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pcmh.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!
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pcmh.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.html
March 01, 2024 - SHARE:
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About
About AHRQ
AHRQ's 35th Anniversary
Profile
Mission and Budget
AHRQ’s Core Competencies
Health Equity
National Advisory Council for Healthcare Research and Quality
National Actio…
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
June 01, 2020 - identifying, assessing, and reducing patient safety threats in real time, before they manifested in actual harm … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm
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pcmh.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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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm
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pcmh.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
July 01, 2023 - standard approaches to performing structured handoffs, they are more likely to avoid omissions that can harm
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pcmh.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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pcmh.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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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - 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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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - 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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pcmh.ahrq.gov/teamstepps/instructor/index.html
August 01, 2022 - delivery of quality health care and to preventing and mitigating medical errors and patient injury and harm
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pcmh.ahrq.gov/cpi/about/otherwebsites/qsrs.ahrq.gov/index.html
March 01, 2021 - Captures an "all-cause harm" measurement that hospitals and clinicians can use to better target and measure
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pcmh.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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pcmh.ahrq.gov/npsd/resources/index.html
June 01, 2019 - care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm
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pcmh.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
August 01, 2022 - Bylaws for medical staff and/or hospital
Peer review process
Oversight/management of adverse or "harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - of the
time” discuss ways to keep residents safe, tell
someone if they see something that might
harm
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pcmh.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm
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pcmh.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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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - 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