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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/nursing/nursing.pptx
July 07, 2012 - safety and quality through their leadership
Nurse managers support nursing staff in preventing patient harm … scores and action to improve
Staff involvement in analyzing defects and developing plans to address harm
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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/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/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/hai/cusp/toolkit/content-calls/zero-clabsi.html
April 01, 2013 - Again, I think the emphasis is on reducing these types of patient harm events, and they have not been … It is a way of standardizing an approach to a highly variable issue in which patient harm occurs. … But it really does reduce the incidence of harm, and isn’t that what we went to nursing, medical school … Don’t harm me. Working with CUSP has enabled us to really focus on that third piece of no harm. … As far as an outcome, we will be tracking the central line infections as well as other issues of harm
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Step 3: What can be done to minimize harm or prevent safety hazards? … The bottom arrow contains the text: What can be done to minimize harm or prevent safety hazards?. … Exercise
Please complete the following:
List all defects that have the potential to cause harm
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - .1 – Evidence table
Type of Evidence Findings Citations
Use of Trigger Tools to Identify Patient Harm … events and levels of harm
in pediatric inpatients with
the Global Trigger Tool. … Adverse drug
event trigger tool: a
practical methodology for
measuring medication
related harm … focused trigger tool to
identify harm in North
American NICUs. … testing, and findings of a
pediatric-focused trigger
tool to identify medication-
related harm in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
January 01, 2017 - These could include incidents that you believe caused patient harm or put patients at risk for significant … harm.1
Pronovost PJ, Holzmueller CG, et al. … What can you do to prevent or minimize this harm?
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science-3.html
June 01, 2020 - goals should include:
Creating learning opportunities from past events with both potential and real harm … better correlated with not just more timely and accurate diagnosis but also less preventable diagnostic harm
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www.ahrq.gov/patient-safety/reports/hotline/design2.html
May 01, 2016 - They understood the concepts of “medical mistake” and “harm/injury” more clearly than they understood … We therefore revised the initial reporting form to use the terms “mistake” and “harm” throughout, added … or injury; and (2) negative effects related to health care (e.g., harm, injury, adverse event). … Third, to clarify areas of a report that were confusing or ambiguous (e.g., degree or nature of harm, … scale, and duration of harm.
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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…
-
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…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Then, lastly, describe what can be done to minimize patient harm or prevent this safety hazard. … Exercise
Please complete the following:
List all defects that have the potential to cause to cause harm
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - 0029
June 2021
Discussing Concerns With Family
1
Objectives
Review strategies to discuss potential harm … to be contaminated, could lead to treating her for an infection she does not have, which may cause harm … of life
15
Discussing Concerns With Family
15
End-of-Life Care4,5
Antibiotic therapy may cause harm
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
April 01, 2022 - There can be potential harm involved when an invasive device is inserted, and a mindful approach can … be used to help prevent that harm. … However, the inserter needs to be mindful that any invasive device can cause harm.
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
October 01, 2015 - Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Examples of Patient Harm
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
May 01, 2017 - Require that the appropriate office produce a weekly report of harm, disseminate it to the entire senior
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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 …
-
www.ahrq.gov/hai/cusp/modules/engage/exec-slides.html
December 01, 2012 - 14: The Senior Executive’s Role on the Team
Slide 15: Holds Staff Accountable for Reducing Patient Harm … Click to play
Return to Contents
Slide 15: Holds Staff Accountable for Reducing Patient Harm
-
www.ahrq.gov/sites/default/files/wysiwyg/NQS_overview_slides-2017.pdf
January 01, 2017 - .
11
THE NATIONAL QUALITY
STRATEGY PRIORITIES
12
Priority 1: Making care safer by reducing harm … Reduce harm from inappropriate or unnecessary care.
13
Priority 2: Ensuring that each person and … : How It Works
The national quality strategy priorities
Priority 1: Making care safer by reducing harm