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psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
February 24, 2016 - Newspaper/Magazine Article
Drug shortages continue to compromise patient care. … Citation Text:
Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! … Copy URL
Cite
Citation
Citation Text:
Drug shortages continue … 2016
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue
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www.ahrq.gov/hai/tools/mvp/sustainability/checklist.html
January 01, 2017 - Rolling
___ Reeducate all team members on the Science of Safety
Every year
___ Continue … to identify defects
At least every 6 months
___ Continue to use the Learning From Defects Tool … At least once every 3 months
___ Continue to have monthly CUSP team meetings and involve your … *
• Continue to use positive end-expiratory pressure (PEEP) > 5 cm/H 2 O
Daily *
• … Continue to evaluate whether every patient has a risk factor for acute respiratory distress syndrome
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psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
November 20, 2015 - Commentary
Patient safety issues continue to plague American hospitals. … Patient Safety Issues Continue to Plague American Hospitals. … Patient Safety Issues Continue to Plague American Hospitals.
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psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
February 08, 2023 - Newspaper/Magazine Article
As industry automates, adverse events continue to haunt
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-aspirin.pdf
June 02, 2025 - ☐ No – Continue to next question [Part 2]
☐ Yes – continue to next question to determine how many charts … ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet
☐ No – Continue with review … to next question Part 2: Off
Yes continue to next question to determine how many charts from each … Yes Meets criteria for Numerator: Off
No Continue with review to determine if exemption exists: … Off
Yes Meets medical reason on review: Off
No Continue with review to determine why the measure
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-hypertension.pdf
June 02, 2025 - ☐ No – Continue to next question [Part 2]
☐ Yes – continue to next question to determine how many charts … ☐ No – Exclude from review Begin review of next patient chart
☐ Yes - Continue
3. … Continue with review to determine if exception (X) exists
☐ No – Blood pressure is not measured. … to next question Part 2: Off
Yes continue to next question to determine how many charts from each … _2: Off
Yes Meets criteria for Numerator: Off
No Blood pressure is higher Continue with review to
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psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
May 02, 2018 - Newspaper/Magazine Article
Heparin errors continue despite prior, high-profile, fatal … Citation Text:
Heparin errors continue despite prior, high-profile, fatal events. … Copy URL
Cite
Citation
Citation Text:
Heparin errors continue
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/chart-abstraction-instructions-smoking-cessation.pdf
June 02, 2025 - ☐ No – Continue to next question [Part 2]
☐ Yes – continue to next question to determine how many charts … ☐ No – Exclude from review Begin review of next patient chart
☐ Yes - Continue
IF NO TO ALL … ☐ Yes – Meets criteria for Numerator record as Numerator on spreadsheet
☐ No – Continue to Part 4 … to next question Part 2: Off
Yes continue to next question to determine how many charts from each … Yes Meets criteria for Numerator_4: Off
No Continue to Part 4: Off
Yes Meets medical reason on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/sustainability/sustainability-checklist.docx
January 01, 2017 - to identify defects
At least every 6 months
Continue to use the Learning From Defects Tool
At … to conduct a sedation assessment for patients receiving mechanical ventilation
Daily*
Continue … to conduct a delirium assessment for patients receiving mechanical ventilation
Daily*
Continue to … ensure that eligible patients are receiving a spontaneous awakening trial (SAT)
Daily*
Continue … Continue to use positive end-expiratory pressure (PEEP) 5 cm/H2O
Daily*
Continue to evaluate whether
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psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
October 28, 2020 - Study
Why do hospital prescribers continue antibiotics when it is safe to stop? … Why do hospital prescribers continue antibiotics when it is safe to stop? … Prescribers (from acute/general hospitals) were more likely to continue antibiotics when discontinuation … Why do hospital prescribers continue antibiotics when it is safe to stop?
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psnet.ahrq.gov/Webmm/submit-case-info
August 10, 2025 - as a draft
Continue Anonymously
Continue Logged In
Track and save your innovation … as a draft
Continue Anonymously
Continue Logged In
Track and save your training … as a draft
Continue Anonymously
Continue Logged In
Track and save your training … as a draft
Continue Anonymously
Continue Logged In
Track and save your toolkit … as a draft
Continue Anonymously
Continue Logged In
Track and save your toolkit
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
August 01, 2022 - A process which has been integrated into the organizational culture is more likely to continue to produce … The identification of champions is part of the assessment phase, but developing champions must continue … CANDOR team leaders can continue to build systems for collecting process, outcome, and QI activity data … Active and visible involvement of the CANDOR champions can also energize leaders and staff and continue … Celebrations need not be elaborate or formal to help sustain progress and continue to improve outcomes
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psnet.ahrq.gov/node/60879/psn-pdf
September 02, 2020 - Why do hospital prescribers continue antibiotics when it
is safe to stop? … Why do hospital prescribers continue antibiotics when it is safe to
stop? … https://psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results … Prescribers (from acute/general hospitals) were more
likely to continue antibiotics when discontinuation … https://psnet.ahrq.gov/issue/why-do-hospital-prescribers-continue-antibiotics-when-it-safe-stop-results-choice-experiment
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide136.html
October 01, 2014 - Treatment Recommendations: Medications-Nicotine Inhaler (Continue)
Treating Tobacco Use and Dependence
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psnet.ahrq.gov/issue/not-sick-enough-worry-influenza-symptoms-and-work-related-behavior-among-healthcare-workers
August 03, 2022 - healthcare-associated infections, but prior research has found that significant numbers of healthcare workers continue … Overall, 59% of workers would continue to work when experiencing influenza-like illness, and the majority … of healthcare workers (89.2-99.2%) and non-healthcare workers (80-96.5%) would continue to work with … Fewer non-healthcare workers (16.2%) than healthcare workers (26.9%) would continue working with fever
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide139.html
October 01, 2014 - Treatment Recommendations: Medications-Nicotine Lozenge (continue
Treating Tobacco Use and Dependence
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psnet.ahrq.gov/issue/wrong-body-part-wrong-patient-surgeries-continue-despite-new-procedures
May 19, 2010 - Newspaper/Magazine Article
Wrong body part, wrong patient surgeries continue despite … Citation Text:
Wrong body part, wrong patient surgeries continue despite new procedures. … Cite
Citation
Citation Text:
Wrong body part, wrong patient surgeries continue
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psnet.ahrq.gov/issue/fentanyl-patch-can-be-deadly-children
January 13, 2021 - Fact Sheet/FAQs
Accidental exposures to fentanyl patches continue to be deadly to … Citation Text:
Accidental exposures to fentanyl patches continue to be deadly to children. … Cite
Citation
Citation Text:
Accidental exposures to fentanyl patches continue
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psnet.ahrq.gov/node/48164/psn-pdf
August 14, 2019 - Patient safety issues continue to plague American
hospitals.
August 14, 2019
Wilensky GR. … Patient Safety Issues Continue to Plague American Hospitals. … https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
High-quality, … https://psnet.ahrq.gov/issue/patient-safety-issues-continue-plague-american-hospitals
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/838322/psn-pdf
October 12, 2022 - COVID-19 in Nursing Homes: CMS Needs to Continue to
Strengthen Oversight of Infection Prevention and …
https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection … https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and … https://psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and