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pbrn.ahrq.gov/data/hcup/mental-disorders.html
May 01, 2023 - psychotic disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm
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pbrn.ahrq.gov/teamstepps/rrs/index.html
March 01, 2019 - quality healthcare and for the prevention and mitigation of medical errors and of patient injury and harm
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pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Transparency is also vital in addressing system factors that may contribute to harm. … choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … recognize when they are engaging in at-risk behavior and how their behavior might cause unjustifiable harm
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pbrn.ahrq.gov/data/visualizations/hiv-prep.html
October 01, 2023 - SHARE:
Go to Data Visualizations
Effectiveness of Pre-Exposure Prophylaxis To Prevent HIV Infection: Findings of a Systematic Review
This interactive visualization displays pooled estimates of meta-analysis results and individual study estimates of trials …
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pbrn.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the
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pbrn.ahrq.gov/action-alliance/index.html
Patient and Workforce Safety
Join the National Action Alliance in our progress toward zero preventable harm
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2
SECTION D: Near-Miss Documentation
► When something happens that could harm
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pbrn.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - momentum going with another important milestone in its ongoing commitment to moving toward zero patient harm
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pbrn.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 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…
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pbrn.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - interventions in the acute care setting, assessing the impact on diagnostic errors that lead to patient harm … Addressing diagnostic errors proactively using e-triggers to mitigate harm during inpatient episodes
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - performance improvement metrics, which allows for improvement of CANDOR processes, and prevention of similar harm … make the necessary changes that promote a timely, thorough, and just response to unexpected patient harm … training in the CANDOR process, the organization can continue to learn from errors and prevent similar harm … Ask patients and family members to share their stories to put a human face on a harm event and engage … Ask staff to share their stories of patient harm.
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pbrn.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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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?
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pbrn.ahrq.gov/news/newsletters/e-newsletter/878.html
August 01, 2023 - ET on 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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pbrn.ahrq.gov/news/newsletters/e-newsletter/880.html
September 01, 2023 - ET on 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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pbrn.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - (Item B5)
84% 80%
Staff tell someone if they see something that might harm a resident. … (Item B6) 89% 85%
In this nursing home, we discuss ways to keep residents safe from harm. … (Item B5)
83%
Staff tell someone if they see something that might harm a resident. … (Item B5)
79% 89%
Staff tell someone if they see something that might harm a resident. … (Item B6) 85% 89%
In this nursing home, we discuss ways to keep residents safe from harm.
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pbrn.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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pbrn.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - Be specific about how long you expect a benefit or harm to last. … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain. … cannot answer these questions correctly, STOP the line; that is, halt any activity that could cause harm
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pbrn.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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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - Believe it or not, even a test as simple as a urine culture can cause resident harm if used incorrectly … But the bacteria in the urine may not be causing any actual harm!