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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - risks and hazards with an integrated approach in order to
continuously drive down preventable patient harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-ve-supp-item-set-08-2022.pdf
January 01, 2022 - SOPS® Value and Efficiency Supplemental Items for the SOPS Hospital Survey - English
SOPS® Value and Efficiency Supplemental
Item Set for the SOPS Hospital Survey
Language: English
• Purpose: This supplemental item set was designed for use with the core SOPS® Hospital Survey Version 2.0
to help hospitals assess…
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/mod5-comm-assessment.pdf
April 01, 2016 - claims, and quality operations
■ An understanding of the individual and systemic bases of patient harm … conventional and rhetorical message design logics.
2The overall Approach to Scoring the Group Project and Harm
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talkingquality.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
May 01, 2016 - evaluated diagnostic error as a quality-of-care challenge and examined the epidemiology, burden of harm
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-slides.html
March 01, 2017 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - Cross-Monitoring
A harm error reduction strategy that involves:
y Monitoring actions and stress levels
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talkingquality.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Skip to main content
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talkingquality.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - ratios are, with one exception, all below 1.0 makes intuitive sense: it is credible that the rate of harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - and recommend improvement approaches
☐ Perform proactive risk assessments to determine areas in which harm
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talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - Appendix 2: CED Compiled Public Comment Themes
Summary_Out of Scope Comments
There were many comments that were outside of the scope of this project in that they addressed the CED process rather including when and how it should be implemented. Multiple comments proposed that AHRQ should undertake a similar exercise …
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talkingquality.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - should also be noted that for patients with limited English proficiency, who are at higher risk of harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-oxytocin.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration: Oxytocin
AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Oxytocin
Safe Medication Administration—Oxytocin
Purpose of the tool: This tool describes the key perinatal safety elements with examples for the safe administration of…
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talkingquality.ahrq.gov/teamstepps/webinars/index.html
September 01, 2019 - experiential learning of the TeamSTEPPS key principles on the path toward "zero events of preventable harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/advancing-diagnostic-equity.pdf
November 15, 2022 - Advancing Diagnostic Equity Through Clinician Engagement, Community Partnerships, and Connected Care
Advancing Diagnostic Equity Through Clinician
Engagement, Community Partnerships, and Connected
Care
Traber D. Giardina, PhD, MSW1,2 , LeChauncy D. Woodard, MD, MPH3, and
Hardeep Singh, MD, MPH1,2
1Houston Cent…
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
April 01, 2023 - RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
http://www.ihi.org/resources/Pages/Tools … With the objective of preventing future harm, this updated process
focuses on actions to be taken: Root … Quality Improvement Savings Tracker Worksheet
RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
May 01, 2023 - practitioners can use to respond in a
timely, thorough, and just way when unexpected events cause patient harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - in terms of both morbidity and
financial resources expended.3,4
• CLABSIs not only cause patient harm
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talkingquality.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-5/slides.html
September 01, 2017 - Slide 35: Annotated Run Chart
Image: Annotated run chart: med-surg falls with harm by quarter per
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
May 01, 2023 - be used by any healthcare organization interested in promoting diagnostic
excellence and reducing harm