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talkingquality.ahrq.gov/news/newsletters/e-newsletter/848.html
January 01, 2023 - , 21 percent of caregivers handled chemotherapy with bare hands during in-home observation, risking harm
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - screenings may be regarded as low value if they are not expected to increase life expectancy or if potential harm
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talkingquality.ahrq.gov/news/newsletters/e-newsletter/822.html
July 01, 2022 - Adverse Event Rates Pre-COVID
The rates of in-hospital adverse events for healthcare-related patient harm
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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.html
January 01, 2013 - Fall prevention is one of many activities needed to protect patients from harm during their hospital … The goal of patient safety practices like fall prevention is to prevent additional harm to patients while … prevent spread of nosocomial infection is an example of a patient safety practice that avoids patient harm … The "How to" guide for reducing harm from falls. London, UK: Patient Safety First; 2009. … Guidebook for preventing falls and harm from falls in older people: Australian hospitals.
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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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