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  1. pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
    June 01, 2021 - The long-term goal is to eliminate preventable harm. … safety · Improve teamwork and communication · Recognize current practices that may lead to patient harm
  2. pbrn.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
    December 01, 2017 - leadership, experience, history and tradition Slide 7 The Culture of Safety and Assessment of Harm … Believe that failure to follow guidelines may cause harm Built in alerts Consequences for failure
  3. pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/index.html
    March 01, 2023 - SHARE: More topics in this section Health Literacy About Health Literacy Health Literacy Improvement Tools Professional Education and Training Health Literacy Publications Patient Engagement and Education Research Tools, Data, and…
  4. pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - prevent misunderstandings and improve communication, the most significant contributing factor to prevent harm … Transparency is also important in addressing system factors that may contribute to harm.
  5. pbrn.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
    June 01, 2023 - SHARE: More topics in this section TeamSTEPPS Program TeamSTEPPS Updates Welcome Guides Curriculum Materials Introduction to Curriculum Module 1: Communication Module 2: Team Leadership Module 3: Situation Monitoring S…
  6. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - • Contributions of human factors to errors that have led to harm.
  7. pbrn.ahrq.gov/news/newsroom/case-studies/202304.html
    October 01, 2023 - program to learn about opioid use disorder, treatment using medications (particularly buprenorphine), harm
  8. pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
    January 01, 2013 - 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS Patient Safety Circa 2000: “efforts to prevent unintended harm … patients to “speak up” and share their ideas about reducing harm
  9. pbrn.ahrq.gov/es/tools/index.html
    December 01, 2015 - , to help health care institutions and practitioners respond when unexpected events cause a patient harm
  10. pbrn.ahrq.gov/tools/index.html
    December 01, 2015 - , to help health care institutions and practitioners respond when unexpected events cause a patient harm
  11. pbrn.ahrq.gov/hai/pfp/2014-final.html
    January 01, 2018 - Although the precise causes of the decline in patient harm are not fully understood, the increase in … result of the reduction in the rate of HACs, we estimate that approximately 798,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013, and 2014
  12. pbrn.ahrq.gov/news/newsletters/e-newsletter/874.html
    August 01, 2023 - Alliance is a public–private collaboration to support healthcare delivery systems’ move toward zero harm
  13. pbrn.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-b.html
    June 01, 2020 - Definitive outcomes represent permanent or at least long-term harm to the individual and include examples … preventable injuries produced by health care as well as research that evaluates interventions meant to reduce harm … would occur when a health care professional feels empowered to speak up when he/she notices a risk of harm … Patient Safety Studies of opioid-related harm in general are not automatically included as patient … safety studies, because they are not necessarily indicative of harm from health care.
  14. Scisafetynotes (doc file)

    pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
    September 04, 2012 - influenced by the environment in which he or she works and can be responsible for mistakes that inflict harm … specific results, they are better prepared to join system improvement activities for reducing patient harm … independent checks can prevent unnecessary procedures and medication errors that result in patient harm
  15. pbrn.ahrq.gov/news/newsroom/case-studies/202202.html
    February 01, 2022 - The reduction not only prevented patient harm, it also saved an estimated $385,000 in healthcare costs
  16. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
    April 01, 2016 - ■ Assess event for potential harm based on report/cursory electronic medical record review.
  17. pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - • Preventable Harm From Pediatric Outpatient Medication Errors: Measure Development: This project
  18. pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_fall-prevention.docx
    March 01, 2013 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm
  19. pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/guide.html
    September 01, 2017 - More importantly, falls harm patients. … One of the best ways to engage leaders is to tell patient stories of harm and to discuss what drives … For example, in addition to decreasing overall harm to your patients, what is the cost avoidance estimation … Team continues to have goals that are aligned with the organization’s culture and goals of preventing harm
  20. pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2020_MOSOPS_Infographic.pdf
    January 01, 2020 - 2020 SOPS Medical Office Database Report Executive Summary Overview Infographic Surveys on Patient Safety Culture (TM) Findings from the 2020 Surveys on Patient Safety Culture (SOPS) Medical Office Database The SOPS Medical Office Survey assesses provider and staff perceptions of their organization's patient sa…

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