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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - Skip to main content
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www.cpsi.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Skip to main content
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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
August 01, 2022 - Skip to main content
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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Skip to main content
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module1/module1_tools.docx
March 01, 2013 - What Are the Harms of the Patient Safety Practice? … Most trials of fall prevention programs have not reported any harms. … The Cochrane review reported none.8 It is not clear whether the possibility of harms was explicitly assessed … However, concern exists that some falls prevention interventions may lead to harms. … The review by Oliver and colleagues detailed a number of potential harms, including an increased use
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www.cpsi.ahrq.gov/learning-health-systems/supporting.html
May 01, 2019 - Program (CUSP) is a proven method for preventing healthcare-associated infections and other patient harms
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/board-checklist.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Board Checklist
AHRQ Safety Program for Perinatal Care
Board Checklist
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safet…
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Partnering
with Stakeholders to Construct Evidence Based Operational
Measures of Diagnostic Related Harms
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www.cpsi.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
August 01, 2012 - Skip to main content
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www.cpsi.ahrq.gov/hai/pfp/hacrate2013.html
January 01, 2018 - An estimated 1.3 million fewer harms were experienced by patients from 2010 to 2013 than would have occurred
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www.cpsi.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod2-slides.html
September 01, 2020 - Compares the benefits and harms of interventions. … Compare the benefits and harms of treatment options. … Improves accurate risk perceptions of possible benefits and harms among patients.