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www.healthcare411.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm
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www.healthcare411.ahrq.gov/diagnostic-safety/workgroup/index.html
March 01, 2024 - research into improving medical diagnosis and in particular, diagnostic failures that lead to patient harm
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/afib_topicref.pdf
January 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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-pdsa-form.docx
May 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
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www.healthcare411.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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
January 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.healthcare411.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.healthcare411.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 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.healthcare411.ahrq.gov/data/visualizations/hiv-prep.html
October 01, 2023 - Skip to main content
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www.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.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.healthcare411.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - States showed that LEP patients are more likely than English-speaking patients to suffer from physical harm … hospitalizations than patients whose families are English proficient. 26
Figure 3: Types of Physical Harm … malpractice carrier that insures in four States to identify when language barriers may have resulted in harm … appropriate language services:
The cases resulted in many patients suffering death or irreparable harm
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www.healthcare411.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.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-5-attach-5.pdf
February 02, 2012 - -
able, the clinician needs to
weigh the risks of starting med-
ication at an early age against
the harm … were based on high- to moderate-
quality scientific evidence and a pre-
ponderance of benefit over harm … ● Benefits-harms assessment: The ben-
efits far outweigh the harm. … ● Benefits-harms assessment: There is a
preponderance of benefit over harm. … ● Benefits-harms assessment: There is a
preponderance of benefit over harm.
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www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-5-attachment-5.pdf
February 02, 2012 - able, the clinician needs to
weigh the risks of starting med
ication at an early age against
the harm … were based on high- to moderate-
quality scientific evidence and a pre
ponderance of benefit over harm … ● Benefits-harms assessment: The ben
efits far outweigh the harm. … ● Benefits-harms assessment: There is a
preponderance of benefit over harm. … ● Benefits-harms assessment: There is a
preponderance of benefit over harm.
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www.healthcare411.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.healthcare411.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