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teamstepps.ahrq.gov/news/blog/ahrqviews/consumer-experience-measurement.html
September 01, 2023 - measurement surveys and comments do address this but can do more to identify opportunities to prevent patient harm
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - Fall Prevention Toolkit
Fall Prevention Toolkit
Module 1 Tools
Tool 1E: Resource Needs Assessment
Miake-Lye IM, Hempel S, Ganz D, et al. Chapter 19. Preventing in-facility falls. In: Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 2013. Agency for Healthcar…
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teamstepps.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-9.html
September 01, 2020 - Skip to main content
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teamstepps.ahrq.gov/talkingquality/resources/comparative-reports/hospitals.html
December 01, 2022 - twice annually, represents a hospital’s overall performance in keeping patients safe from preventable harm
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teamstepps.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod2-slides.html
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-II.pdf
January 01, 2023 - # ASCs 29 40 46 38 90
# Respondents 519 870 1,164 1,215 3,690
When something happens that could harm … 22 40
# Respondents 456 485 1,805 686 449 687 1,001 440 1,449
When something happens that could
harm … 125 226
# Respondents 376 1,156 182 73 731 2,627 952 238 841
When something happens that could
harm … Hours
# ASCs 221 216 239 231
# Respondents 1,652 1,018 3,743 979
When something happens that could harm
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Remote patient monitoring improves patient falls and reduces harm .
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/implementation-guide-making-informed-consent-informed-choice.pdf
January 01, 2017 - failures, and
effective approaches
Data on patient safety events and their impact (e.g., near
miss, harm
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - plan that can provide clear directions to make
significant advances toward safer care and reduced harm … Itis about identifying and reporting unsafe conditions
before they can cause harm, trusting other staff … sfvrsn=2cb6752d_2
The intersection of worker well-being and safety with patient harm prevention has
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/869.html
June 01, 2023 - Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm
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teamstepps.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-2.html
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/897.html
January 01, 2024 - Development of prescribing indicators related to opioid-related harm in patients with chronic pain in
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teamstepps.ahrq.gov/news/newsletters/e-newsletter/889.html
November 01, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm
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teamstepps.ahrq.gov/health-literacy/improve/informed-consent/obtain.html
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teamstepps.ahrq.gov/news/blog/ahrqviews/vanquishing-healthcare-disparities.html
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teamstepps.ahrq.gov/news/blog/ahrqviews/financial-strains-healthcare.html
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (D2)
When a mistake is made that could harm the
patient, but does not, how often is this reported? … wording change
--------------------------------------- When a mistake is made but has no potential to harm … (D2)
When a mistake is made that
could harm the patient, but does
not, how often is this reported … change
---------------------------------------
When a mistake is made but has
no potential to harm
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
http://www.ihi.org/resources/Pages/ … To focus on the objective of preventing future harm, this updated
process focuses on actions to be taken … Needs
Raising and Responding to Concerns
RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - The Team and its goals should be:
Aligned with its organization’s goals of preventing harm.
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teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - • Not only does postoperative wound dehiscence cause patient harm, it also significantly
increases