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cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Holds all staff accountable for carrying out agreed-upon activities designed to reduce patient harm.
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cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
January 05, 2022 - Preventing diagnostic harm is the foremost goal for patients and their families, as
well as healthcare
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cahps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - this isn’t just about having a delay in getting test results to
someone, but it can result in real harm
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cahps.ahrq.gov/healthsystemsresearch/hspc-research-study/breadth-and-focus.html
July 01, 2021 - Skip to main content
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cahps.ahrq.gov/teamstepps/simulation/traininggd1.html
July 01, 2016 - repeating the order, it was really clear that there was a mistake and they corrected it before it did any harm
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cahps.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Slide 8
Case
Image: Diagram showing the causes of urinary catheter harm.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Obstetric Hemorrhage
Labor and Delivery Unit Safety—Obstetric Hemorrhage
Purpose of the tool: This tool describes the key perinatal safety elements related t…
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Clearing the smoke:
assessing the science base for tobacco harm
reduction. … Interventions to
reduce harm from continued tobacco use.
Cochrane Database Syst Rev 2007.
324. … Applying the risk/use equilibrium: use
medicinal nicotine now for harm reduction. … Persistent smoking
among Northern Plains Indians: lenient
attitudes, low harm value, and partiality … Smokeless tobacco use: harm reduction or
induction approach? Prev Med 2004;38:309-
17.
747.
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/implguide_0.pdf
March 01, 2006 - Breakdowns in team performance could result in harm to patients. … 32 TeamSTEPPS 2.0
Incorporates redundancy and back-up systems to minimize risk of patient harm … errors and process failures)
Incorporates redundancy and back-up systems to minimize risk of patient harm
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - Everybody who works in the facility needs to work together to practice infection prevention
to prevent harm … Harm to residents from infections can increase if staff members are reluctant
to report lapses in infection
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cahps.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety
SAY:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
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cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - However, putting a human face on each harm event or near miss can engage staff in a powerful way that
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - 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/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - feedback also allows a person to continue doing something incorrectly, unknowingly, and that can cause harm … requested clarification but the response or confirmation does not alleviate the concern regarding potential harm
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cahps.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - clarification, but the response or confirmation does not alleviate the concern regarding potential harm
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - Labor and Delivery Unit Safety
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
AHRQ Publication No. 17-0003-21-EF
May 2017
SAY:
The “Labor and Delivery Unit Safety” bundle
provides information on the key safety
elements concerning four specific situations
encountered in labor and deliv…
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cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Data are more precise for the
overall harm rates than for individual metrics.
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cahps.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Definitions
Adverse Drug Events (ADE)
An event in which administration of a medication results in harm
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cahps.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
January 01, 2024 - with Fall TIPS is
neutral)
Societal Benefits Monetized quality adjusted life
years
Literature on harm