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www.qualitymeasures.ahrq.gov/practiceimprovement/delivery-initiative/gilmerstudysnapshot/index.html
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/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
March 01, 2017 - Involving residents and
family members in harm prevention efforts—
• Promotes a comprehensive approach
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module5/5_ts_office_sitmon.pptx
January 20, 2006 - recognize risk or unfolding error
An opportunity to interrupt or correct an action or event before there is harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-slides.pptx
April 01, 2022 - local, and that work to improve culture must be owned at the unit level
Rooted in the premise that harm … fix problems
Participates in activities that support teamwork and communication to prevent patient harm
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www.qualitymeasures.ahrq.gov/research/findings/evidence-based-reports/ptsafetyuptp.html
July 01, 2023 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-3.pdf
February 02, 2017 - Section 2: Detailed Measure Specifications, Attachment 2: EHR Recommended Data Locations
SNAC Submission Form Measure 2: ADHD Behavior Therapy
Section 2: Detailed Measure Specifications
Attachment 2: EHR Recommended Data Locations
Th…
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www.qualitymeasures.ahrq.gov/cpi/about/nac/snac-pronovost.html
December 01, 2021 - Following his success in eliminating one harm in most health systems across the United States, Dr.
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www.qualitymeasures.ahrq.gov/research/publications/search.html
January 01, 2024 - Successful approaches to learn from diagnostic quality and develop strategies to reduce harm from diagnostic
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www.qualitymeasures.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Near-miss events, where no actual harm comes to the patient, represent a lower‑risk opportunity to improve … recognize a near-miss event (as opposed to an adverse event or an error that had no potential for patient harm … in each practice who would review the report to make sure that the report was a near-miss (i.e., no harm … came to the patient) and not an adverse event (AE, where the patient had suffered some harm). … Ultimately, disclosure of errors in the care process, particularly those events where no harm came to
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www.qualitymeasures.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - how to apply the CUSP Toolkit in a clinical environment
Review the impact of errors and patient harm … how to apply the CUSP Toolkit in a clinical environment
Review the impact of errors and patient harm … culture is local, and that work to improve culture must be owned at the unit level
Believes that harm
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www.qualitymeasures.ahrq.gov/news/newsroom/press-releases/chlorhexidine-bathing.html
October 01, 2023 - Given the growing concern of harm from antimicrobial-resistant germs in nursing homes, the impact of
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www.qualitymeasures.ahrq.gov/action-alliance/webinars/index.html
April 01, 2024 - Webinar speakers will discuss strategies for achieving 50 percent improvements in preventable harm to
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www.qualitymeasures.ahrq.gov/es/nursing-home/resources/search.html
January 01, 2022 - All Cause Harm Prevention in Nursing Home—Events Related to Infections This document is a section of … the All Cause Harm Prevention in Nursing Homes Change Package.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - 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.qualitymeasures.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
July 01, 2011 - errors and enhance the development of
effective methods for improving quality and
preventing patient harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/SOPS-Nursing-Home-DB-Part-I-2023.pdf
January 01, 2023 - of the
time” discuss ways to keep residents safe, tell
someone if they see something that might
harm … Incidents Staff discuss ways to keep residents safe, tell someone if
they see something that might harm … (Item B5) 82%
Staff tell someone if they see something that might harm a
resident. … (Item B6) 86%
In this nursing home, we discuss ways to keep residents safe from
harm. … and Communication About Incidents % Always/Most of the Time
When staff report something that could harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - The long-term goal is to eliminate preventable harm. … safety
· Improve teamwork and communication
· Recognize current practices that may lead to patient harm
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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/antibiotic-faqs.docx
March 01, 2017 - use is just a reflex or habit, you might bring up the concept that overuse of antibiotics can cause harm
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinar/slides.html
June 01, 2018 - process challenges
Improving compliance
Learning from near falls and falls that do not involve harm … , in addition to learning from falls with harm
Slide 30
Tools
Assessing Fall Prevention Care
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
June 01, 2021 - Talking With Residents and Family Members About Antibiotics
AHRQ Pub. No. 17(21)-0029
June 2021
Talking With Residents and Family Members
About Antibiotics
The last time this happened, the doctor
prescribed an antibiotic and my
family member got better.
Can’t we do that again… just in case?
Five …