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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-facilitator-guide.docx
June 01, 2021 - Objectives:
SAY:
By the end of this presentation, participants will be able to —
· Discuss the potential harms … To promote a culture of safety around antibiotic prescribing, the potential harms associated with antibiotic
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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
October 01, 2023 - Skip to main content
An official website of the Department of Health and Human Services
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - Network of Patient Safety Databases Falls Chartbook, 2023
Network of
Patient Safety
Databases Falls
Chartbook, 2023
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. S…
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ce.effectivehealthcare.ahrq.gov/prevention/curriculum/index.html
January 01, 2021 - A five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
February 01, 2017 - First, we must reduce the risk of patient harms associated with mechanical ventilation. … By getting patients off of the ventilator faster, you will reduce the risk of patient harms associated … By improving teamwork and safety culture, you can realize the first goal and reduce risk of patient harms
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Harms such as hospital-acquired infections or medication errors can happen during any stage of care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
January 01, 2023 - Network of Patient Safety Databases Chartbook, 2023
Network of
Patient Safety
Databases
Chartbook, 2023
This document is in the public domain and may be used and reprinted without permission. Citation
of the source is appreciated. Suggested citation: Network of Patient Safety Databases Chartbook,
2023. R…
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcoe88.html
March 01, 2024 - They contain systematic reviews of research about each condition to explain the benefits and harms of
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/learning-health-systems/cusp_summary.pdf
September 28, 2017 - CUSP) is a proven
method for preventing healthcare-associated infections (HAIs) and
other patient harms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-table4.pdf
January 01, 2010 - There is adequate evidence that the harms of
behavioral interventions are no greater than
small.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2018-materials/introtsoffice.pdf
January 01, 2018 - 05.2 Page 3Slide 3
AHRQ Activities as Lead Federal
Patient Safety Agency
Understand causes of harms
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ce.effectivehealthcare.ahrq.gov/nursing-home/resources/all-cause-harm-prevention.html
April 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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FAQs
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
February 01, 2017 - By understanding all the contributing factors of a defect, harms can be mitigated or eliminated. … Look at each of these system factors and consider how each can carry a defect that leads to patient harms
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/situation/tools/whats.html
June 01, 2023 - Kane (PDF, 2 KB)
Diagnosis is frequently challenging and a common cause of avoidable harms.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-8/share-tool8.pdf
April 01, 2014 - a five-step process for shared decisionmaking that includes
exploring and comparing the benefits, harms … decision-support resources that
compare the available evidence on the effectiveness, benefits, and
harms … specifically
designed to provide evidence-based information about a treatment option, including benefits,
harms … probabilities, and scientific uncertainties; help people clarify the value they place on the
benefits, harms … , and scientific uncertainties by describing the options; and ask people which
benefits and harms matter
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative
63
Developing a Taxonomy for Coding
Ambulatory Medical Errors: A Report
from the ASIPS Collaborative
Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris,
L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
September 26, 2023
Pre-Decisional Deliberative Document
Internal VA Use Only
Advancing Toward Zero Harm and
Becoming a Learning Health System
Gerard R. Cox, MD, MHA
Assistant Under Secretary for Health for Quality & …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - barriers and evaluate if the intervention is effective.
2
Changing the System
2
View Potential Harms
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules.html
January 01, 2017 - Ventilated Patients
The Comprehensive Unit-based Safety Program (CUSP) is a proven method for preventing harms—including
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - No. 17(21)-0029
June 2021
Patient Safety
1
Objectives
Discuss the potential harms associated with