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www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
January 01, 2025 - 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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www.ahrq.gov/sites/default/files/2024-01/strom-report.pdf
January 01, 2024 - We excluded outcomes occurring on the first day of statin exposure because of
pharmacological data … The baseline
sCr measurement was the lowest sCr value occurring within 365 days before the elevated … Outcomes occurring during follow-up time
were attributed to the current exposure category. … Outcomes occurring within 30 days after the included
follow-up time were attributed to the prior exposure … Outcomes occurring more than 30 days
after included follow-up time were not included in the analysis
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-slides.html
July 01, 2023 - CUSP and Sensemaking tools help teams identify defects and identify ways to deter them from occurring
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - Divergent thinking occurs during brainstorming sessions and when trying to understand what might be occurring
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www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - common care gaps underscored the importance
of improving systems and processes to prevent errors from occurring … study results suggested that there
are opportunities to improve efforts to prevent care gaps from occurring
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www.ahrq.gov/news/newsletters/e-newsletter/683.html
October 01, 2019 - The most commonly screened-for factor was interpersonal violence, occurring at 75 percent of hospitals
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www.ahrq.gov/news/newsletters/e-newsletter/653.html
February 01, 2019 - Publications include:
Patient engagement in ACO practices and patient-reported outcomes among adults with co-occurring
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www.ahrq.gov/patient-safety/reports/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - What problems or gaps do we have at our institution to prevent diagnostic errors like this from occurring
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www.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - more than 60 percent higher in large central metropolitan areas than in any other area, with over 116 occurring
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www.ahrq.gov/news/newsletters/e-newsletter/797.html
January 01, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety-apa.html
September 01, 2022 - What problems or gaps do we have at our institution to prevent diagnostic errors like this from occurring
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/engaging-physicians.pdf
April 01, 2022 - training in quality improvement processes, and lack of knowledge of broader patient safety initiatives
occurring
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www.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - For this study, the outcome of interest was an SSI occurring in outpatient arthroscopic surgery of the … call by the outpatient surgery center to 30 days postoperative, due to the higher rate of infection occurring … Song and Coleman, both members of the TEP, were asked to estimate the probability of this risk occurring
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/facslides.html
December 01, 2017 - Can show trends occurring over time.
Can provide treatment history.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - Can show trends occurring over time.
Can provide treatment history.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facslides.html
September 01, 2017 - Can show trends occurring over time.
Can provide treatment history.
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - solving one particular instance of the
problem, and it generally does not help prevent future
harm from occurring … It identifies issues in the system
and aims to prevent them from occurring again.
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - determined to involve a potential transition of care event, defined by a multidisciplinary team as occurring … collected and reviewed the hospital’s clinical and administrative documents to identify potential failures occurring
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - increase their ability to learn from mistakes and implement procedures to help prevent serious errors from occurring