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psnet.ahrq.gov/node/45972/psn-pdf
April 05, 2017 - Comparing catheter-associated urinary tract infection
prevention programs between Veterans Affairs nursing
homes and non–Veterans Affairs nursing homes.
April 5, 2017
Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention
Programs Between Veterans Affairs Nursing Homes a…
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www.ahrq.gov/hai/clabsi-tools/appendix-6.html
March 01, 2018 - Appendix 6: Central Line Maintenance Audit Form
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap9.doc
June 02, 2025 - Dear [NURSES NAMES]--
CLABSI Investigation Nurse Letter
(Date)
Dear ____________,
As part of our commitment to eradicate central line-associated blood stream infections (CLABSIs), we are performing a root cause analysis of all CLABSIs. Patient _______________ met the U.S. Centers for Disease Control and Prevention c…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap8.doc
June 02, 2025 - Dear [NURSES NAMES]--
CLABSI Investigation Nurse Letter
(Date)
Dear ____________,
As part of our commitment to eradicate central line-associated blood stream infections (CLABSIs), we are performing a root cause analysis of all CLABSIs. Patient _______________ met the U.S. Centers for Disease Control and Prevention c…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-material.docx
May 01, 2017 - Overview
Coaching Defined
· Slides 4-12
Providing Constructive Feedback to Teams
· Slides 13-27
· Three-Part Question* (1 min 24)
Putting Coaching Teams Into Action*
· Slides 28-42
· Setting the Stage* (51 sec)
· Open-Ended Question* (1 min 3)
· Three-Part Question* (1 min 24)
· Motivating the Team* (36 sec)
· Ending…
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psnet.ahrq.gov/issue/learning-ask-tough-questions-your-surgeon
August 17, 2016 - Newspaper/Magazine Article
Learning to ask tough questions of your surgeon.
Citation Text:
Learning to ask tough questions of your surgeon. Landro L.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-g.docx
September 01, 2016 - Strategy 2: Communicating to Improve Quality (Tool 3)
Long-Term Care Safety Toolkit
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix G. Training Team Members How To Use the Checklist
There are several ways you can train team members how to use the checklist. Here are some helpful things to re…
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www.ahrq.gov/research/findings/evidence-based-reports/gapsumtp.html
January 01, 2013 - Closing the Quality Gap Series, Summary Report
Structured Abstract
In 2004, AHRQ launched a collection of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies , to bring data to bear on quality improvement opportunities. These reports summarized the evidence on qual…
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www.ahrq.gov/takeheart/about/initiative/partner-hospitals/east-alabama.html
November 01, 2022 - East Alabama Medical Center TAKEheart Profile
"For EAMC, TAKEheart served as a catalyst to improve processes and refine elements of our automatic referral and care coordination systems, which will ultimately improve patient outcomes."
CR Challenges at East Alabama Medical Center (EAMC)
East Alabama Medi…
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psnet.ahrq.gov/node/38837/psn-pdf
June 28, 2011 - A comparison of hospital adverse events identified by
three widely used detection methods.
June 28, 2011
Naessens JM, Campbell CR, Huddleston JM, et al. A comparison of hospital adverse events identified by
three widely used detection methods. Int J Qual Health Care. 2009;21(4):301-7.
doi:10.1093/intqhc/mzp027.
h…
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psnet.ahrq.gov/issue/simulation-surgical-training-and-practice
February 15, 2012 - Special or Theme Issue
Simulation in Surgical Training and Practice.
Citation Text:
Simulation in Surgical Training and Practice. Brown KM, Paige JT, eds. Surg Clin North Am. 2015;95:695-918.
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psnet.ahrq.gov/issue/hospitals-may-be-worst-place-stay-when-youre-sick
December 19, 2007 - Newspaper/Magazine Article
Hospitals may be the worst place to stay when you're sick.
Citation Text:
Hospitals may be the worst place to stay when you're sick. Greider K.
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psnet.ahrq.gov/issue/crisis-do-not-revive-requests-dont-always-work
December 16, 2015 - Newspaper/Magazine Article
In a crisis, do-not-revive requests don't always work.
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January 3, 2007
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psnet.ahrq.gov/issue/can-we-ensure-medication-safety-use-speech-recognition-software
July 10, 2024 - Newspaper/Magazine Article
Can we ensure medication safety with the use of speech recognition software?
Citation Text:
Can we ensure medication safety with the use of speech recognition software? ISMP Medication Safety Alert! Acute Care. August 22, 2024;29(17):1-3.
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psnet.ahrq.gov/node/40203/psn-pdf
February 09, 2011 - Changes in safety attitude and relationship to decreased
postoperative morbidity and mortality following
implementation of a checklist-based surgical safety
intervention.
February 9, 2011
Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased
postoperative morbidity and mo…
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pso.ahrq.gov/become/submit-certification
August 01, 2021 - SHARE:
More topics in this section
Work With a PSO
How To Choose a PSO
Become a PSO
Assess Eligibility to Become a PSO
Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements
Establish Po…
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psnet.ahrq.gov/issue/what-drugs-do-you-take-hospitals-seek-collect-better-data-and-prevent-errors
August 17, 2016 - Newspaper/Magazine Article
What drugs do you take? Hospitals seek to collect better data and prevent errors.
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June 13, 2011
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/AHRQgraphic_EHRdata_phase.pdf
December 01, 2018 - AHRQgraphic_EHRdata_phase1_update
What Could Practices Do with Their EHRs before EvidenceNOW?
Use of EHRs before EvidenceNOW
79% 71% 72%
incorporated
lab results to
generate reports
reported quality
measures at the
practice level
reported quality
measures at the
clinician level
produced quality measu…
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psnet.ahrq.gov/issue/learning-words-they-rarely-teach-medical-school-im-sorry
February 07, 2019 - Newspaper/Magazine Article
Learning words they rarely teach in medical school: 'I'm Sorry.'
Citation Text:
Learning words they rarely teach in medical school: 'I'm Sorry.' Freidman RA.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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