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preventiveservices.ahrq.gov/nursing-home/resources/search.html
January 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.
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preventiveservices.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
March 01, 2024 - , investigative approaches, process analyses, and practical tools for preventing medical errors and harm
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
September 01, 2023 - -5-EF.
1
e
Introduction
Pediatric clinicians self-report making diagnostic errors resulting in harm … This approach of overtesting, although not an MDO, nonetheless exposes children to possible harm
if … , leading organizations in pediatric safety have begun efforts to educate about, study,
and reduce harm … diagnoses,
rarer and atypical presentations may go unrecognized, exposing patients to more risk of harm … Relating faults in diagnostic rea-
soning with diagnostic errors and patient harm. Acad Med.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-items.pdf
January 01, 2015 - When something happens that could harm the patient, but does not, how often is it documented in an incident
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - 1
High-alert medications are "drugs that bear a heightened risk of causing significant patient harm … Inappropriate use of oxytocin is one of the top areas of preventable perinatal harm. 2,3
Types of inappropriate … Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - process challenges
Improving compliance
Learning from near falls and falls that do not involve harm … , in addition to learning from falls with harm
Slide 30
Tools
Assessing Fall Prevention Care
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/communicating-decisions-discussion-guide.docx
September 01, 2022 - Communicating with Patients and Families Around Antibiotic Decisions – Practice Discussion Guide
During a regularly scheduled staff meeting, the stewardship leader(s) is encouraged to ask all clinical staff which of the components of the AHRQ Toolkit To Improve Antibiotic Use in Ambulatory Care related to communicatin…
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preventiveservices.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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preventiveservices.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.
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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
October 01, 2014 -
Learn from one defect per quarter
Implement teamwork tools
Second Column:
How often do we harm … CUSP team, Partner with a senior Executive; Baseline Data
Third Row: Technical Practices to Prevent Harm
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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - Reducing Patient Harm and Identification Errors
AHRQ also funded projects that applied various technologies … to improve patient safety by reducing harm
and identification errors among patients … , assessment, and reduction of patient
safety threats in real time before they manifest in actual
harm … information, strategies, and tools for
using HIT to facilitate patient activation in eliminating
harm … To improve this toolkit, they integrated the ABCs
of harm into both the electronic and print versions
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preventiveservices.ahrq.gov/es/programs/index.html?page=1
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preventiveservices.ahrq.gov/challenges/health-data/index.html
November 01, 2023 - indicate that responses to PHQ-9 item 9 can accurately identify adolescents at increased risk for self-harm … care visits without mental health diagnosis adds little to identify adolescents with subsequent self-harm