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pcmh.ahrq.gov/patient-safety/patients-families/index.html
June 01, 2023 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - of the
time” discuss ways to keep residents safe, tell
someone if they see something that might
harm … Incidents Staff discuss ways to keep residents safe, tell someone if
they see something that might harm … (Item B5) 82%
Staff tell someone if they see something that might harm a
resident. … (Item B6) 86%
In this nursing home, we discuss ways to keep residents safe from
harm. … and Communication About Incidents % Always/Most of the Time
When staff report something that could harm
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pcmh.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
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pcmh.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
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pcmh.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…
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pcmh.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.
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pcmh.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…
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pcmh.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.
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pcmh.ahrq.gov/news/newsroom/case-studies/202304.html
October 01, 2023 - program to learn about opioid use disorder, treatment using medications (particularly buprenorphine), harm
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pcmh.ahrq.gov/es/tools/index.html
December 01, 2015 - , to help health care institutions and practitioners respond when unexpected events cause a patient harm
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pcmh.ahrq.gov/tools/index.html
December 01, 2015 - , to help health care institutions and practitioners respond when unexpected events cause a patient harm
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pcmh.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
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pcmh.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
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pcmh.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.
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pcmh.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
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pcmh.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
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pcmh.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.
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pcmh.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
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pcmh.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
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pcmh.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