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preventiveservices.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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preventiveservices.ahrq.gov/npsd/data/dashboard/generic.html
September 01, 2023 - examines their location and contributing factors, as well as prevention actions and extent of residual harm
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preventiveservices.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Research and Quality (AHRQ) shows that rates of in-hospital adverse events for healthcare related patient harm … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/webinar/webinar_mha_falls_prevent.pptx
January 01, 2013 - addressing process challenges
Improving compliance
Learning from near falls and falls that do not involve harm … , in addition to learning from falls with harm
Tools
Assessing Fall Prevention Care Processes (5B
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preventiveservices.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - 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
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Transparency is also vital in addressing system factors that may contribute to harm. … choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … recognize when they are engaging in at-risk behavior and how their behavior might cause unjustifiable harm
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-chui.html
March 01, 2022 - safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm … These efforts are helping pharmacists reduce harm from both prescription and over-the-counter (OTC) medication
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preventiveservices.ahrq.gov/antibiotic-use/acute-care/diagnosis/penicillin.html
November 01, 2019 - After viewing or presenting this presentation viewers will be able to—
Discuss the potential harm
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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - What can be done to minimize harm or prevent safety hazards? … 11
Exercise
Please complete the following:
List all defects that have the potential to cause harm
Discuss
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preventiveservices.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
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - consistently show that the process
for managing tests is a significant source of error and patient harm … The survey also asks staff and physicians to
consider the potential harm caused by problems with your … What is the usual harm for patients? … • To score each survey, multiply the “frequency” score by the “harm” score to get a
total score … Medical testing errors in this office do not harm patients.
9.
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preventiveservices.ahrq.gov/hai/hac/index.html
June 01, 2021 - Reducing hospital-acquired conditions (HACs) is an important patient safety goal, because HACs cause harm
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preventiveservices.ahrq.gov/hai/cusp/toolkit/board-checklist.html
December 01, 2012 - What might we do to prevent that harm?”)
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Introduction
Errors that occur during the diagnostic process can lead to missed or wrong diagnoses and can harm … risks” and “benefits” vs. the more neutral, transparent, and
quantifiable comparison of “chance of harm … of patient benefit and harms, tests,
like all other health services, will either help patients or harm … results and subsequent missed diagnoses that are truly
causing symptoms, with potential for patient harm
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
July 07, 2012 - safety and quality through their leadership
Nurse managers support nursing staff in preventing patient harm … scores and action to improve
Staff involvement in analyzing defects and developing plans to address harm
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preventiveservices.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
June 01, 2017 - The top center has key measures including number of procedures since last harm event and near miss. … To start with, you can track key outcome measures, including days since last harm event and days since … Agree on a clear definition of both harm and “near miss” so that your tracking is consistent over time … You may choose to start with only a couple of items, such as a measure of last harm together with a visual
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preventiveservices.ahrq.gov/patient-safety/resources/learning-lab/index.html
April 01, 2024 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care
Principal Investigator: Eric J. … multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste
Principal Investigator:
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preventiveservices.ahrq.gov/research/publications/search.html?page=1
September 01, 2022 - can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm … Call to Action
Diagnostic Safety Issue Brief #5:
Despite the enormous financial cost and patient harm