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Showing results for "harm".
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/videos/meeting.htmlAugust 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/videos/accountability.htmlAugust 01, 2022 - practitioners can use to respond in a timely, thorough, and just way when unexpected events cause patient harm
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www.cpsi.ahrq.gov/health-literacy/professional-training/informed-choice.htmlMay 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docxJanuary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?”
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www.cpsi.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.htmlApril 01, 2024 - Avoiding Harm With an Intentional Approach to Equity In developing the guide, we understood that many … The root causes vary, and the harm to patients—and their caregivers—is real.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-about-cusp-facilitator-guide.pdfMay 01, 2017 - 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 … 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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Module 2: Example (doc file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docxMay 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 -
www.cpsi.ahrq.gov/patient-safety/resources/learning-lab/index.htmlFebruary 01, 2024 - Caregiver Innovations to Reduce Harm in Neonatal Intensive Care Principal Investigator: Eric J. … multimethod trigger-based, prospective clinical surveillance system to detect all-cause preventable harm … Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm … Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive … Transdisciplinary Learning Lab to Eliminate Patient Harm and Reduce Waste Principal Investigator:
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www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.htmlJuly 01, 2023 - What might we do to prevent that harm?")
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www.cpsi.ahrq.gov/news/blog/ahrqviews/teamstepps-30.htmlSeptember 01, 2023 - momentum going with another important milestone in its ongoing commitment to moving toward zero patient harm
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www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.htmlFebruary 01, 2017 - that allow us to see those system factors and how they influence care, we can see the risks of patient harm … medication error, ventilator associated pneumonia, or anything that can lead to preventable patient harm … What can be done to minimize this harm? How can we get the patient off of the ventilator faster?"
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Understand-Facilitator-Guide (doc file)
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.docxMay 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 -
www.cpsi.ahrq.gov/hai/tools/mvp/modules/vae/surveillance-fac-guide.htmlFebruary 01, 2017 - Slide 5: Connect the Safety Dots Say: The use of any invasive device can lead to harm. … While these are all life-saving events, there is a potential for harm. … In this schematic you can see some of the causes for and outcomes associated with ventilator harm. … As we connect the dots to harm, it’s important to look at the clinical ramifications of VAE.
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www.cpsi.ahrq.gov/news/newsletters/e-newsletter/878.htmlAugust 01, 2023 - ET on 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/patient-safety/resources/learning-lab/acute-care-long-desc.htmlJune 01, 2020 - identifying, assessing, and reducing patient safety threats in real time, before they manifested in actual harm … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptxJanuary 01, 1995 - issues or minor deviations early enough to correct and handle them before they become a problem or pose harm … recognize risk or unfolding error An opportunity to interrupt or correct an action or event before there is harm … It allows for one to take steps to interrupt or correct an action or event before there is harm or injury
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdfJanuary 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 O…
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www.cpsi.ahrq.gov/hai/cusp/summary/index.htmlSeptember 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm
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www.cpsi.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.htmlJune 01, 2017 - Say: You can have problems that involve results such as harm events or near-misses. … problems and issues require immediate management attention, such as urgent and important issues like a harm … , understand the tools for root cause analysis that your center applies to investigate and document harm
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www.cpsi.ahrq.gov/diagnostic-safety/workgroup/index.htmlMarch 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm
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