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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/audio-script-healthcare-professionals-training.pdf
January 18, 2017 - 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.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - consistently show that the process
for managing tests is a significant source of error and patient harm … The survey also asks staff and physicians to
consider the potential harm caused by problems with your … What is the usual harm for patients? … • To score each survey, multiply the “frequency” score by the “harm” score to get a
total score … Medical testing errors in this office do not harm patients.
9.
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www.monahrq.ahrq.gov/hai/hac/index.html
June 01, 2021 - Reducing hospital-acquired conditions (HACs) is an important patient safety goal, because HACs cause harm
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
September 01, 2022 - Introduction
Errors that occur during the diagnostic process can lead to missed or wrong diagnoses and can harm … risks” and “benefits” vs. the more neutral, transparent, and
quantifiable comparison of “chance of harm … of patient benefit and harms, tests,
like all other health services, will either help patients or harm … results and subsequent missed diagnoses that are truly
causing symptoms, with potential for patient harm
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www.monahrq.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
September 01, 2023 - clear direction that healthcare leaders, delivery organizations, and associations can use to reduce harm … , we can create health systems that ensure patients and those who care for them are truly free from harm
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www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-fac-notes.html
June 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.monahrq.ahrq.gov/research/publications/search.html?page=1
September 01, 2022 - can be used by any healthcare organization interested in promoting diagnostic excellence and reducing harm … Call to Action
Diagnostic Safety Issue Brief #5:
Despite the enormous financial cost and patient harm
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www.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/videos/introduction.html
August 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.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/videos/accountability.html
August 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.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/videos/grpresentation.html
August 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.monahrq.ahrq.gov/patient-safety/settings/hospital/candor/videos/meeting.html
August 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.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - .1 – Evidence table
Type of Evidence Findings Citations
Use of Trigger Tools to Identify Patient Harm … events and levels of harm
in pediatric inpatients with
the Global Trigger Tool. … Adverse drug
event trigger tool: a
practical methodology for
measuring medication
related harm … focused trigger tool to
identify harm in North
American NICUs. … testing, and findings of a
pediatric-focused trigger
tool to identify medication-
related harm in
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www.monahrq.ahrq.gov/news/newsletters/e-newsletter/880.html
September 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.monahrq.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 01, 2023 - Skip to main content
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www.monahrq.ahrq.gov/news/blog/ahrqviews/intentional-about-equity.html
April 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.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/exec-summary.html
September 01, 2020 - patients are more frequently caused by communication problems and more likely to result in serious harm … Figure C: Types of Physical Harm Experienced From Adverse Events by English-Speaking and LEP Patients … Many of the cases reviewed resulted in patients suffering death or irreparable harm. … Family members may also suffer psychological harm if they make an error in interpretation that results … in harm to the patient.
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www.monahrq.ahrq.gov/patient-safety/resources/learning-lab/index.html
February 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.monahrq.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - momentum going with another important milestone in its ongoing commitment to moving toward zero patient harm
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www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
July 01, 2023 - What might we do to prevent that harm?")
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www.monahrq.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-fac-guide.html
February 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?"