
-
healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based. … prioritize engagement, outreach, provision of social and behavioral health care needs, and referral to palliative
-
ce.effectivehealthcare.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/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,
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.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