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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol2-3.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Eliciting Patients’ Diagnostic Experiences Using Rigorous Methods
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Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation…
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www.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.html
February 01, 2017 - Are there policies and procedures in place to assure that these interventions happen?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - Negative
We are good at changing processes to make
sure the same patient safety problems don’t
happen
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www.ahrq.gov/data/hcup/sepsis-state-hospital.html
March 01, 2025 - Sepsis in the United States
Sepsis is a life-threatening emergency that happens when a body's response to an infection damages vital organs and, often, causes death. It is one of the most expensive conditions treated in hospitals in the United States. This visualization presents data from the Healthcare Cost a…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - How many happen every year?
· What is his/her unit’s approach to catheter use? … In this scenario, the transporter didn’t understand what might happen because of wrong bag placement … Does anything like this happen in his/her facility?
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/medical-office/2016-report-part-1.pdf
January 01, 2016 - Mistakes happen more than they should in this office.
(F3R)
81%
3. … This office is good at changing office processes to make
sure the same problems don't happen again. … They overlook patient care mistakes that happen over
and over. (E2R)
82%
3. … Mistakes happen more than they should in this office. … They overlook patient care mistakes that happen over
and over.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - My supervisor/manager overlooks patients safety problems that happen over and over. 71%
Slide 36 … We are informed about errors that happen in this department. 57%
3.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/improve/teams-infographic.html
March 01, 2017 - T.E.A.M.S. infographic
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Culture consists of values, attitudes, and beliefs that can have an impact on resident safety, care outcomes, and staff satisfaction.
Culture influences how change can occur.
T
Team Formation
The most effective…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/getting-ready.html
August 01, 2017 - role in the care team is to take the time to learn about your surgery—how to prepare, what's going to happen
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www.ahrq.gov/ncepcr/tools/obesity/obpcp5.html
May 01, 2014 - This can happen in any number of ways.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
May 01, 2017 - role in the care team is to take
the time to learn about your surgery—how to prepare, what’s going to happen
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7.html
October 01, 2014 - What will happen? … describe key processes in your organization where pressure ulcer prevention activities could or should happen
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www.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - Safety Tips for Hospitals
Medical errors may occur in different health care settings, and those that happen
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www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
October 01, 2014 - CUSP: How it Empowers Nurses in the Hospital
Nurses are empowered when —
They see change happen
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - [text box]
When did it happen? [text box]
Why do you think this happened?
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www.ahrq.gov/hai/cusp/modules/patient-family-engagement/index.html
July 01, 2018 - Patient and Family Engagement
The Patient and Family Engagement module of the CUSP Toolkit focuses on making sure patients and their family members understand what is happening during the patient's hospital stay, are active participants in the patient's care, and are prepared for discharge.
This module expl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/connecting-dots-100813.ppt
January 01, 2013 - My supervisor/manager overlooks patient safety problems that happen over and over. … My supervisor/manager overlooks patient safety problems that happen over and over. … We are informed about errors that happen in this department. (C3)
3. … We are informed about errors that happen in this department. (C3) 57%
3.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/lessons_from_top-performing_medical_practices_CG-CAHPS_transcript.pdf
October 01, 2014 - , has been doing this for about three years now, and we
were rather focused on trying to make that happen … Yee, how do you ensure that they actually happen? Are they put on the
physician schedule? … Who is responsible for making them happen?
Mon L. Yee
All of us are. … So in 2015, it will happen next March, for the two-week period from March 16th through the 27th. … For the Health Plan survey database, submission will happen
during the summer of 2015, and we will be
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www.ahrq.gov/talkingquality/plan/partners/index.html
May 01, 2019 - experience with quality measurement and reporting as well as the flexibility to move quickly to make things happen
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www.ahrq.gov/patient-safety/reports/hotline/appd.html
May 01, 2016 - If no, what will happen?
Probe: have there been any glitches that we should know about?
G.