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www.innovations.ahrq.gov/news/newsletters/e-newsletter/874.html
August 01, 2023 - Alliance is a public–private collaboration to support healthcare delivery systems’ move toward zero harm
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www.innovations.ahrq.gov/patient-safety/reports/liability/neumiller.html
August 01, 2017 - Introduction
The goal of patient safety is to reduce the risk of injury or harm to patients by improving … medication administration and creating a culture of safety. 1 , 3
Unfortunately, the potential for patient harm … were found to have a discrepancy at admission or discharge. 33 260 Discrepancies were rated on a 1-3 harm … Nurse-pharmacist collaboration on medication reconciliation prevents potential harm.
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www.innovations.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
August 01, 2018 - disclosure, for example, informing a loved one (portrayed by standardized actor) of a serious patient harm … lessons to be learned regarding their anticipation and mitigation before these events worsen and cause harm … lessons to be learned regarding their anticipation and mitigation before these events worsen and cause harm
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www.innovations.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
June 01, 2022 - more frequently, are often caused by communication problems, and are more likely to result in serious harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/engagement.pptx
May 01, 2017 - Communicating about episodes of harm to patients. In: Leonard M, ed.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - Slide 6
SAY:
Given this environment, it is no surprise that communication challenges can harm patients … Communication failures are a frequent cause of patient harm. … If missed, not giving antibiotics to the patient can cause serious harm to the patient. … identify potential changes on the checklist without making mistakes in front of the patient or causing harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheetinstructions.pdf
June 05, 2016 - Prioritization Worksheet
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool C.1 i
Prioritization Worksheet
What is the purpose of this tool? In today’s health care world, hospitals are required to take on
more responsibility than ever. With many different co…
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheetinstructions.pdf
June 05, 2016 - Prioritization Worksheet
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool C.1
Prioritization Worksheet
What is the purpose of this tool? In today’s health care world, hospitals are required to take on
more responsibility than ever. With many different competing p…
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www.innovations.ahrq.gov/news/newsroom/case-studies/202304.html
October 01, 2023 - program to learn about opioid use disorder, treatment using medications (particularly buprenorphine), harm
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www.innovations.ahrq.gov/ncepcr/research/health-literacy.html
September 01, 2022 - Skip to main content
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-II-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - – 2021 SOPS ASC
Database
Number of Operating/Procedure Rooms
When something happens that could harm … Geographic Region – 2021 SOPS ASC Database
Geographic Region
When something happens that could harm … Documentation by Staff Position – 2021 SOPS ASC Database
Staff Position
When something happens that could harm … Worked Per Week – 2021 SOPS ASC Database
Hours Worked Per Week
When something happens that could harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/part-ii-sops-asc-database-report.pdf
January 01, 2020 - by Number of Operating/Procedure Rooms – 2020 SOPS ASC
Database
When something happens that could harm … Near-Miss Documentation by Geographic Region – 2020 SOPS ASC Database
When something happens that could harm … Documentation by Staff Position – 2020 SOPS ASC Database
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When something happens that could harm … Documentation by Hours Worked Per Week – 2020 SOPS ASC Database
When something happens that could harm
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www.innovations.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-1.html
September 01, 2020 - Skip to main content
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-table4.pdf
January 01, 2010 - Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Table 4
Table 4: Evidence for Follow-up Visits for Children Who Are Overweight
Type of Evidence
Key Findings
Level of
Evidence
(USPSTF
Ranking*)
Citations
Expert
recommendation
The complexity of tre…
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - healthcare-related error,
mistake, or incident, regardless of whether or not it results in patient harm
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www.innovations.ahrq.gov/news/newsroom/case-studies/202202.html
February 01, 2022 - The reduction not only prevented patient harm, it also saved an estimated $385,000 in healthcare costs
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www.innovations.ahrq.gov/es/tools/index.html
December 01, 2015 - , to help health care institutions and practitioners respond when unexpected events cause a patient harm
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www.innovations.ahrq.gov/tools/index.html
December 01, 2015 - , to help health care institutions and practitioners respond when unexpected events cause a patient harm
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www.innovations.ahrq.gov/hai/cauti-tools/archived-webinars/health-literacy-slides.html
December 01, 2017 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-c.html
May 01, 2017 - The checklist drives us towards zero harm by better communication and teamwork within our facilities.