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psnet.ahrq.gov/perspective/conversation-cheryl-jones-about-addressing-workplace-violence-and-creating-safer
October 31, 2023 - findings indicated that verbal violence from patients (e.g., insults, threats, screaming, cursing) occurs … I think the most concerning, at least in the immediate sense, is the violence that occurs from patients … leaders will act on reported information, they are more likely to report workplace violence when it occurs … if they’re trained on organizational procedures and policies to address workplace violence when it occurs … in hospitals were from patients and families toward healthcare workers. 8 Horizontal violence that occurs
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - in hospitals were from patients and families toward healthcare workers. 8 Horizontal violence that occurs … findings indicated that verbal violence from patients (e.g., insults, threats, screaming, cursing) occurs … I think the most concerning, at least in the immediate sense, is the violence that occurs from patients … leaders will act on reported information, they are more likely to report workplace violence when it occurs … if they’re trained on organizational procedures and policies to address workplace violence when it occurs
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - April 24, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
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psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability
September 20, 2011 - December 21, 2014
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
September 09, 2015 - July 1, 2017
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years
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psnet.ahrq.gov/issue/are-med-school-grads-prepared-practice-medicine
April 04, 2012 - August 22, 2018
Type 1 diabetes defined by severe insulin deficiency occurs after 30
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cds.ahrq.gov/sites/default/files/Lessons%20Learned%20Summary%20Sheet%20CDS%20Connect%20Patient%20Partnering%20Panel%202021.pdf
July 18, 2023 - A shift occurs when newly partnering with patients and caregivers.
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hcup-us.ahrq.gov/db/vars/ncpt_inscope/nassnote.jsp
August 01, 2019 - A substantial share of procedures occurs in the hospital outpatient setting.
Volume.
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digital.ahrq.gov/program-overview/research-stories/use-ehr-embedded-tools-improve-screening-intimate-partner
January 01, 2023 - visits is a United States Preventive Services Task Force–recommended service, regular screening for IPV occurs
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Catheter-Associated Urinary Tract Infections (CAUTI)
Infection of the urinary tract that occurs subsequent … Central Line-Associated Bloodstream Infections (CLABSI)
Infection of the blood stream that occurs subsequent … Obstetric Adverse Events (OBAE)
An adverse maternal or fetal outcome that occurs during labor and/or … Surgical Site Infections (SSI)
Infection that occurs prior to discharge and within 30 days following
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module5/module5-response-disclosure-notes.pptx
August 21, 2015 - timely communication with patients and/or families during their care, particularly when an adverse event occurs … The first disclosure communication occurs within 60 minutes after a CANDOR event has been identified, … The first followup communication usually occurs after the completion of the Event Investigation and Analysis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module7/module7-resolution-facilitator.pptx
August 24, 2015 - The speed with which resolution occurs is important to the success of the effort. … When harm occurs, patients often express the desire to protect others from future events.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - If a fall occurs, after taking care of the resident, assessing the resident again for risk factors is
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/references/clinhlpsmkqt/clinhlpsmksqt.pdf
May 01, 2008 - If a relapse occurs, encourage repeat quit attempt.
Review circumstances that caused relapse.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
April 01, 2018 - A deep incisional SSI must meet one of the following criteria: (1) infection occurs within 30 days after
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www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
April 01, 2018 - This occurs not only because the rates of known risks may be increased, but also because additional,
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
March 01, 2017 - Instructions for Use
Hold debrief with the team as soon as possible after the CAUTI occurs to exchange
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - difficult for providers to make mistakes
Permit the detection and correction of errors before harm occurs … e.g., prevent malfunctioning or unintentional operation by reverting back to a safe state if failure occurs
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
January 01, 2012 - This less-than-optimal use of health information technology (IT) occurs at a time when the Nation is
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - 71% of patients and caused severe neurological
outcome in the survivors.11,12
Aneurysmal rebleeding occurs … New post-operative stroke occurs in up to 11% of patients undergoing aneurysm clipping.14 To mitigate