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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
April 13, 2017 - The checklist drives us towards zero harm by better communication and teamwork within our facilities.
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www.cpsi.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists, reducing harm … safety from a systems perspective and develop tools that community pharmacists can use to reduce patient harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-intro-qi.pdf
May 18, 2021 - Job Aid: Introduction to Quality Improvement
Primary Care Practice Facilitator
Training Series
1
Job Aid: Introduction to Quality Improvement
Quality Improvement (QI) Basics
The QI Process
You will be helping practices to:
Identify areas for improvement.
Set goals.
Develop a plan that…
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www.cpsi.ahrq.gov/data/visualizations/hiv-prep.html
October 01, 2023 - Skip to main content
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www.cpsi.ahrq.gov/news/blog/ahrqviews/defining-new-ahrq.html
January 01, 2021 - I have often talked about the need to get to zero harm and zero defects in healthcare delivery. … complex industries such as aviation and auto manufacturing, they have made tremendous strides toward zero harm … Especially in light of the COVID-19 crisis, we’ve seen the significant harm clinician burnout can have
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 19, 2018 - When a mistake reaches the patient and could cause harm but does not, how often is it
documented? … When a mistake reaches the patient but has no potential to harm the patient, how often is it
documented
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www.cpsi.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - given that no foreseeable improvement in health care delivery will eliminate all errors that seriously harm … to know about medical errors, with virtually all patients wanting to know about errors that directly harm … serious error (i.e., error that causes permanent injury or transient but potentially life-threatening harm … errors, suggesting that clinicians are even less likely to meet patients’ expectations after minor harm … their relationship with the patient may outweigh the benefit to the patient of knowing about minor harm
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www.cpsi.ahrq.gov/nhguide/toolkits/educate-and-engage/index.html
October 01, 2016 - How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good is a handout that can be … How Taking Antibiotics When You Don't Need Them Can Cause More Harm Than Good” tool was created by the
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www.cpsi.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.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
July 01, 2023 - The CUSP framework accomplishes this through stressing the fact that patient harm is not an acceptable … communication tools were effective in reducing lapses in team functioning, errors, and the likelihood of harm … choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … Transparency is also vital in addressing system factors that may contribute to harm.
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www.cpsi.ahrq.gov/news/blog/ahrqviews/diagnostic-safety-conversation.html
October 01, 2021 - Four million people a year in the United States suffer serious harm as a result. … and resources for improving diagnostic safety is that they are on the pathway to actually preventing harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 01, 2017 - between 210,000 and 440,000 patients
who go to a hospital each year suffer
some type of preventable harm … influenced by the environment in which he or
she works and can be responsible for
mistakes that inflict harm … specific
results, they are better prepared to join
system improvement activities for
reducing patient harm
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
ABCS
Aspirin Treatment for Secondary and
Primary Prevention ASCVD
Jennifer Bannon RN BSN MSHI
Table of Contents
Objectives
Cardiovascular Disease
Cardiovascular Disease (2)
ABCS-Aspirin when appropriate
Anatomy of a Performance Measure
Measure Exce…
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www.cpsi.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - Although the precise causes of the decline in patient harm are not fully understood, the increase
in … result of the reduction in the rate of
HACs, we estimate that approximately 790,000 fewer incidents of harm … Cumulatively, approximately 2.1 million fewer incidents of harm occurred in 2011, 2012, 2013,
and 2014 … fewer harms were
experienced by patients from 2010 to 2014 than would have occurred if the rate of harm
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/895.html
January 01, 2024 - researchers concluded that three-quarters of these diagnostic errors contributed to temporary or permanent harm … Parents' understanding of medication at discharge and potential harm in children with medical complexity
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm … initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … The reduction not only prevented patient harm, it also saved an estimated $385,000 in healthcare costs
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/866.html
May 01, 2023 - psychotic disorders, bipolar and related disorders, suicidal ideation or attempt or intentional self-harm … Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm
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www.cpsi.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.html
March 01, 2024 - Skip to main content
An official website of the Department of Health and Human Services
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