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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/decision-making.pdf
March 01, 2022 - period and count the number of unique patients who have a positive blood culture
from any pathogen occurring … Decolonization of Non-ICU Patients With Devices Decision Making 3
Alternatively, reported CLABSI events occurring … year’s worth of counts of new MRSA-
positive or VRE-positive clinical cultures among unique patients occurring … and MSSA compared with CHG alone.13-17
o Even among hospitals where screening for MRSA is currently occurring
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ce.effectivehealthcare.ahrq.gov/priority-populations/observances/hispanic-heritage/index.html
October 01, 2021 - psychiatric perspective when they are fully interviewed in their own language, with the translation occurring
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ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - National Academy of Medicine report that elevated awareness of longstanding risks and patient harms occurring … inaugural report consisted of 50 patient safety practices in eight categories encompassing commonly occurring
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/appendix/app-7.html
July 01, 2022 - have internal and external data to support that medication errors, and in many cases patient harm, are occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - severity index scale based on patient outcomes
allows users to break down actual and potential errors occurring … All data are voluntary
and self-reported and may not be an accurate reflection of what is occurring … In fact, the reported data most likely represent a small
percentage of the events that are occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
January 01, 2004 - The odds ratio describes the chances of patient harm
occurring relative to harm not occurring, given … has
promoted a process that uses a “risk matrix” calculation, which is the frequency of
an event occurring … have different codes applied at the most granular level even though the same basic
process error is occurring
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - Next, rate each barrier on the likelihood of the barrier occurring within the unit and the severity of … of the Barrier Summary and Prioritization Table, rate each barrier on the likelihood of the barrier occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - Harms as Opportunities1
Reframe a problem or error as an opportunity to prevent the same problem from occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool7_portfolio_pres.ppt
August 30, 2016 - readmissions
% of all discharges with a behavioral health diagnosis
% of all readmissions occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - for Healthcare Research and Quality (AHRQ) to provide
information on safety-related adverse events occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - This type of problem solving generally does not help prevent future harm from occurring. … It identifies problems in the system and works to prevent them from occurring again.
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ce.effectivehealthcare.ahrq.gov/hai/pfp/interimhacrate2014.html
January 01, 2018 - from 2011 to 2014 as a result of the reduction in HACs, with nearly $16 billion of those cost savings occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/four-moments/poster-three-options.pdf
November 01, 2019 - Pocket Cards_4 Moments
Th
e
Fo
ur
M
om
en
ts
o
f A
nt
ib
io
tic
D
ec
isi
on
M
ak
in
g
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Moment 1 occurs at the time that initiation of antibiotic
therapy is being considered. Ask, “Does my patient have an
infection that requires antibiotics?”
Mome…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment.pdf
December 01, 2023 - Practice Self-Assessment Tool for Opioid Use in Older Adults
www.ahrq.gov
Practice Self-Assessment Tool for Opioid Use in Older Adults
Instructions: This quality improvement self-assessment tool is best completed in a group discussion with all staff involved in this
work. It can also be completed by staff indiv…
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-mazur.html
March 01, 2023 - While radiation therapy has relatively low error and injury rates, studies show that most errors occurring
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ce.effectivehealthcare.ahrq.gov/news/blog/ahrqviews/eliminate-diagnostic-errors.html
August 01, 2022 - Some signs suggest that progress is occurring.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/identify/sensemakingnotes.docx
August 08, 2012 - ASK
· What does the nurse suggest that the team do to reduce the likelihood of the defect occurring … · CUSP and Sensemaking tools help teams identify defects and identify ways to prevent them from occurring
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/bundy-report.pdf
January 01, 2024 - likely to result in harmful medication errors included use of ISMP High-
Alert Medications, errors occurring … harmful errors involved significantly more
administering errors (59% vs. 32%, p = 0.023), errors occurring
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/908.html
April 01, 2024 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - facility level for residents at high risk for adverse events
Are generated weekly
Can show trends occurring