-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
January 01, 2003 - industry has demonstrated that less severe mistakes
and near misses provide psychologically safer, lower-risk … particular—increases levels of psychological safety and trust
across the group that enable members to take personal risks … practices) from other industries (e.g., aviation crew
resource management techniques) to a pool of “low-risk … opportunity to be regularly utilized, tendency to quit using
practices if not mastered
Increased risk … residents developing defensive routines
such as cognitive avoidance, rationalization, etc.,
increased risk
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-slides.html
February 01, 2017 - Slide 10: AHRQ Safety Program Goals
To reduce risk of patient harms associated with mechanical
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
March 01, 2022 - Breaks in the skin due to medical devices increase risk for
infection.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/cancer.html
June 01, 2018 - Minority women with early stage breast cancer have been reported to have double the risk for failing
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - Benefits of In Situ Simulation 3,5,6,7
Provides a method to improve reliability and safety in high-risk
-
www.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-data-brief-birth-rates-payments-rev.pdf
October 17, 2023 - Additional steps, such as masking, are taken to reduce the risk of
identifying people and institutions
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.pdf
April 01, 2006 - prevalence rates in Table
1.1 are from the Centers for Disease Control and Prevention’s Behavioral Risk … ____
______________________________________________________________________________
• Behavioral Risk … Data source Questions/notes
Behavioral Risk Factor Surveillance
System - CDC
Healthcare Cost
-
www.ahrq.gov/chsp/events/coe-workshopissuebrief.html
January 01, 2017 - Multiple data sources are needed to mitigate the risk of errors from relying on any one data source.
-
www.ahrq.gov/talkingquality/translate/display/index.html
May 01, 2019 - Numeracy skill and the communication, comprehension, and use of risk and benefit information.
-
www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - It should also be noted that for patients with limited English proficiency, who are at higher risk of
-
www.ahrq.gov/sites/default/files/publications/files/coe-workshopissuebrief.pdf
January 11, 2017 - • Multiple data sources are
needed to mitigate the risk
of errors from relying on any
one data
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/062-protocol-training-decolonization-with-chg.pptx
October 01, 2024 - Bacteria on a patient’s skin can progress to severe infection during hospital stays due to the heightened risk
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
March 01, 2017 - Step 5: Empower Others
Encourage risk taking, nontraditional ideas, activities, and actions that will
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
March 01, 2022 - central lines, midline catheters, and lumbar drains
Breaks in the skin due to medical devices increase risk
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
July 25, 2023 - clinicians, and
health care systems) and their roles in
managing diagnostic test follow-up in
high-risk
-
www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - "How will we know the risk has been reduced?"
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-facilitator-guide.pdf
November 01, 2019 - difficile infection or CDI rates and
recommend areas for improvement
interventions
Perform proactive risk
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/measuredesc-dailyearlymobility-facguide.docx
January 01, 2017 - The SCCM also recommends that moderate- to high-risk patients be screened at least once per nursing shift
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
November 01, 2019 - This meta-analysis shows that patients who undergo
antibiotic de-escalation have a 28 percent reduced risk
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/whento-order/urine-cultures.pptx
March 01, 2017 - concerned that we get this catheter removed to ease your mother’s comfort and make sure she is not at risk