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pcmh.ahrq.gov/nhguide/toolkits.html
September 01, 2017 - Residents and their family members may not know how antibiotics should be used or understand the risks … them understand what the nursing home is doing to make sure antibiotics are used properly, what the risks
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/tool/resource-1.html
September 01, 2020 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks … Clearly communicate the risks and benefits of each option. … The provider presents the options, describes the risks and benefits of each, and explores the patient's
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pcmh.ahrq.gov/npsd/what-is-npsd/index.html
May 01, 2023 - identify and track patient safety concerns for the purpose of learning how to mitigate patient safety risks
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pcmh.ahrq.gov/health-literacy/professional-training/shared-decision/index.html
March 01, 2023 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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pcmh.ahrq.gov/antibiotic-use/long-term-care/safety/index.html
January 01, 2024 - frontline staff and prescribing clinicians should be encouraged to understand both the benefits and risks
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Leadership and Culture:
Are governance/senior leaders regularly and thoroughly briefed on risks and … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings? … Is a risk manager available at all times to respond to patient safety incidents?
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pcmh.ahrq.gov/antibiotic-use/acute-care/safety/index.html
June 01, 2021 - antibiotic prescribing and administration should be encouraged to understand both the benefits and risks
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pcmh.ahrq.gov/cpi/about/organization/nac/emert.html
March 01, 2024 - conduct research and identify healthcare disparities, chronic disease trends, and infectious disease risks
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pcmh.ahrq.gov/patient-safety/resources/learning-lab/yale-center-long-desc.html
June 01, 2020 - Patients being transferred from one setting to another or one clinical team to another are at increased risk … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic … Real-time surveys reveal important safety risks during interhospital care transitions for neurologic
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pcmh.ahrq.gov/teamstepps/lep/handouts/leptragenda.html
December 01, 2012 - Learning Objectives:
Understand the evidence on patient safety risks to LEP patients.
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pcmh.ahrq.gov/questions/videos/index.html
August 01, 2021 - Patients and families who engage with healthcare providers help lower risks and improve their care.
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pcmh.ahrq.gov/hai/tools/cauti-hospitals/toolkit-use.html
December 01, 2017 - Toolkit to create or enhance a culture of safety can significantly decrease rates of CAUTI and other risks
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pcmh.ahrq.gov/prevention/curriculum/index.html
January 01, 2021 - five-step process for shared decisionmaking that includes exploring and comparing the benefits, harms, and risks
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pcmh.ahrq.gov/funding/process/study-section/resfoci.html
October 01, 2020 - Innovation & Emergent Issues Research
Healthcare Safety and Quality Improvement Research (HSQR)
Identify Risks
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pcmh.ahrq.gov/ncepcr/reports/index.html
February 01, 2024 - Technical Brief on Incorporation of Social Risk in Primary Care
The U.S. … Preventive Services Task Force (USPSTF) published a manuscript in JAMA that assesses how social risks … statements and identifies current gaps in the evidence needed to expand the systematic inclusion of social risks
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pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
August 01, 2022 - Comments
Leadership and Culture
Are governance/senior leaders regularly and thoroughly briefed on risks … Are patient safety risks, hazards, and opportunities discussed and documented at board meetings?
… Is a risk manager available at all times to respond to patient safety incidents?
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/leptragenda.pdf
July 25, 2012 - Understand the evidence on patient safety risks to LEP
patients
2.
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pcmh.ahrq.gov/teamstepps/lep/handouts/lepcourseeval.html
December 01, 2012 - I improved my understanding of patient safety risks to LEP patients
1
2
3
4
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pcmh.ahrq.gov/teamstepps/lep/traintrainers/lepigstafftrain.html
October 01, 2020 - High-Risk Settings and Situations .
Added Risk for LEP Patients . … Ask participants: What are the risks in this situation? What was handled well? … Discussion:
What are the risks to the patient in this scenario?
What could go wrong? … I'm uncomfortable...This is a safety issue..." it means that we need to pause and make sure no safety risks … Team goals, plans, and risks—what is to be accomplished, who will do it, and what the potential risks
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - Examples
Preoperative briefing
· The briefing reviews the plan ahead for patient care and the risks … It includes reviewing patient information, procedure, indications, risk, medical history, fetal status … Discovery form
· Root cause analysis
· Eindhoven model
· Failure mode and effects analysis
· Probabilistic risk … of transition communication techniques assures a shared mental model of plan of care and perceived risks … Patient and Family Engagement (CUSP Module)
Key Perinatal Safety Elements
Examples
Communicate risks