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www.monahrq.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.monahrq.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.monahrq.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
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-facilitator-guide.pdf
May 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
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/aspirin-asa-measure.pptx
April 01, 2016 - ABCS Aspirin Treatment for Secondary and Primary Prevention ASCVD
ABCS
Aspirin Treatment for Secondary and
Primary Prevention ASCVD
Jennifer Bannon RN BSN MSHI
Table of Contents
Objectives
Cardiovascular Disease
Cardiovascular Disease (2)
ABCS-Aspirin when appropriate
Anatomy of a Performance Measure
Measure Exce…
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
September 01, 2015 - a priority for leadership
64
64
Near-Miss Documentation
When something happens that could harm
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/892.html
December 01, 2023 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a
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www.monahrq.ahrq.gov/cpi/about/otherwebsites/effectivehealthcare.ahrq.gov/index.html
March 01, 2024 - Skip to main content
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www.monahrq.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Risk: The possibility of suffering harm or loss; danger.
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www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/index.html
September 01, 2020 - more frequently, are often caused by communication problems, and are more likely to result in serious harm … more frequently, are often caused by communication problems, and are more likely to result in serious harm
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-leaders-training.pdf
January 18, 2017 - required prior to all surgery, and for any treatments and procedures
that involve a significant risk of harm … organization’s informed consent policy should include what constitutes an emergency, such
as if irreparable harm
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www.monahrq.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Nearly 100 grants were awarded to lay the groundwork for reducing harm to patients. … Using Simulation To Prevent Harm
Patients can sometimes be harmed unintentionally as clinicians learn … Much of the time the harm is not serious; however, some procedures, such as complex surgical operations … likelihood that they are among the first health care professionals to recognize errors and prevent harm
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www.monahrq.ahrq.gov/talkingquality/measures/six-domains.html
December 01, 2022 - Medicine (IOM), which includes the following six aims for the healthcare system. [1]
Safe : Avoiding harm
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/895.html
January 01, 2024 - researchers concluded that three-quarters of these diagnostic errors contributed to temporary or permanent harm … Parents' understanding of medication at discharge and potential harm in children with medical complexity
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www.monahrq.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
September 01, 2017 - Falls harm patients.
30% to 51% of falls result in injury.
Many falls are preventable. … Slide 28: Annotated Run Chart
Image: Line graph shows JAH VAMC Med-Surg falls with harm by quarter … The Team and its goals should be:
Aligned with its organization’s goals of preventing harm.
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/881.html
September 01, 2023 - highlight 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.monahrq.ahrq.gov/news/newsletters/e-newsletter/872.html
July 01, 2023 - Patient Safety, a public–private collaboration to support healthcare delivery systems’ move toward zero harm … Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p005-2-ef.pdf
October 01, 2014 - available, the clinician
needs to weigh the risks of starting medication at an early age against the harm
-
www.monahrq.ahrq.gov/news/newsletters/e-newsletter/861.html
April 01, 2023 - Advance Patient Safety , a public–private effort to support healthcare delivery systems’ move toward zero harm … initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Nursing guidelines for comprehensive harm prevention strategies for adult patients in acute hospitals … The reduction not only prevented patient harm, it also saved an estimated $385,000 in healthcare costs