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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/learning-antibiotic-adverse-events-form.docx
November 01, 2019 - AHRQ Safety Program for Improving Antibiotic Use
Learning From Antibiotic-Associated Adverse Events
An antibiotic-related adverse event is any event or situation involving the prescription or administration of antibiotics that you would not want to happen again because it either caused your patient harm …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
May 19, 2016 - Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 1: An Overview of the CANDOR Process
The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR Pro…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/patient-safety-summit-agenda-2020.pdf
January 01, 2020 - Do we know enough about the full spectrum of patient safety
harms in this specific setting and how to
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-facilitator-guide.pdf
November 01, 2019 - To promote a culture of safety around antibiotic
prescribing, the potential harms associated with
antibiotic
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - quality of life, but not at the level of severe harm.” t When a reported event described multiple harms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - stewardship is not an
institutional priority, there will be inadequate resources
to prevent these harms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
March 03, 2014 - What are the harms of epidural corticosteroid, facet joint corticosteroid
injections, medial branch … Harms
Pain
Function
Quality of life
Opioid use
Health care
utilization
2 … quality of life, opioid use, subsequent
surgery, health care utilization
• For Key Question 4: Harms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/webinars/lcswebinar0504-slides.pdf
May 04, 2016 - The National Lung Screening Trial
But…
…lung cancer screening with LDCT carries
potential harms:
… Shared decision making, including:
Use of 1 or more decision aids, to include…
• Benefits, harms, … • “So we’ve talked about possible harms of LCS. What do you
think about those risks?”
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - (CUSP) is a proven method for preventing healthcare-associated infections (HAIs) and other patient harms
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Patient harms often have defect(s) at each of these layers.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - Learn From Defects Tool
AHRQ Safety Program for Surgery
Learn From Defects Tool – Perioperative Setting
What is a defect? A defect is any event or situation that you don’t want to repeat. This could include an incident that caused patient harm or put patients at risk for harm, such as a patient fall.
Problem statem…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - Although AEs most
often result in transient harms, some lead to permanent injury and death. … Potential for Quality Improvement
Key strategies for reducing preventable harms in children include … CMS has also created incentives for reducing harms through reimbursement policies. … For example, evidence shows that patients who experience health care-related harms have
greater odds … A new, evidence-based estimate of patient harms associated with hospital care.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_slides_fallprev.pptx
June 16, 2017 - Preventing Falls in Hospitals
Preventing Falls
in Hospitals
ADD Hospital Name Here
Module 1
Ice Breaker
Describe an interesting fact about yourself.
‹#›
Compelling Reasons To Implement Program
Falls are common.
They are the most frequently reported incident in adult inpatient units.
The rate of falls ranges f…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - Improving the Value of Patient Safety Reporting Systems
Improving the Value of Patient
Safety Reporting Systems
Peter J. Pronovost, MD, PhD; Laura L. Morlock, PhD; J. Bryan Sexton, PhD;
Marlene R. Miller, MD, MSc; Christine G. Holzmueller, BLA; David A. Thompson, DNSc, MS;
Lisa H. Lubomski, PhD; Albert W. Wu, M…
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/leadership-4.html
June 01, 2021 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Patient harms often have defect(s) at each of these layers.