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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - files to determine if (1) better adherence to medical guidelines could have prevented some patient harms
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diabetes-behavior-programs_research-protocol.pdf
June 05, 2014 - Question 4
For patients with T1DM, what are the associated harms (i.e., activity-related injury) of … Visits to specialist clinics
• Program acceptability as measured by participant attrition rates
• Harms … Harms related to the
intervention (i.e., activity-related injury) may occur at any point during the … 1 diabetes mellitus
Source: www.effectivehealthcare.ahrq.gov
Published online: June 5, 2014 9
Harms … Key Question 4 assesses
harms, which is a minor focus of this review.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/epilepsy-medicine_surveillance.pdf
August 01, 2012 - Conclusion from
SCEPC
Key Question 4: In patients with epilepsy, what are the comparative benefits or harms … initiate an antiepileptic
medication, we could find no substantive
differences in terms of benefits or harms … In patients with epilepsy, what are the comparative benefits or harms for antiepileptic medications in … Key Question 4: In patients with epilepsy, what are the comparative benefits or harms for antiepileptic … initiate an antiepileptic
medication, we could find no substantive differences in
terms of benefits or harms
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/epilepsy-medicine_surveillance.pdf
August 01, 2012 - Conclusion from
SCEPC
Key Question 4: In patients with epilepsy, what are the comparative benefits or harms … initiate an antiepileptic
medication, we could find no substantive
differences in terms of benefits or harms … In patients with epilepsy, what are the comparative benefits or harms for antiepileptic medications in … Key Question 4: In patients with epilepsy, what are the comparative benefits or harms for antiepileptic … initiate an antiepileptic
medication, we could find no substantive differences in
terms of benefits or harms
-
psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - March 15, 2023
To expand the evidence base about harms from tests and treatments.
-
psnet.ahrq.gov/web-mm/copy-and-paste-notes-and-autopopulated-text-electronic-health-record
May 26, 2021 - them for accuracy, will be important to ensure that they achieve their potential without causing other harms
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/cusp-mvpguide.pdf
January 01, 2017 - CUSP Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients
AHRQ Safety Program for
Mechanically Ventilated Patients
CUSP Guide for Reducing Ventilator-
Associated Events in Mechanically
Ventilated Patients
AHRQ Pub. No. 16(…
-
www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
August 01, 2017 - Advances in Patient Safety and Medical Liability
Error Disclosure Training and Organizational Culture
Previous Page Next Page
Table of Contents
Advances in Patient Safety and Medical Liability
Preface
Acknowledgments
Prologue
Silence A Commentary
Reforming the Medical Liability System in M…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/heart-failure-transition-care_disposition-comments.pdf
May 27, 2014 - For example on page 45: “We graded the SOE to answer
KQs on the benefits and harms of the interventions … We wanted to capture
potential benefit (decrease in readmission) as
well as potential harms (increase … Effectiveness or harms for subgroups of patients also remain
unanswered. … We believe there is an important difference
between not considering the harms (i.e., not
searching … We have
added some additional text to the discussion
regarding potential harms of transitional care
-
psnet.ahrq.gov/node/33612/psn-pdf
May 01, 2005 - Organizational Change in the Face of Highly Public
Errors—I. The Dana-Farber Cancer Institute Experience
May 1, 2005
Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber
Cancer Institute Experience. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/organizat…
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/safer-guides-slides.pdf
February 18, 2025 - Engineering Safety into Practice through Implementation of the 2025 SAFER Guides - Slide Presentation
Engineering Safety into Practice through
Implementation of the 2025 SAFER Guides
NATIONAL WEBINAR SERIES
JANUARY 21, 2024
Housekeeping Instructions
• This webinar will be recorded and available for viewing on …
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - Sustainability: Learning From Defects: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Sustainability
Sustainability: Learning From Defects
Slide 2: Learning Objectives
After this session, you will be able to–
Describe the difference between first-orde…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/pharmsops-composites.pdf
June 02, 2025 - SOPS Community Pharmacy Survey Items and Composites
SOPSTM Community Pharmacy Survey Items and
Composites
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving-facnotes.docx
May 01, 2017 - Module 3: Script and Slides
AHRQ Safety Program for Ambulatory Surgery
Management Practices for Sustainability
Module 3: Problem Solving and Escalation
AHRQ Safety Program for Reducing CAUTI in Hospitals
Facilitator Notes
SLIDE 1
Title: Management Practices for Sustainability, Module 3: Problem Solving and Escalati…
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-fac-notes.html
June 01, 2017 - Module 3: Problem Solving and Escalation - Facilitator Notes
Slide 1: Management Practices for Sustainability Module 3: Problem Solving and Escalation
Say:
In this module, we will focus on two elements in the frontline management system that we have outlined—having well-understood problem-solving and prob…
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-slides.pptx
November 01, 2019 - Identifying Targets for Improving Antibiotic Use
Identifying Targets for Improvement in Antibiotic Decision Making
Acute Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Identifying Targets
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
1
Objectives
R…
-
psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - Diagnostic error is an emerging issue that harms a lot of people.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/communication-facilitator-guide.docx
June 01, 2021 - Describe how to effectively communicate the potential harms of antibiotics to other health care providers
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - same resonance in the patient safety field
and being discussed as much as some of the other kinds of harms
-
psnet.ahrq.gov/glossary/latent-error-or-latent-condition
September 13, 2021 - Latent Error (or Latent Condition)
September 13, 2021
Anonymous (not verified)
The terms active and latent as applied to errors were coined by Reason . Latent errors (or latent conditions) refer to less apparent failures of organization or design that contributed to the occurrence of errors or allowed them…