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psnet.ahrq.gov/node/37965/psn-pdf
December 01, 2008 - Building a simulation-based crisis resource management
course for emergency medicine, phase 1: results from an
interdisciplinary needs assessment survey.
December 1, 2008
Hicks CM, Bandiera GW, Denny CJ. Building a simulation-based crisis resource management course for
emergency medicine, phase 1: Results from an …
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psnet.ahrq.gov/node/74722/psn-pdf
February 02, 2022 - Preventing and mitigating radiology system failures: a
guide to disaster planning.
February 2, 2022
Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide
to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - Leading causes of anesthesia-related liability claims in
ambulatory surgery centers.
October 6, 2021
Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory
surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - Quality Improvement and Patient Safety Competencies
Across the Learning Continuum.
January 1, 2019
AAMC New and Emerging Areas in Medicine Series. Washington, DC: Association of American Medical
Colleges; 2019. ISBN: 9781577541882.
https://psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-competencies-ac…
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psnet.ahrq.gov/node/38774/psn-pdf
July 08, 2009 - Evaluation of causes and frequency of medication errors
during information technology downtime.
July 8, 2009
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication
errors during information technology downtime. Am J Health Syst Pharm. 2009;66(12):1119-24.
doi:10.2146/a…
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psnet.ahrq.gov/node/41457/psn-pdf
August 02, 2012 - The H-PEPSS: an instrument to measure health
professionals' perceptions of patient safety competence
at entry into practice.
August 2, 2012
Ginsburg LR, Castel E, Tregunno D, et al. The H-PEPSS: an instrument to measure health professionals'
perceptions of patient safety competence at entry into practice. BMJ Qual…
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psnet.ahrq.gov/node/46734/psn-pdf
February 07, 2018 - To err is human: use of simulation to enhance training
and patient safety in anaesthesia.
February 7, 2018
Higham H, Baxendale B. To err is human: use of simulation to enhance training and patient safety in
anaesthesia. Br J Anaesth. 2017;119(suppl_1):i106-i114. doi:10.1093/bja/aex302.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/44895/psn-pdf
March 09, 2016 - On patient safety: when are we too old to operate?
March 9, 2016
Lee MJ. On Patient Safety: When Are We Too Old to Operate? Clin Orthop Relat Res. 2016;474(4):895-8.
doi:10.1007/s11999-016-4722-6.
https://psnet.ahrq.gov/issue/patient-safety-when-are-we-too-old-operate
High-risk industries often have mandatory requ…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/atypical-antipsychotics-off-label-update_research-protocol.pdf
May 19, 2010 - The
overall quality of evidence for outcomes will be assessed using a method developed by the Grade
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psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - sedation status, and respiratory status, including oxygenation and ventilation, should be monitored and
assessed
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www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
July 01, 2018 - levels, or rankings against other specified benchmarks. 86,87 Negative incentives, such as penalties assessed … organizational assessment itself can help inform participants about the core concepts and strategies being assessed
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www.ahrq.gov/news/newsroom/case-studies/201804.html
July 01, 2018 - AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent
Search All Impact Case Studies
July 2018
Patient falls resulting in injury were reduced by 21 percent at Madonna Rehabilitation Hospital after the Lincoln, NE, facility implemented AHRQ’s Preventing Falls in Hospitals To…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-13.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.13. Screening Rate Multivariate Logistic Regression, Intervention Practices Only: Full Model
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening Tests
Executive Summary
1…
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-15.html
April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests
Table 4.15. Screening Rate Multivarible Logistic Regression, Including Study Arm (Intervention and Control Practices): Full Model
Previous Page Next Page
Table of Contents
Health Care Systems for Tracking Colorectal Cancer Screening …
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www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/diabsumm.doc
June 02, 2025 - AHRQ STATE HEALTHCARE QUALITY IMPROVEMENT WORKSHOP:
AHRQ STATE HEALTHCARE QUALITY IMPROVEMENT WORKSHOP:
Diabetes Care Quality Improvement Workbook and Resource Guide
WHAT DO THESE TOOLS DO?
State leaders can use these tools to help assess and design their diabetes care quality improvement initiatives. These tools…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/168-central-line-maintenance-infographic.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Central Line Maintenance
A comprehensive approach to daily central line maintenance is essential to prevent central line-associated bloodstream infections (CLABSIs).
Hands and Hub
· Clean your hands and wear clean gloves before accessing the central line
· Scrub the hub for at …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-welcome.pdf
March 01, 2022 - Introduction and Welcome
Decolonization of
Non-ICU Patients With Devices
Section 1 – Introduction and Welcome
This toolkit will provide hospital infection prevention programs with instructions for
implementing targeted decolonization in adult patients with medical devices in hospital units
outside of int…
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www.ahrq.gov/news/newsroom/case-studies/multicenter-0701.html
October 01, 2014 - Commonwealth Fund Uses AHRQ Resources To Help Assess U.S. Health System Performance
Search All Impact Case Studies
February 2007
The Commonwealth Fund's scorecard report, Why Not the Best? Results from a National Scorecard on U.S. Health System Performance, used a variety of AHRQ products, research, and t…
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psnet.ahrq.gov/issue/patient-safety-curriculum
March 27, 2005 - Multi-use Website
Patient Safety Curriculum.
Citation Text:
Patient Safety Curriculum. Ann Arbor, MI: National Center for Patient Safety.
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digital.ahrq.gov/program-overview/research-stories/opening-window-depression
January 01, 2023 - Opening a Window to Depression
Theme:
Engaging and Empowering Patients and Caregivers
Subtheme:
Using Digital Healthcare Tools in Chronic Disease Self-Management
Many people with depression who do not have upcoming medical appointments go undiagnosed. An online questionnaire can help get t…