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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4a_combo_psi03-pressureulcer-bestpractices.pdf
January 01, 2012 - • Pressure ulcers represent an important patient adverse event that is associated with significant
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December 01, 2012 - Studies
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Say:
Nurse managers should obtain data on quality outcomes and adverse events monthly
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December 01, 2012 - Studies
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healthcare411.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Studies
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Events … effective strategies to reduce medical errors and harms, such as healthcare-associated infections, adverse … drug events, and preventable hospital readmissions ( Agency for Healthcare Research and Quality, 2018 … the provision of a treatment as appropriate), as well as both intermediate (e.g., disease control, adverse … patient safety events, patient experience) and definitive outcomes of care (e.g., quality of life, mortality
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Implement_Hndbook_508.pdf
April 30, 2013 - where
they can interact
with the health care
team
• This handout gives information on routine events … One study found that more than 70 percent of adverse
events are caused by breakdowns in communication … to Improve Quality strategy may also help to meet other goals
related to patient safety and never events
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February 01, 2024 - Studies
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November 01, 2023 - Studies
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March 01, 2014 - Studies
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Events … Our iceberg is melting: changing and succeeding under adverse conditions. New York: St.
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September 01, 2023 - Studies
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule1.pptx
January 01, 2011 - Washington state, improved the time from decision to the performance of a Caesarean section, with no adverse … Video Discussion
Think about the breakdowns you observed
in the stories:
Can you think of similar events … Of course, you would want to scrub them so that you're only sharing the sequence of events.
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healthcare411.ahrq.gov/teamstepps/lep/handouts/lepprocessmap.html
December 01, 2012 - Studies
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Events … increase in the appropriate use of drugs, biological products, or devices; and (II) the prevention of adverse
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July 01, 2004 - collaborative patient-physician relationship (e.g.,
“Make sure your doctor knows about any allergies and adverse … Medications and adverse drug events are a key and often-cited patient safety
topic that patient behavior
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April 01, 2016 - Studies
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