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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apf.html
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - The extent of harm to the patient and expected duration of harm were also reported with moderate
consistency
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/883.html
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - shows key safety indicators such as the number of days since the last “near miss” event or patient harm
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Chasing zero events of harm: an urgent call to expand safety culture work and
customer engagement.
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-fac-notes.html
June 01, 2017 - Visual management can focus on a few simple metrics, at least initially, such as days since last harm
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/MO_Items-Composite_Measures.pdf
October 04, 2023 - SOPS Medical Office Items and Composite Measures
SOPS® Medical Office Survey Items and
Composite Measures
Version: 1.0
Language: English
Note
• For more information on getting started, selecting a sample, determining data collection
methods, establishing data collection procedures, conducting a Web-based sur…
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/864.html
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
July 25, 2018 - focus on areas of greatest impact so that while we have lots of research looking at assessment
of harm … , epidemiologic perspective of patient safety where most harm occurs, we also transition through to … the National Patient Safety Foundation a couple of years ago, we had done a report called Free From Harm
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/2015/pharmsops15pt1.pdf
January 01, 2015 - percent positive)
• In response to the question “When a mistake reaches the patient and could
cause harm … positive response (94 percent positive) was:
(D1) “When a mistake reaches the patient and could cause harm … 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
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/LomotanDougherty2013.pdf
April 01, 2013 - Overuse occurs when a healthcare service is
provided under circumstances where harm is likely to
exceed … Misuse may or
may not result in harm to the patient (e.g., inappropriate
dosing intervals for the correctly
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www.talkingquality.ahrq.gov/teamstepps-program/curriculum/situation/tools/index.html
June 01, 2023 - potential issues or deviations early enough to correct and handle them before they become a problem or pose harm
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www.talkingquality.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html
March 01, 2023 - Many blood thinners can cause birth defects or bleeding that may harm your unborn child.
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www.talkingquality.ahrq.gov/teamstepps/instructor/essentials/pocketguide.html
January 01, 2020 - Cross-Monitoring
A harm error reduction strategy that involves:
Monitoring actions of other team
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/904.html
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www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Believes that harm is not an acceptable "cost of doing business".
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www.talkingquality.ahrq.gov/hai/cusp/modules/patient-family-engagement/notes.html
September 01, 2013 - will investigate and analyze it (e.g., a root cause analysis may be conducted) to determine if patient harm