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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/ncepcr/reports/2025-annual-report/person-centered.html
August 01, 2025 - AHRQ’s Investments in Primary Care Research for 2023 and 2024
Person-Centered Care
Previous Page Next Page
Table of Contents
AHRQ’s Investments in Primary Care Research for 2023 and 2024
Acknowledgements and Authors
Message from the Director of AHRQ’s National Center for Excellence in Primary …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4v
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Postoperative s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b5_combo_assessingtrendscomparators.pdf
March 20, 2016 - Assessing Indicator Rates Using Trends and Comparators
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool B.5
Assessing Indicator Rates Using Trends and Comparators
What is the purpose of this tool? This tool provides guidance on how to assess your hospital’s
pe…
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digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - Reduction in Hospital-Acquired Complications and Infections
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health IT
Reduction in Hospital-
Acquired Complications
and Infections
embolism, can be prevented by following
recommendations of the American College of Chest
Ph…
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psnet.ahrq.gov/node/33840/psn-pdf
August 01, 2017 - ACGME's 2017 Revision of Common Program
Requirements
August 1, 2017
Malloy K, Brigham TP, Nasca TJ. ACGME's 2017 Revision of Common Program Requirements. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
Perspective
The Accreditation Council for Graduate …
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psnet.ahrq.gov/node/49821/psn-pdf
February 01, 2018 - Right Place, Right Drug, Wrong Strength
February 1, 2018
Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
The Case
A 2-year-old girl was admitted to a hospital burn unit for a 10% total body surface area bur…
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - Critical Order Set Change and Critical Limb Ischemia
January 1, 2019
Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. 2019.
https://psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
The Case
A 72-year-old woman with a history of severe peripheral vascular dis…
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psnet.ahrq.gov/node/49742/psn-pdf
September 01, 2015 - A Fumbled Handoff to Inpatient Rehab
September 1, 2015
Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab
The Case
An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…
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psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - Dual Therapy Debacle
Citation Text:
Kayser SR. Dual Therapy Debacle. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/node/846922/psn-pdf
March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce
Hospital Readmissions and Improve Health Outcomes
March 29, 2023
https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-
and-improve-health
Summary
With increasing recognition that health is linked to the condit…
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psnet.ahrq.gov/node/49803/psn-pdf
January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3
August 1, 2017
Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3
The Case
A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the
app…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/guidance-cg-cahps.pdf
April 01, 2021 - Many survey
vendors require employees to sign statements of confidentiality ensuring that they will
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.docx
May 01, 2017 - provide a comprehensive starting point for each unit to consider as it establishes its processes for ensuring
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - urinary catheters are appropriate in the ICU setting
o Indwelling Urinary Catheter Insertion Bundle – ensuring
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/VAP-facilitator-guide.pdf
November 01, 2019 - First, ensuring respiratory cultures are sent for all
patients with suspected VAP whenever possible
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psnet.ahrq.gov/node/49495/psn-pdf
December 01, 2005 - These individuals play a vital role in ensuring the quality and safety of care; each
may be the one
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - The interface engine acts as a sort of "Rosetta Stone" for electronic messaging, ensuring that data from
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn_technical_expert_panel_report_2025.pdf
January 01, 2025 - The Agency for Healthcare Research and Quality’s Initiative to Identify and Support the Needs of Primary Care Practice-Based Research Networks (PBRNs)
The Agency for Healthcare
Research and Quality’s Initiative
to Identify and Support the
Needs of Primary Care Practice-
Based Research Networks
(PBRNs)
Final PBRN …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
October 01, 2014 - Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET)
Implementing a State-Level Quality
Improvement Collaborative:
A Resource Guide From the Medicaid Network for Evidence-based
Treatment (MEDNET)
Implementing a Stat…