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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docx
May 01, 2017 - The message sender calls out information about the patient (for example, by saying, “BP is falling, 80 … acknowledges receipt of this message by confirming the information (for example, by saying, “Yes, the BP is falling
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
July 01, 2023 - The message sender calls out information about the patient (for example, by saying, "BP is falling, 80 … acknowledges receipt of this message by confirming the information (for example, by saying, "Yes, the BP is falling
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psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - They started tackling some really tough problems:
patient falls, surgical site infections, central line … region as a whole cut the infection rate 70%, and
other hospitals eliminated other "never events" like falls
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - • Implementing standardized sedation assessments, such as POSS,
aids nurses in the prediction and prevention
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - and pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement, skin care and prevention
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - lethargic, opening her eyes and mumbling incoherently in response to vigorous shaking
but quickly falling
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - Impatient Inpatient Dosing
August 21, 2005
White RH. Impatient Inpatient Dosing. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
Case Objectives
Appreciate the challenges of initiating warfarin therapy in the hospitalized patient
Understand the fundamental pharmacology of warfarin…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/changes-facilitator-guide.pdf
November 01, 2019 - Making Effective Changes in Antibiotic Decision Making
AHRQ Safety Program for Improving
Antibiotic Use
1
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Making Effective Changes in Antibiotic Decision
Making
Acute Care
Slide Title and Commentary Slide Number and Slide
Making Effect…
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - pulse oximetry monitoring, wound care, blood draws, intravenous catheter placement,
skin care and prevention
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psnet.ahrq.gov/web-mm/near-miss-bedside-medications
February 01, 2006 - SPOTLIGHT CASE
Near Miss with Bedside Medications
Citation Text:
Wu AW. Near Miss with Bedside Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX End…
-
www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.html
July 01, 2023 - A planning committee representing AHRQ, the Centers for Disease Control and Prevention, the Centers for
-
psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/pressure-ulcer-prevention_research-protocol.pdf
January 10, 2012 - Pressure ulcer prevention and management. JAMA 2003;289(2):223-6. PMID:
12517234.
5. … Waterlow pressure ulcer prevention/treatment policy card. Revised 2005. … Pressure ulcer prevention: quick reference guide. … Risk assessment tools for the prevention of pressure ulcers. … Risk assessment scales for
pressure ulcer prevention: a systematic review.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024755-hettinger-final-report-2019.pdf
January 01, 2019 - Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern Detection - Final Report
AHRQ Grant Final Progress Report for:
Blackbox: A Multidisciplinary Team-Based Framework for HIT Error Pattern
Detection
Principal Investigator: Aaron Zachary…
-
digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - Patient Safety and E-Prescribing
The other group of THQIT Value-based health IT articles falls into
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
June 30, 2025 - providers) and at discharge,
■ Decreased preventable hospital readmission rates and adverse events (e.g., falls … detecting changes in residents’
conditions, communicating change in condition, and preventing and managing falls … Ulcers
2014–2015
$40,192
Final Report
Purpose: To examine the influence of nurse continuity on the prevention … Although this study focuses on the prevention and mitigation of delirium in
ICUs, the process for identifying
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/alcohol-misuse-drug-therapy_executive.pdf
January 27, 2012 - factor in injury and
violence.18 Acute alcohol-related harm can be the result
of fires, drowning, falls … CCM included
motivational enhancement therapy; relapse prevention
counseling; onsite medical, addiction … by this report, and
they should not eliminate a wide range of potentially
important research that falls … Centers for Disease Control and Prevention. FastStats: Alcohol Use.
Updated January 27, 2012. … Centers for Disease Control and Prevention.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary29/obstructive-sleep-apnea-in-adults-screening
November 15, 2022 - For both the SAQLI and FOSQ, the pooled mean difference falls below the range considered an MCID. … The pooled mean difference, however, falls below the range considered an MCID for the ESS. 114 , 115 … associated with positive airway pressure for both general health–related and sleep-related QOL measures falls … , University of Wisconsin-Madison) and 5 federal partner reviewers (Centers for Disease Control and Prevention … The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/012-blood-culture-practices-webinar.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Blood Culture Practices and Stewardship
ICU & Non-ICU
Slide … contamination, which are important components of methicillin-resistant Staphylococcus aureus (MRSA) prevention … Slide 20
Implementation Strategies: The 4 Es
SAY:
The AHRQ Toolkit for MRSA Prevention utilizes the … The Infection Prevention and Antimicrobial Stewardship committees are also included in reports, along … Blood culture stewardship is a fundamental best practice in patient safety and the prevention of MRSA
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023-nhqdr-es.pdf
January 01, 2023 - 2023 National Healthcare Quality and Disparities Report
2023
National Healthcare Quality
and Disparities Report
Executive Summary
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated.
Suggested citation: 2023 National Healthcare Qual…