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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Review of SSI Program Tools
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Review of SSI Program Tools
SAY:
This presentation provides an overview of all the program…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
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psnet.ahrq.gov/node/38632/psn-pdf
May 13, 2009 - How safe are patients in primary care?
May 13, 2009
Carlowe J. Nursing Times. April 28, 2009.
https://psnet.ahrq.gov/issue/how-safe-are-patients-primary-care
This article focuses on the National Health Service's interest in patient safety in general practice settings
and efforts to expand research in this area.
h…
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psnet.ahrq.gov/node/38150/psn-pdf
October 15, 2008 - Enhancing Surgical Systems.
October 15, 2008
Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.
https://psnet.ahrq.gov/issue/enhancing-surgical-systems
This special issue focuses on improving safety in surgery containing articles on performance, crew
resource management, skills trainin…
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psnet.ahrq.gov/node/40076/psn-pdf
October 20, 2014 - Learning to Use Patient Stories.
October 20, 2014
Cardiff, UK: NHS Wales; April 2010.
https://psnet.ahrq.gov/issue/learning-use-patient-stories
This report provides insights from participants in the 1000 Lives Campaign on how patient stories can focus
attention on safety improvements and drive commitment to change…
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psnet.ahrq.gov/node/35593/psn-pdf
January 02, 2011 - Anesthesia Patient Safety Foundation Newsletter.
January 2, 2011
Greenberg S, Banayan J, eds. Rochester, MN; Anesthesia Patient Safety Foundation.
https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter
This quarterly newsletter reports on incidents, preventative measures, and research programs…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mental-illness-outcomes_disposition-comments.pdf
January 15, 2015 - We
encourage AHRQ to continue focusing on the non-
interchangeable aspects of different SMI treatments
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digital.ahrq.gov/ahrq-funded-projects/maintaining-activity-and-nutrition-through-technology-assisted-innovation-prim/annual-summary/2012
January 01, 2012 - Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care - 2012
Project Name
Maintaining Activity and Nutrition through Technology-Assisted Innovation in Primary Care
Principal Investigator
Conroy, Margaret
Organization
University of Pittsburg…
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psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method study.
Citation Text:
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…
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digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/annual-summary/2011
January 01, 2011 - Utilizing Health Information Technology to Improve Health Care Quality - 2011
Project Name
Utilizing Health Information Technology to Improve Health Care Quality
Principal Investigator
Storch, Eric
Organization
University of South Florida
Funding Mechanism
PAR: HS08…
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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psnet.ahrq.gov/issue/decisions-about-critical-events-device-related-scenarios-function-expertise
January 02, 2017 - Study
Decisions about critical events in device-related scenarios as a function of expertise.
Citation Text:
Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12.
Copy Citat…
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psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
August 14, 2019 - Study
How physicians think: a case-based diagnostic simulation exercise.
Citation Text:
Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010.
Copy Citation
…
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psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
August 14, 2019 - Review
Classic
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.
Citation Text:
Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/impmenu.html
December 01, 2017 - Menu of Implementation Strategies
AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Healing
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 healing repor…
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digital.ahrq.gov/sites/default/files/docs/publication/AppendixD_Comm_Tech_For_AA_Women.pdf
June 16, 2021 - Communication-Focused Technologies for Improving the Health of Young African-American Women: Appendix D—Change in Stage of Change by Risk, Pilot-Testing (n=6)
Appendix D: Change in Stage of Change by Risk,
Pilot-Testing (n=6)
RISK INITIAL STAGE
Initial
Value ENDING STAGE
Ending
Value
Direction
of
Chan…
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psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
March 29, 2023 - Study
Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach.
Citation Text:
Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …
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psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
May 18, 2022 - Commentary
Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics.
Citation Text:
Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…
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psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-curriculum-outline-patient-safety-and
September 22, 2021 - Organizational Policy/Guidelines
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows.
Citation Text:
Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and qua…
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Study
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.
Citation Text:
Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…