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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
May 01, 2017 - What might we do to prevent that harm?”)
AHRQ Publication No. 17-0003-10-EF
May 2017
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www.innovations.ahrq.gov/funding/grantee-profiles/grtprofile-trautner.html
October 01, 2023 - Skip to main content
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www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.html
July 01, 2023 - Include any relevant examples that you observed/were concerned about involving patient harm that could … Please describe what you think can be done to prevent or minimize this harm.
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www.innovations.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Healthcare Safer report, published in 2020, includes 47 evidence-based patient safety practices in selected harm … It includes evidence for more specific harm areas than the preceding reports.
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt-facnotes.docx
May 01, 2017 - The top center has key measures including number of procedures since last harm event and near miss. … To start with, you can track key outcome measures, including days since last harm event and days since … Agree on a clear definition of both harm and “near miss” so that your tracking is consistent over time … You may choose to start with only a couple of items, such as a measure of last harm together with a visual
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/facilscanform.doc
November 15, 2019 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?
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www.innovations.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - Research and Quality (AHRQ) shows that rates of in-hospital adverse events for healthcare related patient harm … Adverse events are often defined as physical or psychological harm caused by a person’s interaction with
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www.innovations.ahrq.gov/prevention/chronic-care/decision/research-centers/index.html
October 01, 2018 - At the same time, other people get services that have no benefit or even cause harm.
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www.innovations.ahrq.gov/sites/default/files/publications/files/gilmerstudysnapshot.pdf
April 01, 2015 - They emphasize consumer choice, self-
determination, and independence; actively use harm reduction, motivational … Similarly, 76 percent endorsed a harm-
reduction approach to substance use, and most adhered to standards
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www.innovations.ahrq.gov/health-literacy/professional-training/informed-choice/audio-script.html
September 01, 2020 - Be specific about how long you expect a benefit or harm to last. … When there's a risk of harm rather than a virtual certainty, it can be challenging to explain. … cannot answer these questions correctly, STOP the line; that is, halt any activity that could cause harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 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.innovations.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes2.html
August 01, 2022 - Transparency is also vital in addressing system factors that may contribute to harm. … choices should be emphasized more than the outcome of the choices, which may or may not have resulted in harm … recognize when they are engaging in at-risk behavior and how their behavior might cause unjustifiable harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
November 01, 2016 - Strategies to Better Manage Lipids – Statin Pearls
Strategies to Better Manage Lipids – Statin Pearls
Alex Krist MD MPH
Family Physician
Virginia Commonwealth University
Member, US Preventive Services Task Force
ahkrist@vcu.edu
‹#›
5/24/2018
1
Disclaimer
Although I am a member of the U.S. Preventive Services Tas…
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www.innovations.ahrq.gov/funding/grantee-profiles/grtprofile-xiao.html
November 01, 2022 - Resilience for Medication Safety Learning Lab (PROMIS Lab) , aims to reduce preventable medication-related harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 09, 2016 - error, mistake, incident, accident, or deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how often is this reported? … When a mistake is made that could harm the patient, but does not, how often is this reported?
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.pdf
December 22, 2017 - error, mistake, incident, accident, or
deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how
often is this reported? ..... … When a mistake is made that could harm the patient, but does not,
how often is this reported? .....
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospscanform.pdf
March 22, 2017 - error, mistake, incident, accident, or
deviation, regardless of whether or not it results in patient harm … When a mistake is made, but has no potential to harm the patient, how
often is this reported? ..... … When a mistake is made that could harm the patient, but does not,
how often is this reported? .....
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www.innovations.ahrq.gov/patient-safety/reports/candor-demo-program/candor/demo-program/index.html
August 01, 2022 - focused on three main approaches to improving patient safety and reducing medical liability:
Preventing Harm … These projects addressed improved communication by assessing attitudes toward error and harm disclosure
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www.innovations.ahrq.gov/diagnostic-safety/tools/index.html
March 01, 2024 - consistently show that the process for managing tests is a significant source of error and patient harm … can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
May 01, 2017 - Require that the appropriate office produce a weekly report of harm, disseminate it to the entire senior