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www.cpsi.ahrq.gov/research/publications/search.html?page=6
January 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/882.html
September 01, 2023 - Preventing potential patient harm through clinical content interventions during oncology clinical trial
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www.cpsi.ahrq.gov/patient-safety/reports/liability/waever.html
August 01, 2017 - Patient Safety Culture
Patient safety culture and liability intersect in the presence of events that harm … turnover. 23,25,26 The term “second victim” refers to caregivers and staff that experience psychological harm
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www.cpsi.ahrq.gov/news/blog/ahrqviews/protecting-most-vulnerable.html
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www.cpsi.ahrq.gov/news/blog/ahrqviews/patient-workforce-safety.html
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www.cpsi.ahrq.gov/hai/cusp/modules/nursing/nursing-notes.html
December 01, 2012 - Nurse managers lead their unit staff in preventing patient harm in their unit, empowering nurses to be … the first line of defense against patient harm
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-fac-guide.html
July 01, 2023 - 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/news/newsletters/e-newsletter/848.html
January 01, 2023 - , 21 percent of caregivers handled chemotherapy with bare hands during in-home observation, risking harm
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/795.html
January 01, 2022 - screenings may be regarded as low value if they are not expected to increase life expectancy or if potential harm
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www.cpsi.ahrq.gov/teamstepps/instructor/essentials/implguide3.html
November 01, 2018 - Incorporates redundancy and back-up systems to minimize risk of patient harm in event of error or process
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-overview.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/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules.html#module5
and staff harm … support for improving performance from clinical decision
makers is key to helping your facility reduce harm … Toolkit Modules provides a team-based
approach to identifying factors that contributed to resident harm … leading causes for antibiotic overuse in long-term
care.12,13 Moreover, antibiotics can lead to resident harm
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-l.html
May 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/mch-ref.html
April 01, 2018 - Reducing the risk of harm from medication errors in children.
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www.cpsi.ahrq.gov/ncepcr/tools/assessments/health-intro.html
September 01, 2013 - Skip to main content
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www.cpsi.ahrq.gov/funding/process/study-section/peerdesc.html
July 01, 2017 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.pdf
September 01, 2015 - Many blood
thinners can cause birth defects or
bleeding that may harm your unborn
child.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/essentials/ts2-0ltc_essentials_slides.pptx
February 03, 2006 - TEAMSTEPPS 05.2
LTC Essentials Page ‹#›
Essentials
Cross-Monitoring
A harm error reduction strategy
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/ACTION%20-III-2019-Project-Summaries.pdf
January 01, 2019 - from this task order will assist providers in improving diagnostic processes
and reducing the risk of harm … facilitating continued patient engagement; and
• CDS for clinicians to detect patients at high risk of harm … non-older adult population.1 Use of opioids among older adults is associated
with increased risk of harm … in the Beers Criteria, a list of inappropriate medications for
older adults,3 for whom the risk of harm … A recent Healthcare Cost and Utilization Project report by AHRQ provides evidence of the risk
of harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - million cases of ED-based diagnostic error per year, with nearly half having the
potential for patient harm … communication in diagnostic processes, as well as the
impact of suboptimal communication on patient harm … diagnostic safety through the lens of
distributed cognition would be a major advance in the quest to limit harm