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psnet.ahrq.gov/node/836965/psn-pdf
April 20, 2022 - We are not there yet: a qualitative system probing study
of a hospital rapid response system.
April 20, 2022
Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital
rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/pts.0000000000001000.
https://psn…
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psnet.ahrq.gov/node/46920/psn-pdf
August 08, 2018 - Identification and characterization of failures in infectious
agent transmission precaution practices in hospitals: a
qualitative study.
August 8, 2018
Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in Infectious Agent
Transmission Precaution Practices in Hospitals: A Qualitati…
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psnet.ahrq.gov/node/46930/psn-pdf
June 13, 2018 - Ward round template: enhancing patient safety on ward
rounds.
June 13, 2018
Gilliland N, Catherwood N, Chen S, et al. Ward round template: enhancing patient safety on ward rounds.
BMJ Open Qual. 2018;7(2):e000170. doi:10.1136/bmjoq-2017-000170.
https://psnet.ahrq.gov/issue/ward-round-template-enhancing-patient-saf…
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psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to
Improving Outcomes, Second Edition.
August 30, 2017
Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678.
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-
edition
The Cr…
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psnet.ahrq.gov/node/45845/psn-pdf
December 19, 2017 - You can't blame the wreck on the train.
December 19, 2017
Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978.
doi:10.1016/j.amjsurg.2016.11.046.
https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train
Insufficient supervision can limit resident education, which may increase risks to p…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections.html
May 01, 2017 - Toolkit Sections
Implementation
Implementation Guide : It may be helpful to review this guide before starting a project to reduce infections and other complications in your ambulatory surgery center. The guide takes users step by step through the execution of technical and cultural interventions surroundi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/008-antibiotic-stewardship-slides.pptx
October 01, 2022 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Antibiotic Stewardship and MRSA Reduction
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Antibiotic Stewardship
1
Educational Objectives
Understand the goals of antibiotic ste…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/creating-safety-culture/cultureofsafety_hemodialysis.pptx
September 03, 2014 - From Defects
Learning from Defects Form
Staff Safety Assessment
Safety Issues Worksheet for Senior Executive … Safety Issues Worksheet for Senior Executive Partnership
4. Root Cause Analysis
5. … Team members can use the Staff Safety Assessment results to:
Report defects to staff and the senior executive … level of risk to one or more patients,
Select one defect to address with the support of the senior executive
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www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
April 01, 2018 - Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive
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cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
January 01, 2024 - Implementation Guide: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CVD): An Electronic Clinical Quality Measure (eCQM)-derived CDS
Implementation Guide
Statin Therapy for the Prevention and Treatment of
Cardiovascular Disease (CVD): An Electronic
Clinical Quality Measure (eCQM)-Deriv…
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psnet.ahrq.gov/node/46099/psn-pdf
May 31, 2017 - A quality improvement approach to standardization and
sustainability of the hand-off process.
May 31, 2017
Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and
Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1).
doi:10.1136/bmjquality.u222156.w8291.
https:…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/checkpoint-tool.docx
June 01, 2021 - Directions: This tool is intended to help facilities with formulate and execute local antibiotic stewardship interventions. When initiating an intervention, complete this form to the extent possible, and update it to document progress during the intervention. Checkpoint Tool – Long-Term Care
AHRQ Safety Program for Imp…
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-18.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 4.18. Major Factors that Facilitate Lean Success
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Ca…
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cds.ahrq.gov/sites/default/files/cds/artifact/21/Implementation%20Guide_Statin%20Therapy%20for%20the%20Prevention%20and%20Treatment%20of%20CVD%20eCQM_Final.docx
October 01, 2017 - CDS Connect Implementation Guide Draft
Implementation Guide
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease Electronic Clinical Quality Measure
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
www.ahrq…
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cds.ahrq.gov/sites/default/files/cds/artifact/18/Implementation%20Guide_USPSTF%20Statin%20Use%20for%20the%20Primary%20Prevention%20of%20CVD%20in%20Adults_Final.docx
October 01, 2017 - CDS Connect Implementation Guide Draft
Implementation Guide
USPSTF Statin Use for the Primary Prevention of CVD in Adults
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No. HHSA290201600001U
Prepared by:…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
February 01, 2004 - Learning from Errors in Ambulatory Pediatrics
355
Learning from Errors in
Ambulatory Pediatrics
Julie J. Mohr, Carole M. Lannon, Kathleen A. Thoma, Donna Woods,
Eric J. Slora, Richard C. Wasserman, Lynne Uhring
Abstract
Background: Approximately 70 percent of pediatric care occurs in ambulatory
settings, …
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
June 01, 2014 - iv
Contents
Executive Summary ................................................................. … ................................................47
v
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vi
Executive … September 2011.
48
Cover
Frontmatter
Citation
Acknowledgments
Contents
Exhibits
Executive
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psnet.ahrq.gov/node/836861/psn-pdf
April 06, 2022 - How health systems decide to use artificial intelligence
for clinical decision support.
April 6, 2022
Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for
clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:10.1056/cat.21.0416.
https://psnet…
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psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Newspaper/Magazine Article
Hospitals' bid to heal selves saves thousands.
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June 28, 2006
This article article reports on the resul…
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psnet.ahrq.gov/node/47993/psn-pdf
May 15, 2019 - Using near-miss events to improve MRI safety in a large
academic centre.
May 15, 2019
Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic
centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593.
https://psnet.ahrq.gov/issue/using-near-miss-events-imp…