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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Staff Safety Assessment
ICU & Non-ICU
Purpose of this form: This form is designed to tap into your experience to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety.
Who should use this tool? Healthcare providers.
How to complete…
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psnet.ahrq.gov/node/843460/psn-pdf
February 01, 2023 - Persisting high rates of omissions during anesthesia
induction are decreased by utilization of a pre- & post-
induction checklist.
February 1, 2023
Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction
are decreased by utilization of a pre- & post-induction checkli…
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psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events on general
wards: a systematic review and meta-analysis.
October 28, 2016
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events o…
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psnet.ahrq.gov/node/865513/psn-pdf
April 10, 2024 - Crowdsourcing a diagnosis? Exploring the accuracy of
the size and type of group diagnosis: an experimental
study.
April 10, 2024
Sherbino J, Sibbald M, Norman GR, et al. Crowdsourcing a diagnosis? Exploring the accuracy of the size
and type of group diagnosis: an experimental study. BMJ Qual Saf. 2024;33(12):790-7…
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psnet.ahrq.gov/node/45813/psn-pdf
January 18, 2017 - Considering chance in quality and safety performance
measures: an analysis of performance reports by boards
in English NHS trusts.
January 18, 2017
Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random
variation in organisational performance measures. BMJ Qual Saf. 201…
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psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - Does full disclosure of medical errors affect malpractice
liability? The jury is still out.
January 4, 2017
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability?
The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11.
https://psnet.ahrq.gov/issue/does…
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psnet.ahrq.gov/node/45613/psn-pdf
September 01, 2018 - Patients as partners in learning from unexpected events.
September 1, 2018
Etchegaray J, Ottosen M, Aigbe A, et al. Patients as Partners in Learning from Unexpected Events. Health
Serv Res. 2016;51 Suppl 3:2600-2614. doi:10.1111/1475-6773.12593.
https://psnet.ahrq.gov/issue/patients-partners-learning-unexpected-eve…
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psnet.ahrq.gov/node/36314/psn-pdf
June 13, 2011 - Discontinuity of chronic medications in patients
discharged from the intensive care unit.
June 13, 2011
Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the
intensive care unit. J Gen Intern Med. 2006;21(9):937-41.
https://psnet.ahrq.gov/issue/discontinuity-chro…
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effectivehealthcare.ahrq.gov/sites/default/files/exposure-definition-and-measurement_chapter-4.pptx
January 01, 2013 - associated with the outcome (confounders or effect modifiers)
“One-time” interventions may only require determining … One-time interventions like surgery or vaccine administration may require only determining if and when … other sources of data, assumptions about actual use are still inherent in the use of these data for determining … Pertains particularly if patients switch between active exposures when two or more are being investigated
Determining … Checklist (2 of 2)
The material in this presentation included guidance and key considerations for determining
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psnet.ahrq.gov/perspective/measuring-and-responding-deaths-medical-errors
April 01, 2008 - There are three primary critiques :
There is considerable interrater variability in determining … experienced clinical reviewers achieve only moderate agreement on whether or not an error even occurred, and determining
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/medical-evidence-communication_executive.pdf
November 01, 2013 - After
determining article inclusion, one reviewer entered data
about studies into evidence tables and … While this tactic creates the potential
for a more powerful effect, it also complicates determining … Key Points: Disseminating Evidence to Patients
• Evidence is inconsistent for determining the beneft … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent … • Evidence is insuffcient for determining the beneft
of reach, ability, motivation, or multicomponent
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-de-novo-processes_methods.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
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effectivehealthcare.ahrq.gov/sites/default/files/systematicreviewsreplacedenovo.pdf
September 01, 2009 - Determining How To Use Existing Systematic Reviews
At this point in the process, we assume that EPCs … These include:
• Determining whether the targeted SR search strategy that has been proposed
in this … • Determining whether it is more efficient to search for an SR as part of the
overall search strategy … • Determining specific criteria to assess the quality of individual patient data
meta-analyses. … • Determining if SRs evaluating diagnostic tests or harms require a different
emphasis on certain
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-prevent-catheter-associated-urinary
January 25, 2017 - May 11, 2022
Determining the skills needed by frontline NHS staff to deliver quality
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psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
September 25, 2008 - June 8, 2016
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - December 3, 2018
Comparison of military and civilian methods for determining potentially
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - Related Resources From the Same Author(s)
Comparison of military and civilian methods for determining
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psnet.ahrq.gov/issue/cost-effectiveness-computerized-provider-order-entry-system-improving-medication-safety
August 09, 2017 - December 21, 2016
Comparison of military and civilian methods for determining potentially
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2011
January 01, 2011 - care, estimating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining
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digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - also investigating the prevalence of voluntary physician use of the DMF embedded within the EHR, and determining