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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/patient-safety-technology-resources.pdf
May 01, 2023 - , infographic, podcast, and course to teach where health IT can
unexpectedly contribute to patient harm
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talkingquality.ahrq.gov/news/events/nac/2019-04-nac/nacmtg0419-minutes.html
July 01, 2019 - the United States by 1 million per year by 2025—a very significant reduction in patient and family harm
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talkingquality.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - Skip to main content
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Documentation – 2021 SOPS ASC Database
Survey Item % Positive Response
When something happens that could harm … Percent
Positive
Response
Near-Miss Documentation
Item D1:
“When something
happens that could harm
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talkingquality.ahrq.gov/research/findings/factsheets/translating/action3/actionIIIpartners.html
June 01, 2019 - or Goals: We partner with patients, their loved ones, and all interested parties to end preventable harm
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talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assemble-slides.html
July 01, 2023 - Holds all staff accountable for carrying out agreed-upon activities designed to reduce patient harm.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/module4-presenters-notes.pdf
January 05, 2022 - Preventing diagnostic harm is the foremost goal for patients and their families, as
well as healthcare
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Coordination_of_Care_2012_05_01_Transcript.pdf
January 01, 2012 - this isn’t just about having a delay in getting test results to
someone, but it can result in real harm
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
March 01, 2017 - Everybody who works in the facility needs to work together to practice infection prevention to prevent harm … Harm to residents from infections can increase if staff members are reluctant to report lapses in infection
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talkingquality.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Slide 8
Case
Image: Diagram showing the causes of urinary catheter harm.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage
AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Obstetric Hemorrhage
Labor and Delivery Unit Safety—Obstetric Hemorrhage
Purpose of the tool: This tool describes the key perinatal safety elements related t…
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Making care safer by reducing harm caused in the delivery of care.
2. … Getting Medical Care
Importance: Lack of timeliness can result in emotional distress, physical harm … for Women Getting Care
Importance: Lack of timeliness can result in emotional distress, physical harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/tobaccogenrefs.pdf
January 01, 2010 - Clearing the smoke:
assessing the science base for tobacco harm
reduction. … Interventions to
reduce harm from continued tobacco use.
Cochrane Database Syst Rev 2007.
324. … Applying the risk/use equilibrium: use
medicinal nicotine now for harm reduction. … Persistent smoking
among Northern Plains Indians: lenient
attitudes, low harm value, and partiality … Smokeless tobacco use: harm reduction or
induction approach? Prev Med 2004;38:309-
17.
747.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/guides/guide-infection-prevention.pdf
March 01, 2017 - Everybody who works in the facility needs to work together to practice infection prevention
to prevent harm … Harm to residents from infections can increase if staff members are reluctant
to report lapses in infection
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talkingquality.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - Skip to main content
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Careers
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Labor and Delivery Unit Safety
Labor and Delivery Unit Safety
SAY:
The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and delivery, and the importance of a comprehensive unit-based …
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talkingquality.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - However, putting a human face on each harm event or near miss can engage staff in a powerful way that
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/tool_safe-mgso4.docx
May 30, 2013 - Failure to Set a Volume Limit for a Magnesium Bolus Dose Leads to Harm.
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule6.pptx
February 09, 2006 - feedback also allows a person to continue doing something incorrectly, unknowingly, and that can cause harm … requested clarification but the response or confirmation does not alleviate the concern regarding potential harm
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talkingquality.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmutualsupp.html
March 01, 2019 - clarification, but the response or confirmation does not alleviate the concern regarding potential harm