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pcmh.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - Cross-Monitoring
A harm error reduction strategy that involves:
Monitoring actions of other team
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pcmh.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - potential issues or deviations early enough to correct and handle them before they become a problem or pose harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medoffice-resourcelist.pdf
April 01, 2023 - RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
http://www.ihi.org/resources/Pages/ … To focus on the objective of preventing future harm, this updated
process focuses on actions to take … provides practical tools and suggestions that can be incorporated
into clinical operations to eliminate harm … Quality Improvement Fundamentals Toolkit
RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
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pcmh.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - Many blood thinners can cause birth defects or bleeding that may harm your unborn child.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules.html#module5
and staff harm … support for improving performance from clinical decision
makers is key to helping your facility reduce harm … Toolkit Modules provides a team-based
approach to identifying factors that contributed to resident harm … leading causes for antibiotic overuse in long-term
care.12,13 Moreover, antibiotics can lead to resident harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse.pptx
October 01, 2017 - patient who has deteriorated physiologically; and
be able to intervene to minimize risk of serious harm
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pcmh.ahrq.gov/news/newsletters/e-newsletter/904.html
March 01, 2024 - SHARE:
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News
Newsroom
Blog
Newsletter
AHRQ News Now
Events
AHRQ Views: Commemorating 35 Years as an Independent Science Agency
Issue Number
904
AHRQ News Now is a weekly n…
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pcmh.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
January 01, 2020 - 23
Situation Monitoring
Cross-Monitoring
A harm error reduction strategy that involves:
• Monitoring
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pcmh.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - Errors were found to have contributed to temporary harm, permanent harm, or death in nearly 18% of patients
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pcmh.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - SHARE:
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Healthcare-Associated Infections Program
Combating Antibiotic-Resistant Bacteria
Comprehensive Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery Centers …
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pcmh.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool5.html
March 01, 2013 - SHARE:
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Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall Prevention in Hospitals Training Program
Hospital Resources
CANDOR
Family-Centered Rounds …
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pcmh.ahrq.gov/teamstepps-program/welcome-guides/new-trainers.html
July 01, 2023 - SHARE:
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TeamSTEPPS Program
TeamSTEPPS Updates
Welcome Guides
Patients & Family Caregivers
Frontline Providers
Administrators
Experienced Trainers
New TeamSTEPPS Trainers
Trainers of Preprofes…
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pcmh.ahrq.gov/teamstepps-program/curriculum/situation/teach/two-day.html
February 01, 2024 - of limited English proficiency, which is often unrecognized and places patients at greater risk of harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Many blood
thinners can cause birth defects or
bleeding that may harm your unborn
child.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalvaluepilotreport.pdf
November 01, 2017 - AHRQ CVE Pilot Study_Hospital Final Report_11-2-2017
Results From the 2014 Pilot Study of the AHRQ
SOPS™ Value and Efficiency Supplemental Items for
the Hospital SOPS Survey
Prepared for:
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA 2902013…
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-oct2015.pptx
January 01, 2015 - Scenario Video Exercises
Call Out: Scenario-BP decreasing
QSEN Quality & Safety Assignment-Nursing Unit
Harm
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pcmh.ahrq.gov/policy/foia/foiafy09.html
October 01, 2014 - Documents requested were protected by an exemption
and release would have caused harm to the interest
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pcmh.ahrq.gov/policy/foia/foiafy08.html
October 01, 2014 - Documents requested were protected by an exemption
and release would have caused harm to the interest
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pcmh.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - million cases of ED-based diagnostic error per year, with nearly half having the
potential for patient harm … communication in diagnostic processes, as well as the
impact of suboptimal communication on patient harm … diagnostic safety through the lens of
distributed cognition would be a major advance in the quest to limit harm
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pcmh.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - will investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm