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www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-slides.html
February 01, 2017 - Collecting VAE data can be used to—
Connect the dots to harm.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - participant commented that it would be helpful to accommodate
the use of other commonly used standardized harm … The reliability of AHRQ
Common Format Harm Scales in rating patient safety events.
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www.cpsi.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-2.html
September 01, 2020 - Skip to main content
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/897.html
January 01, 2024 - Development of prescribing indicators related to opioid-related harm in patients with chronic pain in
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/889.html
November 01, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm
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www.cpsi.ahrq.gov/teamstepps-program/curriculum/implement/activity/plan.html
February 01, 2024 - Breakdowns in team performance could result in harm to patients. … Celebrating successful uses of TeamSTEPPS tools that prevented a patient harm or made a team more efficient
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www.cpsi.ahrq.gov/health-literacy/improve/informed-consent/obtain.html
September 01, 2020 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview-facnotes.docx
May 01, 2017 - Visual management can focus on a few simple metrics, at least initially, such as days since last harm
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www.cpsi.ahrq.gov/news/blog/ahrqviews/financial-strains-healthcare.html
November 01, 2023 - Skip to main content
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www.cpsi.ahrq.gov/news/blog/ahrqviews/vanquishing-healthcare-disparities.html
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Missed nursing care is linked to patient harm, including falls and infections. … RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
http://www.ihi.org/resources/Pages/ … To focus on the objective of preventing future harm, this updated
process focuses on actions to be taken … Needs
Raising and Responding to Concerns
RCA2: Improving Root Cause Analyses and Actions To Prevent Harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops2-pt2_transition_apx.pdf
September 01, 2019 - (D2)
When a mistake is made that could harm the
patient, but does not, how often is this reported? … wording change
--------------------------------------- When a mistake is made but has no potential to harm … (D2)
When a mistake is made that
could harm the patient, but does
not, how often is this reported … change
---------------------------------------
When a mistake is made but has
no potential to harm
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-cusp.html
May 01, 2017 - errors are treated as an opportunity to learn about root causes and prevent future errors and risks of harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange_slides.pptx
June 16, 2017 - The Team and its goals should be:
Aligned with its organization’s goals of preventing harm.
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
June 01, 2017 - surgical checklist use and the outcomes of observation, and measures such as number of days since last harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - • Not only does postoperative wound dehiscence cause patient harm, it also significantly
increases
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.pdf
May 01, 2017 - investigate and analyze it (e.g., a root cause
analysis may be conducted) to determine
whether patient harm
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www.cpsi.ahrq.gov/topics/antimicrobial-stewardship.html
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www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-miller.html
August 01, 2022 - patients and clinicians, the team developed an app for clinicians that identifies patients at high risk of harm
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www.cpsi.ahrq.gov/funding/grantee-profiles/grtprofile-bell.html
March 01, 2022 - there’s a corrective mechanism that’s possible before it leads to duplication, diagnostic error, or harm