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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects Tool
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is a Defect?
A defect is any clinical or operational event or situation that you would not want to happen again. This could include incidents…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/module-6-slides.pptx
March 01, 2017 - Slide 1
Module 6: Sustainability
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Long-Term Care Safety Modules
AHRQ Pub. No. 16(17)-0003-03-EF
March 2017
Sustainability | ‹#›
1
Objectives
Define sustainability and understand the importance of maintaining positive change
Describe the link between sustainabilit…
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www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
January 01, 2025 - Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory
Final Progress Report to AHRQ
Project Title: NYU Patient Imaging, Quality and Safety Laboratory
Principal Investigator: Leora Horwitz, MD, MHS
Team members:
Project PIs
Soterios Gyftopoulos, MD
Danil Makarov, MD
Eric Aaltonen, MD
Saul Bleck…
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psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
February 23, 2022 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia
Citation Text:
Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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…
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psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
December 22, 2018 - Don't Use That Port: Insert a PICC
Citation Text:
Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
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psnet.ahrq.gov/web-mm/local-anesthesia-induced-coma-during-total-knee-arthroplasty
October 27, 2021 - Local Anesthesia-Induced Coma During Total Knee Arthroplasty.
Citation Text:
Aldwinckle R. Local Anesthesia-Induced Coma During Total Knee Arthroplasty.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021.
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Format…
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - SPOTLIGHT CASE
Is the "Surgical Personality" a Threat to Patient Safety?
Citation Text:
Bosk CL. Is the "Surgical Personality" a Threat to Patient Safety?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - Waiting Too Long
Citation Text:
Rosen MA. Waiting Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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…
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications
Citation Text:
Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
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Format:
Goo…
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psnet.ahrq.gov/node/73998/psn-pdf
October 27, 2021 - The Hidden Danger of Unseen Intravenous Catheters
October 27, 2021
Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
The Case
A 6-week-old infant underwent a craniotomy and excision of abnormal bra…
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psnet.ahrq.gov/node/866848/psn-pdf
September 25, 2024 - In Conversation with Eric Thomas about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce
Preventable Harms – Point, Counterpoint, and Areas of Agreement. …
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
Save
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May 31, 2023
Innovation
Contact
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
January 28, 2011 - Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook)
Working With Patient and Families as Advisors Implementation Handbook
Strategy 3: Bedside Shift Report (Implementation Handbook)
[Type text] [Type text] [Type text]
Strategy 1: Working With Patient and Families as Advisors (Implementat…
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www.ahrq.gov/sites/default/files/2024-11/wakefield2-report.pdf
January 01, 2024 - residents in house 24 hours a day, 7 days a
week, hence the potential need for fewer telephone order communications
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
March 01, 2014 - Be specific and then follow up to make sure there is a functioning communications trail.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/implementing-guide.pdf
March 01, 2017 - Guide To Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Guide to Implementing a Program To
Reduce Catheter-Associated Urinary Tract
Infections in Long-Term Care
AHRQ Pu…
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www.ahrq.gov/sites/default/files/publications/files/match.pdf
August 01, 2012 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Medications at Transitions
and Clinical Handoffs
(MATCH) Toolkit for
Medication Reconciliation
Medications at Transitions and Clinical
Handoffs (MATCH) Toolkit for Medication
Reconciliation
Prepared for:
Age…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/phases.html
September 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Pressure Injury Prevention Program Phases
Previous Page Next Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Chart
Appendix B…
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psnet.ahrq.gov/node/848107/psn-pdf
April 26, 2023 - Improving Diagnostic Safety and Quality
April 26, 2023
Al-Khafaji J, Lee M, Mossburg S. Improving Diagnostic Safety and Quality . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/improving-diagnostic-safety-and-quality
Introduction
During an annual editorial review of featured articles in the Agency for …
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www.ahrq.gov/ncepcr/tools/public-reporting/guide1.html
August 01, 2018 - Best Practices in Public Reporting No. 1: How To Effectively Present Health Care Performance Data To Consumers
The purpose of the Best Practices in Public Reporting series is to provide practical approaches to designing public reports that make health care performance information clear, meaningful, and usable b…