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www.ahrq.gov/hai/cusp/toolkit/learn-defects.html
December 01, 2012 - Learn from Defects Tool
CUSP Toolkit
Health care organizations can increase the extent to which they learn from defects.
Problem statement: Health care organizations can increase the extent to which they learn from defects. We define this learning as reducing the probability that a future patient will be h…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
January 01, 2024 - 2024 Network of Patient Safety Databases Chartbook
2024 Network
of Patient Safety
Databases
Chartbook:
Medication and Other
Substance Events
2024 NETWORK OF PATIENT SAFETY DATABASES
CHARTBOOK: MEDICATION AND OTHER SUBSTANCE
EVENTS
U.S. DEPARTMENT OF
…
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www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-measures-atlas/ccrm-atlas-ex57.html
March 01, 2013 - Clinical-Community Relationships Measures (CCRM) Atlas
Exhibit 5-7. Measure 7: Information about area (community) resources is offered by clinician (Wrap-Around Observation Form-2)
Previous Page Next Page
Table of Contents
Clinical-Community Relationships Measures (CCRM) Atlas
Introduction
Ackno…
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www.ahrq.gov/news/newsroom/case-studies/cquips1301.html
November 01, 2012 - Newman Memorial Hospital Implements AHRQ's Patient Safety Culture Survey
Search All Impact Case Studies
November 2012
Newman Memorial Hospital, a 79-bed acute hospital in Oklahoma, first implemented AHRQ's "Hospital Survey on Patient Safety Culture" in 2006, when concern about the hospital's patient safety …
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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - mistake, patients and caregivers categorized six safety concerns as having a negative effect that did not involve
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www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - Full-body mannequins:
Fuller scale simulations that
involve full-body mannequins
expand a simulation … Such
a situation could involve skill in error disclosure, for example, informing a loved one (portrayed
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www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
March 15, 2008 - However, most
attempts involve organizations that all belong to the same health system and share the … Radiology directors should also involve
physicians and other clinicians that need to use the system
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Loux_36.pdf
March 15, 2008 - However, most
attempts involve organizations that all belong to the same health system and share the … Radiology directors should also involve
physicians and other clinicians that need to use the system
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Engleman_86.pdf
June 04, 2008 - to report serious adverse
reactions to the FDA, if the reactions are related to their products and involve … identifying and reporting all medical device-related adverse events that
occur in PICUs and NICUs and involve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Singh_69.pdf
April 04, 2008 - data, which should
support the creation of searchable electronic databases of errors that are secure, involve … Thus, cycles of care can occur multiple times in one setting and/or involve transitions between
settings
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www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_utah_health.pdf
April 01, 2019 - They also emphasize that defining the return on investment in
becoming a LHS has to involve more than
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www.ahrq.gov/teamstepps-program/curriculum/intro/explain.html
July 01, 2023 - Involve the right people in decisions in a flexible manner.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - the distribution of residual harm to the distribution of no residual harm by
whether Fall Incidents involve … the nature of the patient safety concern could not be
attributed to the hospital, did not appear to involve
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
August 01, 2022 - System-Focused Event Investigation and Analysis Guide
AHRQ Communication and Optimal Resolution Toolkit
Purpose : To help teams adopt a system-focused approached to event investigation and analysis.
Who should use this tool? Event Reporting, Investigation, and Analysis Team.
How to use this tool : Review…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/pridx-framework.pdf
July 05, 2023 - framework, and rapidly gauge (as a “temperature check”)
stakeholder perceptions and ideas around payer involve
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Patient and Family Engagement for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learnin objectives:
Explore the role of p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
January 07, 2005 - Partnerships that involve knowledge broker organizations (e.g., Institute for
Healthcare Improvement
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
April 05, 2013 - Also think about other leaders to involve (e.g., unit directors and nurse managers).
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/worksheet2.html
August 01, 2022 - Building the Business Case for CANDOR Worksheet
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide guidance to leaders and staff who are building a business case for implementing the Communication and Optimal Resolution (CANDOR) process in their organization.
Who should use this tool? …
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www.ahrq.gov/patient-safety/settings/hospital/candor/impguide/apa.html
August 01, 2022 - Implementation Guide for the CANDOR Process: Appendix A
Building the Business Case Worksheet
Purpose: To provide guidance to leaders and staff who are building a business case for implementing the CANDOR process in their organization.
Who should use this tool? Leaders (administrators, director of nursing…