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www.cpsi.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.cpsi.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Risk: The possibility of suffering harm or loss; danger.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-leaders-training.pdf
January 18, 2017 - required prior to all surgery, and for any treatments and procedures
that involve a significant risk of harm … organization’s informed consent policy should include what constitutes an emergency, such
as if irreparable harm
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www.cpsi.ahrq.gov/learning-health-systems/supporting.html
May 01, 2019 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm
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www.cpsi.ahrq.gov/talkingquality/measures/six-domains.html
December 01, 2022 - Medicine (IOM), which includes the following six aims for the healthcare system. [1]
Safe : Avoiding harm
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www.cpsi.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Nearly 100 grants were awarded to lay the groundwork for reducing harm to patients. … Using Simulation To Prevent Harm
Patients can sometimes be harmed unintentionally as clinicians learn … Much of the time the harm is not serious; however, some procedures, such as complex surgical operations … likelihood that they are among the first health care professionals to recognize errors and prevent harm
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Falls harm patients.
30% to 51% of falls result in injury.
Many falls are preventable. … Slide 28: Annotated Run Chart
Image: Line graph shows JAH VAMC Med-Surg falls with harm by quarter … The Team and its goals should be:
Aligned with its organization’s goals of preventing harm.
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www.cpsi.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Near-miss events, where no actual harm comes to the patient, represent a lower‑risk opportunity to improve … recognize a near-miss event (as opposed to an adverse event or an error that had no potential for patient harm … in each practice who would review the report to make sure that the report was a near-miss (i.e., no harm … came to the patient) and not an adverse event (AE, where the patient had suffered some harm). … Ultimately, disclosure of errors in the care process, particularly those events where no harm came to
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www.cpsi.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-slides.html
September 01, 2020 - Skip to main content
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/881.html
September 01, 2023 - highlight the Veterans Health Administration’s (VHA) Journey to High Reliability: Advancing Toward Zero Harm … Patient Safety , a public–private collaboration to support healthcare delivery systems’ move toward zero harm
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/sops-hsops-2-translation-guidelines.pdf
August 01, 2023 - Although the mistake actually occurs, there is no harm to the
patient, but there could have been harm
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - 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/patient-safety/settings/hospital/match/chapter-6.html
July 01, 2022 - The quality audit shows the impact on patient safety, such as potential harm avoided through reconciliation
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www.cpsi.ahrq.gov/news/newsroom/press-releases/guiding-principles.html
December 01, 2023 - This is due primarily to biases that result in undue harm to disadvantaged populations, which perpetuates
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - of the
time” discuss ways to keep residents safe, tell
someone if they see something that might
harm … Incidents Staff discuss ways to keep residents safe, tell someone if
they see something that might harm … (Item B5) 82%
Staff tell someone if they see something that might harm a
resident. … (Item B6) 86%
In this nursing home, we discuss ways to keep residents safe from
harm. … and Communication About Incidents % Always/Most of the Time
When staff report something that could harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
January 20, 2006 - recognize risk or unfolding error
An opportunity to interrupt or correct an action or event before there is harm
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www.cpsi.ahrq.gov/sops/international/hospital/translators-version-2.html
September 01, 2023 - Although the mistake actually occurs, there is no harm to the patient, but there could have been harm
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www.cpsi.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Skip to main content
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm