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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/epner-summit2016-wrapup.pdf
September 28, 2016 - • Mission
The Society catalyzes and leads change to
improve diagnosis and eliminate harm, in
partnership … Objective - Identify and disseminate effective
tools for improving diagnostic performance and
reducing harm
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-access.html
September 01, 2015 - Importance: Lack of timeliness can result in emotional distress, physical harm, and higher treatment … Importance: Lack of timeliness can result in emotional distress, physical harm, and higher treatment
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - Also, there is Clostridioides difficile diarrhea, the harm and discomfort of central access for antibiotics … Yes, this does help us avoid financial penalties, but more importantly, it’s what is best to prevent harm … patient is asymptomatic.
· Make sure staff know and understand that inappropriate urine culturing causes harm
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-notes.docx
April 01, 2022 - checks for key processes, we improve our ability to reduce the risks of adverse events resulting in harm … , ICUs can still make changes in systems or processes to make their units safer and prevent patient harm … compel the team to make changes by providing an example of when inaction (or action) led to patient harm … Keep in mind that process defects may be identified that did not cause harm but put patients at risk … for harm, such as a breach in aseptic technique when inserting a central line.
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hsops-items-composites.pdf
February 16, 2021 - When a mistake is made, but has no potential to harm the patient, how often is this reported?
D3. … When a mistake is made that could harm the patient, but does not, how often is this reported?
9.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - 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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - 0029
June 2021
Discussing Concerns With Family
1
Objectives
Review strategies to discuss potential harm … to be contaminated, could lead to treating her for an infection she does not have, which may cause harm … of life
15
Discussing Concerns With Family
15
End-of-Life Care4,5
Antibiotic therapy may cause harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/sustain-facilitator-guide.pdf
November 01, 2019 - Continue to assess for potential harm
associated with antibiotic use and develop
improvement strategies … Clinicians tend to be more worried about patient
harm. … garner
support from clinicians, and gather data to show
them that your interventions are not causing harm
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2023-SOPS-Nursing-Home-DB-Infographic.pdf
January 01, 2023 - of the
time” discuss ways to keep residents safe, tell
someone if they see something that might
harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/facilitator-notes.docx
March 01, 2017 - Any staff member can complete this assessment, highlighting areas of concern or potential harm that the … across the organization, to capture information about high-risk situations that could lead to resident harm … across the organization, capture information about high-risk situations that could lead to patient harm … Provide statistics that show the positive effects of the project in reducing resident harm or the average … Within the 4 Es model, you want to engage facility staff in understanding the effects of preventable harm