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ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/mutual/tools/rule.html
May 01, 2023 - In teams where it is understood and supported, it can enable any team member to raise concerns about harms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_slides_fallprev.pptx
December 03, 2012 - How To Measure Fall Rates and Fall Prevention Practices
How To Measure Fall Rates
and Fall Prevention Practices
ADD Hospital Name Here
Module 5
Basic Quality Improvement Principle
If you can’t measure it,
you can’t improve it.
‹#›
Basic Quality Improvement Principles
Fall rates and fall prevention practices mus…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
Staff Safety Assessment
Purpose: To tap into your experience to determine risks that could harm residents.
Who should use this tool? Anyone who works in or provides services to this nursing home.
How should you use this tool? Provid…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-agenda.pdf
September 26, 2023 - Webinar Agenda: Veterans Health Administration’s Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
National Action Alliance to Advance Patient Safety
Webinar
Tuesday, September 26, 2023
Veterans Health Administration’s Journey to High Reliability: Advancing Toward Z…
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ce.effectivehealthcare.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
March 01, 2021 - What are the most compelling options for reframing the costs, harms, and other outcomes associated with
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - Contributing other resources that will help ensure success
Monitoring HAI rates or events and other harms … the CUSP: Stop HAI hospital units that successfully lowered their infection rates and other
patient harms … Staff Safety Assessment
Another very useful way for units to learn about potential harms or defects,
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
Careers
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Search all AHRQ sites
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-infographic.pdf
July 01, 2022 - Measure Dx: Making Diagnostic Safety Your Measurement Priority
Measure Dx
Making Diagnostic Safety Your
Measurement Priority
1
Why
Diagnostic errors
are common,
harmful, and costly.
1 in 20 adults
will experience a diagnostic error
in the outpatient setting every year.a
About
250,000
harmful diagnostic erro…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/shareddecisionmaking/tools/tool-1/share-tool1.pdf
April 01, 2014 - a five-step process for shared
decisionmaking that includes exploring and comparing the benefits,
harms … Tool 1)
Step 2: Help your patient explore and compare treatment options
Discuss the benefits and harms
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201702.html
March 01, 2017 - checklist of evidence-based practices to reduce healthcare-associated infections and other patient harms
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/science-of-safety-facguide.docx
January 01, 2017 - 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
January 01, 2017 - In doing so, you will effectively reduce the risk of ventilator-associated pneumonia (VAP) and other harms … AHRQ Safety Program Goals
SAY:
The two main safety program goals are: (1) reduce the risk of patient harms … By getting patients off of the ventilator faster, you will reduce the risk of patient harms associated
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
December 01, 2017 - you do not have a well-defined
process or tool to determine risk, consider using a tool such as the HARMS … Application of the HARMS 8 tool. http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview … HARMS- 8 Hospitalization Risk Screening Tool for Primary Care Providers and Teams. https://www.ihconline.org … /media/
cms/harms-8.pdf.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - Contributing other resources that will help ensure success
Monitoring HAI rates or events and other harms … the CUSP: Stop HAI hospital units that successfully lowered their infection rates and other patient harms … Staff Safety Assessment
Another very useful way for units to learn about potential harms or defects
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - An Overview of the CANDOR Process
Communication and Optimal Resolution
(CANDOR)
Toolkit
Module 4: Event Reporting,
Event Investigation and Analysis
Module 4 of the CANDOR Toolkit covers the Event Reporting, Event Investigation, and Analysis component of the CANDOR process.
1
Objectives
Define the key elements …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/bindman-summit2016.pdf
May 01, 2016 - Improvements in Patient Safety
2010 - 2014
17% reduction
in HACs 87,000 lives saved 2.1 million patient harms
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Skip to main content
An official website of the Department of Health and Human Services
Careers
Contact Us
Español
FAQs
Search all AHRQ sites
Search small
Search
Menu
…
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/overview-cuspmvp-facguide.docx
January 01, 2017 - training, providers will have begun to develop those system lenses which are alert to potential patient harms
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/research/grants-2019.html
March 01, 2024 - An expert-guided machine-learning approach to estimate the incidence, risk and harms associated with
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ce.effectivehealthcare.ahrq.gov/health-literacy/improve/precautions/tool5b.html
March 01, 2024 - To prompt the patient further about harms, you can say:
"What can't you do while taking this medicine