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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
June 02, 2025 - What might we do to prevent that harm?”)
Board Checklist
Who should use this tool?
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www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
January 01, 2024 - A single-center harm-reduction program, Nephrotoxic Injury Negated by
Just-in-time Action (NINJA), reduced … Key Words: acute kidney injury, nephrotoxicity, children, harm reduction
2
Purpose
A key limitation … It also projects that achieving further harm reduction will require
additional innovation. … Preventing health care-associated harm in children. JAMA
2014;311:1731-2. PMID: 24794361.
31. … Temporal trends in rates of patient harm resulting from medical
care.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Outcome measures include reduction in direct harm associated with adverse events and treatment misadventures … , including death, disability (permanent or temporary), adverse drug events, or preventable harm requiring … Reduction in patient harm related to medical errors of omission and commission.
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-other.html
March 01, 2013 - Outcome measures include reduction in direct harm associated with adverse events and treatment misadventures … , including death, disability (permanent or temporary), adverse drug events, or preventable harm requiring … Reduction in patient harm related to medical errors of omission and commission.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
January 01, 2011 - Implement teamwork tools
How often do we harm? Are Patient outcomes improving? … Assemble a CUSP team, Partner with a senior Executive; Baseline Data
Technical Practices to Prevent Harm … Assemble a CUSP team, Partner with a senior Executive; Baseline Data
Technical Practices to Prevent Harm
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www.ahrq.gov/patient-safety/about/concepts-of-patient-safety.html
January 01, 2025 - Practices : includes a series of 14 evidence products on patient safety practices to address different harm
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - Potential or Actual Harm or “Defects”
A defect is any clinical event or situation that a staff member … It includes any incident that someone believes caused patient harm or put a patient at risk of harm. … What can be done to minimize harm or prevent safety hazards? … Patient names can be associated with each harm event to remind staff that there is a real person is behind … Many units will post a “days since the last________ (harm event, e.g., CLABSI).”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - checks for key processes, we improve our ability to reduce the risks of adverse events resulting in harm … Anything that might lead to preventable patient harm is a defect.
18
DEFECT INTERVENTION
Unstable … What can we do to prevent that harm? … 2
What can be done to prevent or minimize this harm? … A research framework for reducing patient harm. Oxford Journals. 2011;52(4):507-513.
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking3.html
September 01, 2022 - terms of patient benefit and harms, tests, like all other health services, will either help patients or harm … results and subsequent missed diagnoses that are truly causing symptoms, with potential for patient harm
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
May 25, 2023 - OSHA,PSOs)
• Alliance providing a central repository of lessons learned,
best practices, harm events … research
and policymaking in the field of patient
safety, we still do not know the
magnitude of harm … Where it should say 'medical care
harm/injuries', it's blank. … • The Plan provides clear direction for making
significant advances toward safer care and
reduced harm … steps:
• Micro-learnings, on-line tools
• Discussion and affinity groups
“Harm
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www.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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www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day-2024.html
September 01, 2024 - to commemorate the observance and affirm our commitment to safe care everywhere and zero preventable harm … healthcare worker safety, advancing our collective vision of safe care everywhere and zero preventable harm
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-bacterial-cultures.pdf
June 01, 2021 - may be due
to poor collection techniques, can lead to
unnecessary antibiotic prescribing and cause
harm
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/identifying-antibiotic-adverse-events-form.docx
November 01, 2019 - Please describe what you think can be done to prevent or minimize this harm.
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www.ahrq.gov/news/cahps-webcast.html
August 01, 2025 - by patients be used to enhance understanding and empathy among healthcare providers, and also reduce harm
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
June 01, 2017 - surgical checklist use and the outcomes of observation, and measures such as number of days since last harm … concerns
Slide 5: Basic Set of Metrics (Minimal Version)
Key outcome measures
Days since last harm
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-survey-items-composite-english.pdf
September 01, 2024 - When staff report something that could harm a resident, someone takes care of it.
B5. … Staff tell someone if they see something that might harm a resident.
B8. … In this nursing home, we discuss ways to keep residents safe from harm.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/2016/nhsurv16-pt2.pdf
January 01, 2016 - When staff report something that could harm a resident, someone takes care of
it. … Staff tell someone if they see something that might harm a
resident. … In this nursing home, we discuss ways to keep residents safe
from harm. … Staff tell someone if they see something that might harm a resident. … In this nursing home, we discuss ways to keep residents safe from harm.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T2-Talking_with_Residents_Family_Members_checklist_version_Final.docx
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 family
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www.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