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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/infographicposter-final508_0.pdf
July 12, 2018 - admissions
are related to an
adverse drug event
An estimated
160
million
medication
errors occur
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.pdf
December 15, 2016 - o Help the team problem solve obstacles that occur during
the implementation process. … Communicate risk changes as they occur. … Improve root cause analyses when adverse events occur. … When would the meeting occur? … How will communication occur with
other disciplines to confirm changes in care?
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preventiveservices.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Errors associated with schematic tasks are labeled "slips" and occur because of lapses in concentration … Errors associated with failures of attentional behavior are labeled "mistakes" and often occur because … Checklists are cognitive aids that have numerous practical benefits, including reducing slips that occur … In practice, steps listed may not occur sequentially.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
March 08, 2019 - Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
March Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested t…
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-l.pdf
May 01, 2017 - Surgical site infections
are infections that can
occur after surgery in the
part of the body where
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.pdf
May 23, 2013 - Nurse shift changes occur when nurses who are
going off duty share information about your care
with
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.docx
January 19, 2017 - Monthly
After about 6 months, the facilitator’s role is to check in to identify obstacles that could occur … The expectation is that reports will be used on a weekly basis except for meetings that occur less frequently
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/CUSP-Patient-Family-Engagement.pptx
May 01, 2013 - education
Organizations should be prepared to respond and communicate proactively when adverse events occur
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072320.pdf
November 06, 2020 - Taxonomy of diagnostic errors that could occur in the COVID-19
era, including false negatives and other
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_1_BSR_Broch_508.docx
February 24, 2011 - Nurse shift changes occur when nurses who are going off duty share information about your care with nurses
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March 01, 2021 - Skip to main content
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_3_Pres_video_508.pdf
May 30, 2013 - – Treatment
– Health care operations
– Payment
• HIPAA acknowledges incidental disclosures may occur … Shift Report (Tool 3)
Addressing HIPAA concerns (continued 3)
• Oral communications often must occur
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-impsteps.pdf
January 19, 2017 - Monthly
After about 6 months, the facilitator’s role is to check in to identify obstacles that could occur … The expectation is that reports will be used on a weekly basis except for meetings that
occur less frequently
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
June 30, 2017 - When falls occur with assistance, it suggests that staff have identified at-risk patients and are in … injury, they begin to get a picture of the severity of the falls and where the most injurious falls occur
-
preventiveservices.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Hospitals and healthcare providers are focused on reducing specific HACs that occur frequently, can cause
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-course-evaluation-form.pdf
June 01, 2023 - Describe the impact of errors and why they occur 1 2 3
3.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-toolkit.pdf
December 01, 2017 - It shows discrete steps that
should occur in order for the correct test to be performed and the results … A mistake might occur during or between any of these steps. … Tasks where errors Rarely Occasionally Frequently None Mild Moderate Severe Don’t know/ Total
may occur … Interpreting the Results
Any “no” responses to a question indicate:
• An area where errors may occur … o If planned changes did occur:
u Continue and collect additional data.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-guide.docx
September 01, 2022 - Similarly, after re-education efforts occur, if the stewardship team still notices an unacceptably high … Messages
SAY:
After the initial steps to establishing antibiotic stewardship principles in a practice occur
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-interpreter-hpcahps-adult_2157-4a.docx
May 24, 2017 - Some items cover events that occur with low frequency in the general population.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/interpreter-hpcahps-adult-spanish-2157-4b.docx
December 21, 2017 - Some items cover events that occur with low frequency in the general population.