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www.ahrq.gov/nhguide/toolkits/determine-whether-to-treat/toolkit2-communications-and-decisionmaking.html
November 01, 2016 - Toolkit 2. Common Suspected Infections: Communication and Decisionmaking for Four Infections
Toolkit Effectiveness
When tested in six nursing homes in an intervention group and six in a comparison group, this toolkit demonstrated a small reduction in prescribing in the intervention group relative to the compa…
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psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
October 17, 2018 - Study
Making patient safety event data actionable: understanding patient safety analyst needs.
Citation Text:
Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…
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www.ahrq.gov/sites/default/files/wysiwyg/nursing-home/promoting-emotional-wellbeing.pdf
March 01, 2022 - Best Practices for Promoting Emotional Well-Being in Nursing Home Residents
Best Practices for Promoting Emotional Well-Being
in Nursing Home Residents
Efforts to slow the spread of COVID-19 in nursing homes have left many residents socially isolated. Isolation can contribute to anxiety,
…
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psnet.ahrq.gov/issue/safety-fragile-conflict-affected-and-vulnerable-settings-evidence-scanning-approach
January 12, 2022 - Review
Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions.
Citation Text:
O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach…
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psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
September 07, 2016 - Study
Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.
Citation Text:
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…
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psnet.ahrq.gov/issue/physician-mentorship-associated-occurrence-adverse-patient-safety-events
February 11, 2015 - Study
Is physician mentorship associated with the occurrence of adverse patient safety events?
Citation Text:
Harrison R, Sharma A, Lawton R, et al. Is Physician Mentorship Associated With the Occurrence of Adverse Patient Safety Events? J Patient Saf. 2021;17(8):e1633-e1637. doi:10.1097…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/031-hand-hygiene-monitoring.docx
October 01, 2024 - Direct Observation: Covert1-4
Incorporates unknown or undercover (“secret shopper”) observers to facilitate accurate data collection
Advantages
Disadvantages
· Minimizes the Hawthorne effect—the observer’s effect on the behavior being observed
· Identifies trends and barriers to adherence
· Includes possibility t…
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psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents
July 21, 2010 - Study
Is there a relationship between high-quality performance in major teaching hospitals and residents' knowledge of quality and patient safety?
Citation Text:
Pingleton SK, Horak BJ, Davis DA, et al. Is there a relationship between high-quality performance in major teaching hospital…
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psnet.ahrq.gov/issue/interpretive-diagnostic-error-reduction-surgical-pathology-and-cytology-guideline-college
February 10, 2012 - Organizational Policy/Guidelines
Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology.
Citation Text:
Nak…
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psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm
August 13, 2013 - Study
The association between patient-reported incidents in hospitals and estimated rates of patient harm.
Citation Text:
Bjertnaes O, Deilkås ET, Skudal KE, et al. The association between patient-reported incidents in hospitals and estimated rates of patient harm. Int J Qual Health Care…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/menu.html
December 01, 2017 - On-Time Quality Improvement Program: On-Time Pressure Ulcer Prevention
Menu of Implementation Strategies
The On-Time Menu of Process Improvement Strategies for using reports is a list of potential ways facility teams may choose to integrate the pressure ulcer prevention reports into clinical practice. A menu …
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psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals
February 01, 2011 - Review
Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene.
Citation Text:
Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare…
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psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
June 22, 2017 - Study
Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department.
Citation Text:
Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergen…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-3.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Rationale for Improvement Tools
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immed…
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/ga.html
March 01, 2019 - State at a Glance: Georgia
Learn more about the CHIPRA quality demonstration projects being implemented in Georgia.
Georgia is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/wy.html
March 01, 2019 - State at a Glance: Wyoming
Learn more about the CHIPRA quality demonstration projects being implemented in Wyoming.
Wyoming is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
March 01, 2019 - State at a Glance: Maryland
Learn more about the CHIPRA quality demonstration projects being implemented in Maryland.
Maryland is featured in the following reports from the National Evaluation:
Evaluation Highlight No . 4: How the CHIPRA quality demonstration elevated children on State health policy agend…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
June 02, 2025 - Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process
Integrating Teamwork Tools into CUSP Efforts
Shannon Davila, RN, MSN, CIC, CPQH
New Jersey Hospital Association
Slides adapted from original source:
Barbara Edson, RN, MBA, MHA
VP, Clinical Quality, Health Research &…
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Study
Discontinuity of chronic medications in patients discharged from the intensive care unit.
Citation Text:
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.
Copy Cita…
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psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping
October 29, 2017 - Review
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Citation Text:
Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…