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talkingquality.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Resilience for Medication Safety Learning Lab (PROMIS Lab) , aims to reduce preventable medication-related harm
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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - 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/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - 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/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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talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - of the
time” discuss ways to keep residents safe, tell
someone if they see something that might
harm
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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.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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talkingquality.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - clear direction that healthcare leaders, delivery organizations, and associations can use to reduce harm … , we can create health systems that ensure patients and those who care for them are truly free from harm
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talkingquality.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
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talkingquality.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
February 01, 2024 - interventions in the acute care setting, assessing the impact on diagnostic errors that lead to patient harm … Addressing diagnostic errors proactively using e-triggers to mitigate harm during inpatient episodes
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talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/videos/compensation.html
August 01, 2022 - 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/patient-safety/settings/hospital/candor/videos/introduction.html
August 01, 2022 - 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/patient-safety/settings/hospital/candor/videos/planning.html
August 01, 2022 - 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/patient-safety/settings/hospital/candor/videos/conversation.html
August 01, 2022 - 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/patient-safety/settings/hospital/candor/videos/nurses.html
August 01, 2022 - 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/patient-safety/settings/hospital/candor/videos/accountability.html
August 01, 2022 - 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/patient-safety/settings/hospital/candor/videos/meeting.html
August 01, 2022 - 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/news/newsletters/e-newsletter/880.html
September 01, 2023 - ET on the Veterans Health Administration’s (VHA) Journey to High Reliability: Advancing Toward Zero Harm … Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm