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cahps.ahrq.gov/talkingquality/measures/six-domains.html
December 01, 2022 - Medicine (IOM), which includes the following six aims for the healthcare system. [1]
Safe : Avoiding harm
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cahps.ahrq.gov/news/blog/ahrqviews/healthcare-climate-change.html
October 01, 2021 - and exacerbated long-standing racial, ethnic, and economic health disparities, with disproportionate harm
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cahps.ahrq.gov/news/newsletters/e-newsletter/895.html
January 01, 2024 - researchers concluded that three-quarters of these diagnostic errors contributed to temporary or permanent harm … Parents' understanding of medication at discharge and potential harm in children with medical complexity
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cahps.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - the emergency department based on these e-triggers and describe the burden of preventable diagnostic harm
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and
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cahps.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Falls harm patients.
30% to 51% of falls result in injury.
Many falls are preventable. … Slide 28: Annotated Run Chart
Image: Line graph shows JAH VAMC Med-Surg falls with harm by quarter … The Team and its goals should be:
Aligned with its organization’s goals of preventing harm.
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cahps.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - colleagues, first make the CLABSI problem real by identifying a patient on your
unit who suffered needless harm … The goal
should be that no patient suffers harm from a preventable complication while on your unit. … Your unit’s goal should be that no patient suffers harm from a preventable complication while
under … analogous to someone on the health care team entering a patient room and intentionally
inflicting harm
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cahps.ahrq.gov/news/newsletters/e-newsletter/881.html
September 01, 2023 - highlight the Veterans Health Administration’s (VHA) Journey to High Reliability: Advancing Toward Zero Harm … Patient Safety , a public–private collaboration to support healthcare delivery systems’ move toward zero harm
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cahps.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-dec2013.pptx
January 01, 2013 - studies also reported patient outcomes
55% sig. improvement
Rates of reported errors resulting in pt. harm … Safety outcomes
Adverse events with teamwork and communication related root causes
Infection rates
Other harm
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemedication.pptx
May 01, 2017 - Medications1
High-alert medications are “drugs that bear a heightened risk of causing significant patient harm … Inappropriate use of oxytocin is one of the top areas of preventable perinatal harm.2,3
Types of inappropriate … Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - frequently used in long-term care
They comprise about 40% of all prescriptions
Antibiotics can cause harm … your communication consider having a brochure ready to provide more information about the potential harm
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cahps.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm … initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm
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cahps.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … The reduction not only prevented patient harm, it also saved an estimated $385,000 in healthcare costs
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cahps.ahrq.gov/news/newsletters/e-newsletter/866.html
May 01, 2023 - psychotic disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm … Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm
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cahps.ahrq.gov/news/newsletters/e-newsletter/824.html
August 01, 2022 - analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm … Development and testing of an emergency department quality measure for pediatric suicidal ideation and self-harm
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cahps.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - the emergency department based on these e-triggers and describe the burden of preventable diagnostic harm
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cahps.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
December 01, 2023 - This is due primarily to biases that result in undue harm to disadvantaged populations, which perpetuates
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cahps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - An understanding of the individual and systemic bases of patient harm. … conventional and rhetorical message design logics.
2 The overall Approach to Scoring the Group Project and Harm
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/casestudy.html
December 01, 2017 - Everyone is held responsible for actions to mitigate potential patient harm. … disciplines are assigned to carry out a "leave-no-stone-unturned" search for opportunities to prevent harm