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effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-immunotherapy_research-protocol.pdf
September 14, 2016 - . - Safety terms
a) Adverse events (AE): An injury caused by medical management–rather than by the
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hcup-us.ahrq.gov/reports/methods/2003_05.pdf
January 01, 2003 - Variation in State rates can be caused by many factors,
including differences in practice patterns,
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psnet.ahrq.gov/node/33878/psn-pdf
April 01, 2019 - legislation, may be this—does that particular error constitute an error, or was it the result of, or "caused
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psnet.ahrq.gov/web-mm/caution-interrupted
October 01, 2016 - Caution, Interrupted
Citation Text:
Wears RL. Caution, Interrupted. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…
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psnet.ahrq.gov/web-mm/abdominal-aortic-aneurysm-screening
October 01, 2011 - SPOTLIGHT CASE
Abdominal Aortic Aneurysm Screening
Citation Text:
Jim J. Abdominal Aortic Aneurysm Screening. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX E…
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room
Citation Text:
Aldwinckle R, Florendo E. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…
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psnet.ahrq.gov/node/49795/psn-pdf
June 01, 2017 - The Perils of Contrast Media
June 1, 2017
Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/perils-contrast-media
Case Objectives
Recognize that contrast media are potentially nephrotoxic.
Identify key risk factors for the development of contrast-induced kidne…
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - Interpreting the Patient Safety Literature
June 1, 2005
Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
Perspective
Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In Conversation with...Diane Rydrych, MA
June 1, 2007
Citation Text:
In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007.In Conversation with...Diane Rydrych, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department…
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psnet.ahrq.gov/node/49747/psn-pdf
December 01, 2015 - Harm From Alarm Fatigue
December 1, 2015
Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/harm-alarm-fatigue
Case Objectives
Define alarm fatigue and describe potential errors that can occur due to alarm fatigue.
Identify federal and national agencies focusing on …
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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - AHRQ Slide Template 2019-Widescreen
Working With Patient Safety Organizations (PSOs) –
The Value for Hospitals During COVID-19 and Beyond
We will get started in just a few minutes.
Housekeeping
All lines are currently muted. We will have
a Q&A period at the end of the presentation.
Chat Function: Use chat to a…
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - Failure to Rescue
January 29, 2025
Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/failure-rescue
Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet
primers are regularly reviewed and updated to ensure that they reflect cur…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
March 01, 2022 - Computer-Based Training Modules: Bed Bathing With CHG
Decolonization of
Non-ICU Patients With Devices
Section 11-5
Nursing Protocol Training
Bed Bathing With 2% No-Rinse Chlorhexidine (CHG) Cloths and Showering With 4% Rinse-Off CHG Liquid Soap
AHRQ Pub. No. 20(22)-0036
March 2022
1
Targeted Decolonization In…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-basin-bathing.pdf
March 01, 2022 - Nursing Protocol Training_Basin Bed Bathing With 2% Chlorhexidine (CHG) and Showering With 4% CHG Liquid Soap
Decolonization of
Non-ICU Patients With Devices
Section 11-6
Nursing Protocol Training
Basin Bed Bathing With 2% Chlorhexidine (CHG)
and Showering With 4% CHG Liquid Soap
AHRQ Pub. No. 20(22)-0036
March 2…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/alcohol-misuse-drug-therapy_research-protocol.pdf
January 27, 2012 - (4) continued alcohol use despite having persistent or recurrent social or interpersonal
problems caused … of having a persistent or
recurrent physical or psychological problem that is likely to have been
caused
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/gynecologic-booklet.pdf
November 01, 2023 - Preparing for and Recovering After Gynecologic Surgery
Preparing for and Recovering
After Gynecologic Surgery
e
Gynecologic Surgery Patient Education Guide 1
Preparing for and Recovering
After Gynecologic Surgery
Patient Name ___________________________________________________________________
Surgeon Nam…
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www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
January 01, 2024 - can be life saving, errors in
administering them have a high risk for severe adverse events and have caused … Important
safety advances include mechanisms to nearly eliminate the risk of free-flow, which has
caused
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psnet.ahrq.gov/node/44494/psn-pdf
June 21, 2016 - Electronic trigger-based intervention to reduce delays in
diagnostic evaluation for cancer: a cluster randomized
controlled trial.
June 21, 2016
Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic
Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl…
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psnet.ahrq.gov/node/44982/psn-pdf
April 06, 2016 - Use of maternal early warning trigger tool reduces
maternal morbidity.
April 6, 2016
Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal
morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154.
https://psnet.ahrq.gov/issue/use-materna…
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psnet.ahrq.gov/node/838238/psn-pdf
October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread
initiative.
October 5, 2022
Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric
hospitalization: results of a quality improvement spread initiative. Jt Comm …