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www.ahrq.gov/diagnostic-safety/research/grants-2022.html
August 01, 2025 - from them about what went wrong, how delays could be avoided, and what strategies could mitigate any harm … structured family-centered communication intervention (PFC I-PASS) on diagnostic success, errors, and harm … outpatient) to improve patient/family and clinician communication and experience and to reduce errors and harm … knowledge, tools, and strategies that healthcare organizations can use to learn how to prevent and reduce harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
January 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?”
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?"
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication2.html
July 01, 2024 - concerns and when it is reasonable to believe that withholding results will substantially reduce risk of harm
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www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
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Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Mill…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
March 01, 2020 - , but also ignoring or missing many clinically significant and actionable
alarms.3
Importance of Harm … management.10
Methods for Selecting PSPs
Initial literature searches for PSPs in the alarm fatigue harm … Results of these searches were reviewed by harm-area task leads to
identify PSPs, iterate on searches … The potential for harm due to alarms’ high frequency and low specificity was briefly discussed in the … Alarm Fatigue
Introduction
Background
Importance of Harm Area
Methods for Selecting PSPs
What’s
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www.ahrq.gov/patient-safety/diagnostic-error-grants/index.html
January 01, 2021 - the emergency department based on these e-triggers and describe the burden of preventable diagnostic harm
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www.ahrq.gov/downloads/pub/prevent/pdfser/cas/cases.pdf
December 01, 2007 - Does screening or CEA result in harm? … Does treatment for asymptomatic CAS 60%-99% with CEA result in
harm?............................. … Does screening or CEA for asymptomatic CAS 60%-99% result in harm? … Does treatment for asymptomatic CAS 60%-99% with CEA result in
harm? … The Kaplan-Meier curves in ACST cross from net harm to net benefit
only at about 1.5 years after CEA
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - Program for MRSA Prevention | ICU & Non-ICU
The Science of Safety
2
Patient Safety and Preventable Harm … Ask how staff think the next patient will be harmed and what we can do to prevent that harm from happening … Safety Program for MRSA Prevention | ICU & Non-ICU
The Science of Safety
28
Key Takeaways
Patient harm
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.html
June 01, 2018 - Inefficient care due to use of services associated with more harm than benefit .
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
January 12, 2022 - Diagnostic harm, which can result from diagnostic error, is an emerging area of concern in
healthcare … safety and risk
management literature, as well as care delivery research, demonstrates that diagnostic
harm … Organizations
and providers need resources to mitigate diagnostic harm, but few tools are currently … families, and
• Provide assessment and training tools to support local efforts to reduce diagnostic harm … • These gaps can delay diagnostic processes and
in some cases result in serious harm or even
death
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.docx
October 01, 2016 - Tool 6. Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may experience pressure from residents and family members to prescribe antibiotics. This is a template for discussing this topic and introducing the talking points to use with residen…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 6. Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may
experience pressure from residen…
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www.ahrq.gov/cpi/about/nac/snac-pronovost.html
December 01, 2021 - Following his success in eliminating one harm in most health systems across the United States, Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 01, 2020 - Catheter Ablation for Atrial Fibrillation: Topic Refinement - Project ID: CRDT0913
Final Topic Refinement Document
Catheter Ablation for Atrial Fibrillation - Project ID: CRDT0913
Date: 05/29/2014
Topic: Catheter Ablation for Atrial Fibrillation – Project ID: CRDT0913
EPC: Pacific Northwest EPC
AHRQ Task …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module2/module2-obtaining-organizational-buy-in-support.pptx
August 14, 2015 - 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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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/antibiotic-brochure.html
March 01, 2017 - difficile , an infection that can lead to severe symptoms
Cause rash or other allergic reactions
Harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
March 01, 2017 - difficile, an infection that can lead to severe symptoms
Cause rash or other allergic reactions
Harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
June 01, 2023 - concreteness to identify actionable steps that might have prevented the adverse event or mitigated its harm
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www.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Making Health Care Safer II
An Updated Critical Analysis of the Evidence for Patient Safety Practices
This evidence report updates the 2001 report, Making Health Care Safer: A Critical Analysis of Patient Safety Practices.
Select for a list of 22 patient safety strategies discussed in the new report that a…