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talkingquality.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T1-Talking_with_Residents_checklist_version_Final.pdf
October 01, 2016 - important for treating you when you definitely have an infection, but
unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
you
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.pdf
October 01, 2016 - your family member when he or she definitely has an
infection, but unneeded antibiotics can do more harm … • Before taking an antibiotic, it is important to understand how antibiotics could harm or hurt
your
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - The term safety refers to reducing
risk from harm and injury, whereas the term quality
suggests striving … detect and reduce risks and
hazards associated with their delivery of care that may
lead to patient harm … The NPSD will
analyze these data in order to better understand the
underlying causes of patient harm … sharing examples of how the event reports led to changes
that reduced health care risks and patient harm … of PSOs as
they work with health care providers to improve patient
safety and quality and reduce harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
August 22, 2023 - 2022
• Call to action: recommitment to advance patient and workforce safety to move towards zero
harm … by the Veterans Health
Administration
“VHA’s Journey to High Reliability: Advancing Toward Zero Harm … Our Board understands harm but does not resource and support the
improvement needs and leadership … • Review of harm reporting timeliness communication with patients … Board reviews the health system’s approach to disclosure following occurrences of harm to patients and
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/staff-safety-assessment.docx
June 01, 2021 - Please describe what you think can be done to prevent or minimize this harm.
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talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/monitoring.html
June 01, 2023 - It allows individuals and teams to take steps to correct the issue before harm or injury to the patient … Cross-monitoring is a harm and error reduction strategy that involves:
Monitoring actions of other
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - VA participation in Patient Safety Measures of Hospital Harm Technical
Expert Panel (TEP). … The project aims to develop measures of hospital harm
for use in CMS quality and payment programs,
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-survey.pdf
June 06, 2018 - ► Patient safety is the prevention of harm resulting from the processes of health care delivery. … prevention
includes reducing mistakes, errors, incidents, events, or problems that lead to patient harm … 2
SECTION D: Near-Miss Documentation
► When something happens that could harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
August 20, 2015 - performance improvement metrics, which allows for improvement of CANDOR processes, and prevention of similar harm … make the necessary changes that promote a timely, thorough, and just response to unexpected patient harm … training in the CANDOR process, the organization can continue to learn from errors and prevent similar harm … Ask patients and family members to share their stories to put a human face on a harm event and engage … Ask staff to share their stories of patient harm.
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talkingquality.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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talkingquality.ahrq.gov/news/blog/ahrqviews/patient-safety-stakeholders.html
March 01, 2021 - AHRQ’s HAI Program is dedicated to understanding the problems that can harm patients, identifying what … scale that’s needed will require dedicated effort and investments in order to prevent the substantial harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?
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talkingquality.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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Part-II.pdf
January 01, 2023 - (Item B5)
84% 80%
Staff tell someone if they see something that might harm a resident. … (Item B6) 89% 85%
In this nursing home, we discuss ways to keep residents safe from harm. … (Item B5)
83%
Staff tell someone if they see something that might harm a resident. … (Item B5)
79% 89%
Staff tell someone if they see something that might harm a resident. … (Item B6) 85% 89%
In this nursing home, we discuss ways to keep residents safe from harm.
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talkingquality.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.
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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/apply/facapplycusp.docx
September 04, 2012 - choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm. … Display statistics that show how the initiative reduces both patient harm and the average cost per occurrence … hospital staff members, which will ultimately increase patient safety and reduce unnecessary expenses and harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/cfe_bibliography.pdf
September 18, 2014 - Bibliography for the AHRQ Research Centers for Excellence in Clinical Preventive Services
Bibliography for the AHRQ Research Centers for Excellence in
Clinical Preventive Services
Each of the AHRQ Research Centers for Excellence in Clinical Preventive Services published
articles from their research projects and d…
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talkingquality.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