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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - reporting, and years of
opportunities that might have been devoted to objective outcome analyses, high-
risk … errors or compensate for them before
they cause harm.10–12, 15–17 In high-reliability organizations, risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - management events
(e.g., maternal death or serious disability associated with labor or delivery in a low-risk … under the care
of a hospital, employee, physician, or facility that could either injure a patient or risk
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Women differ in disease risk factors and certain patterns of illness compared with men even
when … Urinary catheter use and specific comorbid
conditions can increase the risk of developing a urinary … In the United States, more than 38 million women are
living with CVD, and the at-risk population is … Healthcare Quality and Disparities Report
Advice To Quit Smoking
Importance: Smoking is a modifiable risk … Reducing the risk of adverse drug events in older adults.
-
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/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/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/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/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/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/patient-safety/patients-families/consumer-exp/reporting/chapter5.html
August 01, 2022 - when it occurred; who was involved (functions, not names); why it occurred (most dominant cause); and risk
-
www.ahrq.gov/research/findings/final-reports/iomracereport/reldatapre.html
May 01, 2018 - Hattie Hanley of the Department of Managed Health Care; Shelley Rouillard and Ernesto Sanchez, Managed Risk
-
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/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/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/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/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/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/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
-
www.ahrq.gov/pqmp/implementation-qi/roadmap/index.html
September 01, 2021 - trial: active and less active ingredients of a multi-component complex intervention to reduce high-risk