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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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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teamstepps.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
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teamstepps.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 01, 2023 - Skip to main content
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teamstepps.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
April 01, 2024 - Avoiding Harm With an Intentional Approach to Equity
In developing the guide, we understood that many … The root causes vary, and the harm to patients—and their caregivers—is real.
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teamstepps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - Believe it or not, even a test as simple as a urine culture can cause resident harm if used incorrectly … But the bacteria in the urine may not be causing any actual harm!
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teamstepps.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 01, 2024 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care
Principal Investigator: Eric J. … multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste
Principal Investigator: