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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/assemble/assembleteam.docx
August 24, 2012 - primarily embodies adaptive work, in which unit teams help staff understand the results of preventable harm
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pbrn.ahrq.gov/teamstepps/lep/traintrainers/lepigtrainer.html
October 01, 2020 - foreign language skills or the patient's limited English, they place LEP patients at risk for physical harm … In addition, they place the ad hoc interpreter at risk for psychological harm.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/healthsystemsresearch/virtual-roundtable-discussion/climate-resiliency-roundtable-bios.pdf
February 01, 2022 - Fellow, is Principal of Perkins&Will and
Senior Advisor to the global non-profit Health Care Without Harm
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pbrn.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - should also be noted that for patients with limited English proficiency, who are at higher risk of harm
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule7.pptx
November 02, 2018 - or minor deviations early enough to correct and handle them before they become a problem, or pose a harm
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module5/igsitmonitor.pdf
February 12, 2014 - or minor deviations early enough to correct and handle them
before they become a problem or pose harm
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pbrn.ahrq.gov/teamstepps/webinars/index.html
September 01, 2019 - experiential learning of the TeamSTEPPS key principles on the path toward "zero events of preventable harm
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pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Slide 35: Annotated Run Chart
Image: Annotated run chart: med-surg falls with harm by quarter per
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pbrn.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Relationship Between Patient Harm and Reported Medical Errors in Primary Care: A Report from the ASIPS
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - ratios are,
with one exception, all below 1.0 makes intuitive sense: it is credible that the rate of harm
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - risks and hazards with an integrated approach in order to
continuously drive down preventable patient harm
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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - English
SOPS® Value and Efficiency Supplemental
Item Set for the SOPS Hospital Survey
Language: English
• Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0
to help hospitals assess…
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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Harm reduction.
Meet "where they are."
Patient priorities first.
Relationship-based.
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - claims, and quality operations
■ An understanding of the individual and systemic bases of patient harm … conventional and rhetorical message design logics.
2The overall Approach to Scoring the Group Project and Harm
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pbrn.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - Cross-Monitoring
A harm error reduction strategy that involves:
y Monitoring actions and stress levels
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pbrn.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - 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…
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pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - and recommend improvement approaches
☐ Perform proactive risk assessments to determine areas in which harm
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pbrn.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - CHG will not harm occlusive dressing or EKG leads.
Be careful to avoid deep surgical wounds … CHG will not harm occlusive dressing (e.g., wound vacs).
Do NOT use on large or deep wounds
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pbrn.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - Appendix 2: CED Compiled Public Comment Themes
Summary_Out of Scope Comments
There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Oxytocin
Safe Medication Administration—Oxytocin
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…