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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
October 01, 2024 - Describe how you know you have reduced the risk. … incident to determine whether the intervention has been used effectively and whether risk has been reduced … How will you know the risk is reduced? … Ask frontline staff involved in the defect whether the interventions were effectively carried out and reduced … Impact of Intervention
Interventions Were Effectively Carried Out, 1 (Low) to 5 (High)
Interventions Reduced
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-slides.pptx
November 01, 2019 - How will you know the risk is reduced? … Determine if something can be measured to demonstrate that incidence of the adverse event has been reduced … Decision Making
AHRQ Safety Program for Improving Antibiotic Use – Acute Care
Make Sure Risks Are Being Reduced … Do staff believe risks were reduced? … Follow up to ensure that solutions are implemented and harm is reduced.
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Changes in Antibiotic Decision
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - How will you know the risk is reduced?
Questions 1 & 2 are highlighted. … How will you know the risk is reduced? … Do staff members believe risks were reduced? … Slide 44: How Will You Know Risks Were Reduced? … Post the stories of reduced risks (with data!).
Share with others.
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www.ahrq.gov/news/newsletters/e-newsletter/919.html
July 01, 2024 - Extending Medicaid Eligibility Reduced Number of Uninsured New Mothers . … Extending Medicaid Eligibility Reduced Number of Uninsured New Mothers Extending Medicaid eligibility … during the COVID-19 pandemic significantly reduced the number of uninsured new mothers, according to … latest interactive data visualization allows users to explore how dental visits were substantially reduced
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-15.html
November 01, 2014 - Reduced discharge time.
Discontinued blood typing and screening.
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - saw a spike in patients
discontinuing CR, so they created an ambassador
program that drastically reduced … The interventions they implemented to reduce observed
disparities reduced their average time to start … These reports also enhanced their ability to adjust to
reduced gym capacity while scheduling patient … increased falls back to changes in the gym
and track layout that allowed them to make basic changes that reduced
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www.ahrq.gov/takeheart/about/case-for-cardiac-rehab/index.html
December 01, 2022 - who have:
Had a heart attack
Stable angina
Received angioplasty or stent
Heart failure with reduced … heart-lung transplant surgery
The Challenges
Despite improved health outcomes for patients and reduced
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - How will you know the risk is reduced?
Slide 10: What Happened?
Walk the process. … Slide 19: How Will You Know Risks Were Reduced? … Do staff members believe risks were reduced?
Use data-driven metrics whenever possible. … Post the stories of reduced risks (with data!).
Share with others.
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www.ahrq.gov/patient-safety/settings/multiple/project-echo/videos.html
April 01, 2021 - Sanjeev Arora describes how Project ECHO significantly reduced his clinics' wait times for receiving … Sanjeev Arora describes how Project ECHO significantly reduced his clinics' wait times for receiving
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www.ahrq.gov/data/hcup/dental-utilization.html
June 01, 2024 - problems early when they're usually easier to treat, but data show dental visits were substantially reduced
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-slides.pptx
June 01, 2021 - How do you know that risk was reduced? … device usability testing before purchasing
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Changing the System
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How Do You Know the Risk Was Reduced … Do staff believe risks were reduced?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/talking-points-chg-bathing.docx
March 01, 2022 - ABATE) Infection trial was a large clinical study in patients with select medical devices where CHG reduced … For patients with medical devices, CHG reduced bloodstream infections by over 30 percent, and it reduced
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-3.html
September 01, 2020 - Sibbald and colleagues found in several studies that the use of this checklist reduced diagnostic error … of a checklist did not improve accuracy in the easy cases; on the contrary, diagnostic accuracy was reduced
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docx
October 01, 2024 - Use endotracheal tubes with subglottic suction.4
Associated with reduced VAP rates but has not been found … Consider early tracheostomy (within 7 days of intubation).3
Associated with reduced VAP rates but the
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8a.html
October 01, 2014 - significantly improved quality of life and level of self-efficacy in the studies reviewed as well as reduced … In general, two studies showed that symptoms are reduced significantly when an in-person care management … intervention is employed. 3 , 8 In particular, one study found that symptoms were reduced significantly … In addition, another study showed that the number of days and nights with symptoms was reduced significantly … One study found that telephonic care management significantly reduced the number of lost workdays for
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-burnout-slides.pdf
December 10, 2024 - 2019, 2022)
Consequences of Physician Burnout
• Medical errors1-3
• Impaired professionalism4-6
• Reduced … patient satisfaction7
• Racial bias8
• Staff turnover, reduced hours9,14
• Blunted growth in medical … facilitated small groups of 6-8 physicians
(West CP et al., JAMA Int Med. 2014;174:527-33) demonstrated:
o Reduced
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www.ahrq.gov/hai/decolonization/index.html
May 01, 2025 - Safety Program for MRSA Prevention’s intensive care unit (ICU) and non-ICU cohort, which successfully reduced … Trial In a cluster-randomized trial of 28 nursing homes, the 14 that used universal decolonization reduced
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
April 01, 2025 - How to know the risk is reduced?
Access the Learning From Defects Tool. … the CHG cloths at the clinic visit to improve compliance with nasal mupirocin
How To Know the Risk Is Reduced … How To Know the Risk Is Reduced? … compliance question was embedded in the EHR checklist as a mandatory field
How To Know the Risk Is Reduced
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/magill.html
October 01, 2015 - provider satisfaction; for example, a more efficient visit improved patient satisfaction because of reduced … These cost savings were mainly due to reduced inpatient care, suggesting that higher continuity of care … reduced inpatient hospitalization.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/learning-from-antibiotic-adverse.docx
June 01, 2021 - (How will you know risk was reduced?) … (How will you know risk was reduced?)
AHRQ Pub.