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pcmh.ahrq.gov/diagnostic-safety/tools/index.html
March 01, 2024 - consistently show that the process for managing tests is a significant source of error and patient harm … can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm
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pcmh.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - focused on three main approaches to improving patient safety and reducing medical liability:
Preventing Harm … These projects addressed improved communication by assessing attitudes toward error and harm disclosure
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pcmh.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
April 01, 2024 - Avoiding Harm With an Intentional Approach to Equity
In developing the guide, we understood that many … The root causes vary, and the harm to patients—and their caregivers—is real.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module5-situation-monitoring.pptx
January 10, 2022 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … team to be resilient, capturing potentially harmful errors in the care process before they result in harm … It allows individuals and teams to take steps to interrupt or correct an action or event before harm … recognize risk or unfolding error
An opportunity to interrupt or correct an action or event before harm … Situation monitoring enables team members to identify potential issues before they become a problem or pose harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - important for treating you when you definitely have an infection, but
unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
you
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pcmh.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - your family member when he or she definitely has an
infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
your
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pcmh.ahrq.gov/diagnostic-safety/workgroup/index.html
March 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - The term safety refers to reducing
risk from harm and injury, whereas the term quality
suggests striving … detect and reduce risks and
hazards associated with their delivery of care that may
lead to patient harm … The NPSD will
analyze these data in order to better understand the
underlying causes of patient harm … sharing examples of how the event reports led to changes
that reduced health care risks and patient harm … of PSOs as
they work with health care providers to improve patient
safety and quality and reduce harm
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pcmh.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - 2022
• Call to action: recommitment to advance patient and workforce safety to move towards zero
harm … by the Veterans Health
Administration
“VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the
improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and
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pcmh.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
June 01, 2021 - Please describe what you think can be done to prevent or minimize this harm.
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pcmh.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.
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pcmh.ahrq.gov/action-alliance/webinars/index.html
April 01, 2024 - Webinar speakers will discuss strategies for achieving 50 percent improvements in preventable harm to
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pcmh.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - VA participation in Patient Safety Measures of Hospital Harm Technical
Expert Panel (TEP). … The project aims to develop measures of hospital harm
for use in CMS quality and payment programs,
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pcmh.ahrq.gov/cpi/about/nac/naa-snac-recommendations.html
February 01, 2024 - and Workforce Safety
We stand for a healthcare delivery system that is free from preventable harm … Progression of the LN will be measured and assessed based on:
Progress against goal of 50% reduction in harm
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pcmh.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Healthcare Safer report, published in 2020, includes 47 evidence-based patient safety practices in selected harm … It includes evidence for more specific harm areas than the preceding reports.
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
December 01, 2022 - University of South Carolina (MUSC), aims to develop evidence-based strategies to prevent surgical harm … thinking about what errors really mean, about what systems really mean, and what we can do to avoid harm
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pcmh.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - patient safety concerns for the purpose of learning how to mitigate patient safety risks and reduce harm
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Resilience for Medication Safety Learning Lab (PROMIS Lab) , aims to reduce preventable medication-related harm
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pcmh.ahrq.gov/cpi/about/otherwebsites/action-alliance/past-webinars.html
October 01, 2023 - Video: VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
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pcmh.ahrq.gov/hai/cusp/modules/learn/index.html
July 01, 2018 - Discusses the effects of errors and patient harm and the underlying causes of errors.