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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - Believe it or not, even a test as simple as a urine culture can cause resident harm if used incorrectly … But the bacteria in the urine may not be causing any actual harm!
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www.qualitymeasures.ahrq.gov/topics/alcohol-use.html
This means that their drinking causes distress and harm.
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www.qualitymeasures.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.qualitymeasures.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.qualitymeasures.ahrq.gov/health-literacy/professional-training/informed-choice.html
May 01, 2023 - Skip to main content
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www.qualitymeasures.ahrq.gov/patient-safety/about/national-steering-committee.html
June 01, 2021 - that are joining together to create a national action plan to accelerate progress in reducing patient harm
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/when-to-order/cultures-slides.html
April 01, 2017 - Believe it or not, even a test as simple as a urine culture can cause resident harm if used incorrectly … But the bacteria in the urine may not be causing any actual harm!
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/reduce/when-need-antibiotic.pdf
March 01, 2017 - difficile, an infection that can lead to severe symptoms
Cause rash or other allergic reactions
Harm
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www.qualitymeasures.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.qualitymeasures.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.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/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.qualitymeasures.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?"
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptx
April 01, 2022 - There can be potential harm involved when an invasive device is inserted, and a mindful approach can … be used to help prevent that harm. … However, the inserter needs to be mindful that any invasive device can cause harm.
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www.qualitymeasures.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
June 01, 2020 - identifying, assessing, and reducing patient safety threats in real time, before they manifested in actual harm … Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/telehealth-consent-teach-back-documentation.docx
May 04, 2020 - Telehealth Consent Teach-back Documentation
Name of Patient:_____________________________________________ Date:_____________
Name of Clinician:_____________________________________________________________
Name of Interpreter:___________________________________________________________
(If patient does not speak Englis…
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www.qualitymeasures.ahrq.gov/news/newsletters/e-newsletter/878.html
August 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.qualitymeasures.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - communication with a checklist of evidence-based practices for preventing the target HAI or patient harm