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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/infection-prevention/environment-and-equipment/core-discussion-key.docx
March 01, 2017 - AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Facilitator Notes
Training Module 2 — Core Team Discussion Guide
Clean Equipment and Environment: Knowledge and Practice
Directions
Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection practices at your facility.
…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - • Contributions of human factors to errors that have led to 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/module4/facilitator-notes.docx
March 01, 2017 - information is not effectively communicated, the results can lead to mistakes and potential resident harm … Effective communication could have helped identify a diagnosis and treatment earlier and decreased harm … ineffective communication that could result in a medication error or other mistake that can cause real harm … should investigate and analyze it (for example, conduct a root cause analysis) to determine if resident harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2013-materials/teamstepps-monthly-webinar-march2013.pptx
January 01, 2013 - 05.2
Mod 1 05.2 Page ‹#›
TeamSTEPPS
Patient Safety
Circa 2000: “efforts to prevent unintended harm … patients to “speak up” and share their ideas about reducing harm
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 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/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
June 01, 2021 - Talking With Residents and Family Members About Urinary Tract Infections (UTIs)
Talking With Residents and Family Members
About Urinary Tract Infections (UTIs)
My father is not
himself today. His
urine is dark and
smells bad. Does
he have a urinary
tract infection?
Last time this
happened, the
do…
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
June 01, 2021 - Talking With Residents and Family Members About Lower Respiratory Tract Infections
—
Talking With Residents and Family Members
About Lower Respiratory Tract Infections
My mother has a
cough. She’s
bringing up yellow
phlegm. Does she
have pneumonia?
Last time this
happened, the
doctor prescribed
an …
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 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/cpi/about/otherwebsites/action-alliance/past-webinars.html
October 01, 2023 - Video: VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
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www.qualitymeasures.ahrq.gov/action-alliance/index.html
Patient and Workforce Safety
Join the National Action Alliance in our progress toward zero preventable harm
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www.qualitymeasures.ahrq.gov/hai/cusp/modules/learn/index.html
July 01, 2018 - Discusses the effects of errors and patient harm and the underlying causes of errors.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - Then, lastly, describe what can be done to minimize patient harm or prevent this safety hazard. … Exercise
Please complete the following:
List all defects that have the potential to cause to cause harm
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www.qualitymeasures.ahrq.gov/research/publications/search.html?page=8
May 01, 2016 - Skip to main content
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/understand/understand-science-safety.pptx
May 01, 2017 - between 210,000 and 440,000 patients who go to a hospital each year suffer some type of preventable harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt2.pdf
January 01, 2015 - When a mistake reaches the patient and could cause
harm but does not, how often is it documented? … When a mistake reaches the patient but has no
potential to harm the patient, how often is it documented … When a mistake reaches the patient and could
cause harm but does not, how often is it documented? … When a mistake reaches the patient but has no
potential to harm the patient, how often is it
documented … When a mistake reaches the patient and could
cause harm but does not, how often is it
documented?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-team-notes.docx
April 01, 2022 - The CUSP framework accomplishes this through stressing that patient harm is not an acceptable cost of … prioritize improvement efforts, help remove barriers, and provide resources to support preventing patient harm … You also can convey the unit’s commitment to prevent harm. … establishes processes for staff to be included in analyzing defects and developing plans to address harm
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www.qualitymeasures.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - patient safety concerns for the purpose of learning how to mitigate patient safety risks and reduce harm
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/health-literacy/professional-training/training-for-health-care-leaders.pdf
January 01, 2014 - Assistants,
Nurse, or other clinical staff
Stop the line (i.e., halt any activity that could
cause harm
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www.qualitymeasures.ahrq.gov/npsd/resources/index.html
June 01, 2019 - care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm
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www.qualitymeasures.ahrq.gov/teamstepps/rrs/index.html
March 01, 2019 - quality healthcare and for the prevention and mitigation of medical errors and of patient injury and harm