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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/introduction.pdf
February 28, 2014 - quality health care and for the prevention and
mitigation of medical errors and of patient injury and harm
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www.qualitymeasures.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
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/teamstepps-program/curriculum/implement/activity/change.html
June 01, 2023 - Regrettably, some organizations acquire a sense of urgency only when a tragic and publicized patient harm … In some cases, inconveniences are not taken seriously by healthcare organizations and harm results (e.g … Highlighting patient stories of both harms and harm avoidance that contrast a culture of safety with
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
May 01, 2017 - practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm … practices to sustain the use of surgical checklist and related communication behaviors in order to reduce harm
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/reduce/4-things.html
March 01, 2017 - People can have bacteria in the urine that do not cause symptoms or harm; asymptomatic bacteriuria is … Urine culturing can actually harm residents who have no CAUTI symptoms.
4.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
September 01, 2009 - 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? … Although the mistake actually occurs, there is no
harm to the patient, but there could have been harm
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T6-Managing_Resident_and_Family_Expectations_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 6. Managing Resident and Family Expectations
Nurses, prescribing clinicians, and any other staff who discuss or dispense medication may
experience pressure from residen…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-slides.pptx
June 01, 2021 - science of safety
Improve teamwork and communication
Recognize current practices that may lead to patient harm
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/videos/physicians.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.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/candor/videos/disclosure.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.qualitymeasures.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.qualitymeasures.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