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www.ahrq.gov/hai/clabsi-tools/appendix-1.html
March 01, 2018 - When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, these tools dramatically reduced
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www.ahrq.gov/sites/default/files/2025-06/nishisaki3-report.pdf
January 01, 2025 - implementation through the National Emergency Airway Registry
for Children (NEAR4KIDS) previously reduced … After adjusting for clustering by sites, the intervention significantly
reduced the severe tracheal … After adjusting for site-level clustering, the video laryngoscope use significantly
reduced adverse … oxygen desaturation was smaller in the apneic oxygenation group, we speculate the
apneic oxygenation reduced … This risk needs to be
further reduced by making the QI intervention more effective, by selecting the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - · How will you know the risk is reduced? … How will you know the risk is reduced? … Slide 43
How Will You Know Risks Were Reduced? … Slide 44
How Will You Know Risks Were Reduced? … Show your staff that you’ve reduced the risks for patient harm.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb21.html
December 01, 2017 - Consequences of Falls
Reduced quality of life
Decreased ability to function
Serious injury
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
October 01, 2024 - How will you know the risk is reduced? … Slide 20
How Will You Know the Risk Is Reduced? … the presentation will focus on the fourth question of the LFD process: “How will you know the risk is reduced … Slide 21
How To Determine the Risk Is Reduced
SAY:
After clearly identifying the defect, determining … · How will you know the risk is reduced?
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
December 01, 2017 - resident was not on unit for specific days during the week, the possible number of meals should be reduced … resident was not on unit for specific days during the week, the possible number of shifts should be reduced … resident was not on unit for specific days during the week, the possible number of shifts should be reduced
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www.ahrq.gov/research/findings/final-reports/ptmgmt/summary.html
July 01, 2018 - expected to lead to better disease control which should, in turn, lead to better patient outcomes and reduced … care services, particularly preventable emergency room visits and hospitalizations, and ultimately to reduced … For example, patient self-efficacy and behavior need to change before reduced hospitalizations and costs
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www.ahrq.gov/cahps/surveys-guidance/develop-outpatient-mental-health-surveys.html
August 01, 2024 - These changes include reduced stigma associated with the term “mental health,” and more integration of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Results: All interventions reduced errors (range, 13 to 45 percent),
with more than 4,000 errors avoided … If evaluation showed that an intervention reduced medication errors, the project was
continued, modified … Medication errors were reduced in all projects. … Discussion
Measuring medication errors avoided is a surrogate marker for reduced adverse outcomes. … (and that the prescribed drug should have a reduced dosage) and
that specific drug-drug combinations
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www.ahrq.gov/hai/tools/mvp/modules/vae/overview-off-ventilator-slides.html
February 01, 2017 - $2,300 per day. 6
After fourth day, cost rises to over $3,900 per day. 7
If ventilator days were reduced … Slide 14: Building on Previous State-Level Success…
Michigan Keystone ICU program:
Reduced central … line-associated blood stream infections (CLABSI). 9,10
Reduced VAP. 6
Reduced mortality rate. 7 … Improved safety climate in ICUs. 11
Reduced health care cost. 12
Improved patient outcomes.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-facguide.docx
January 01, 2017 - detergent
Revenue enhancement: shorter LOS increases patient throughput capacity
Balance sheet improvement: reduced … ASK:
If one study reduced a key measure significantly through an intervention, how would implementing … ASK:
If we reduced our VAPs, how much could we save? … Earlier we discussed an intervention that reduced ICU length of stay or LOS by 3 days. … ASK:
If we reduced our ICU LOS by 3 days, how much could we save?
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www.ahrq.gov/hai/cauti-tools/ena-slides/preface.html
October 01, 2015 - literature tells us that that the incidence of catheter-associated urinary tract infections can be reduced … Slide 7
Benefits of reducing inappropriate catheter placements:
Reduced infection rates, costs
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
March 01, 2019 - Did the CME model result in more efficient provision of support and treatment (for example, reduced duplication … of effort and reduced costs)?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - Finally, the last question identifies how you will know the risk is reduced. … How will you know the risk is reduced?
What Happened? … Do staff members believe risks were reduced? … Does the staff believe the risks were reduced? … Post the stories in which risks were reduced. Include data to show trends.
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www.ahrq.gov/nhguide/toolkits/implement-monitor-sustain-program/toolkit1-start-program.html
November 01, 2024 - benefits of creating an antimicrobial stewardship program include improved quality of care for residents, reduced … risk of infections from resistant organisms, and reduced health care costs.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects-revised.pdf
April 01, 2022 - Action Plan Action Plan Owner Targeted Date Evaluation Plan: How will we know
risk is reduced? … Off
12 anything else contributed: Off
Chemotherapy: Off
Evaluation Plan How will we know risk is reduced
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www.ahrq.gov/news/newsroom/case-studies/202402.html
July 01, 2024 - The result: the hospital reduced the number of indwelling urinary catheter days by more than 90 percent
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www.ahrq.gov/hai/quality/tools/cauti-ltc/index.html
September 01, 2021 - facilities that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI , which successfully reduced
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www.ahrq.gov/hai/clabsi-tools/index.html
March 01, 2023 - More than 1,000 intensive care units across the country reduced CLABSI rates by 41 percent when their
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/changing-system-facilitator-guide.docx
June 01, 2021 - · Once the potential for harm is addressed, how do you know the risk was reduced? … Slide 16
How Do You Know the Risk Was Reduced? … SAY:
Finally, how do we know that the risk was reduced? … In order to know if risks were reduced, you should gather baseline data or observations before you intervene … You can also ask a few questions to determine if the risk was reduced.