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www.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.html
March 01, 2024 - The Effective Health Care Program
Mission
The Effective Health Care (EHC) Program funds individual researchers, research centers, and academic organizations to work with AHRQ to produce patient-centered outcomes research (PCOR) for clinicians, consumers, and policymakers. PCOR is designed to inform health car…
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf2.html
June 01, 2022 - When the potential harm of an increase in gastrointestinal hemorrhage is outweighed by a potential benefit
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www.ahrq.gov/action-alliance/index.html
Patient and Workforce Safety
Join the National Action Alliance in our progress toward zero preventable harm
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
Explain the potential harm … associated with antibiotic use
Recognize that patient harm is often preventable
Recognize that change … often require a focus on systems, not individuals
Recognize the importance of diverse input to prevent harm
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Previous Page Next Page
Table of Contents
Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors
Executive Summary
Intr…
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www.ahrq.gov/sites/default/files/2024-12/karsh-report.pdf
January 01, 2024 - Some hazards increase the risk of errors, and errors themselves may be hazards for
patient harm. … (e.g., needle stick) or patient harm. … Hazards do not necessarily lead to errors or harm, but
hazards increase the risk of them. … -No harm, discomfort, annoyance. … Analysing potential harm in Australian general practice: an
incident-monitoring study.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/035-importance-mrsa-prevention-notes.docx
October 01, 2024 - Slide 1
Educational Objectives
SAY:
This presentation will discuss the harm and adverse outcomes associated … treatment options for these strains of S. aureus, and they therefore present a greater threat of patient harm … In addition to the severe patient harm that these infections cause, many HAIs are publicly reported. … HAIs, including those caused by MRSA, not only cause patient harm, but can negatively impact hospitals
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www.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html
July 01, 2023 - standard approaches to performing structured handoffs, they are more likely to avoid omissions that can harm
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www.ahrq.gov/patient-safety/settings/esrd/resource/tool-module.html
January 01, 2015 - comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide72.html
October 01, 2014 - Acute risks : Shortness of breath, exacerbation of asthma, increased risk of respiratory infections, harm
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5.html
August 01, 2022 - An understanding of the individual and systemic bases of patient harm. … conventional and rhetorical message design logics.
2 The overall Approach to Scoring the Group Project and Harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - our efforts to provide reliable health care by detecting failures before
they occur, thus mitigating harm … breast
cancer, or AIDS.1 The Christiana Care Health System is committed to eliminating preventable
harm … stories at Safety Mentor meetings ultimately led to a system-wide formal storytelling forum, “No
Harm … us with valuable information to learn and make system changes that will be effective in
preventing harm … s efforts to provide reliable health care by detecting failures
before they occur, thus mitigating harm
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www.ahrq.gov/data/hcup/mental-disorders.html
May 01, 2023 - psychotic disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemaking.pptx
January 01, 2006 - What can be done to minimize harm or prevent safety hazards? … 11
Exercise
Please complete the following:
List all defects that have the potential to cause harm
Discuss
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - Continue to assess for potential harm
associated with antibiotic use and develop
improvement strategies … Clinicians tend to be more worried about patient
harm. … garner
support from clinicians, and gather data to show
them that your interventions are not causing harm
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www.ahrq.gov/sops/international/hospital/translators.html
October 01, 2014 - 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? … Although the mistake actually occurs, there is no harm to the patient, but there could have been harm
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www.ahrq.gov/es/nursing-home/resources/search.html?page=0
January 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.
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www.ahrq.gov/es/nursing-home/resources/search.html
January 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - When a mistake is made, but has no potential to harm the patient, how often is this reported?
D3. … When a mistake is made that could harm the patient, but does not, how often is this
reported? … Although the mistake actually occurs, there is no
harm to the patient, but there could have been harm
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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