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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45116/psn-pdfFebruary 15, 2017 - Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. February 15, 2017 de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the World Health Organization surgical s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44831/psn-pdfJanuary 27, 2016 - IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. January 27, 2016 Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. https://psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events Prior research has shown that sa… -
www.ahrq.gov/research/findings/evidence-based-reports/techbrief16.htmlJuly 01, 2014 - Decision Aids for Advance Care Planning Structured Abstract Background: Advance care planning (ACP) honors patients’ goals and preferences for future care by creating a plan for when illness or injury prevents adequate communication. ACP can also help patients assess their care options. Less than 50 percent …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41789/psn-pdfSeptember 01, 2016 - Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. September 1, 2016 Phansalkar S, van der Sijs H, Tucker AD, et al. Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records. J Am Med Infor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45652/psn-pdfJune 29, 2017 - Increases in drug and opioid overdose deaths—United States, 2000–2015. June 29, 2017 Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-1452. doi:10.15585/mmwr.mm655051e1. https://psnet.ahrq.gov/issue/inc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37940/psn-pdfJune 16, 2010 - Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? June 16, 2010 Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42748/psn-pdfNovember 20, 2013 - Effectiveness of written hospitalist sign-outs in answering overnight inquiries. November 20, 2013 Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. https://psnet.ahrq.gov/issue/effec… -
www.ahrq.gov/hai/tools/mvp/technical-bundles-ltvv.htmlMarch 01, 2017 - Low Tidal Volume Ventilation Low Tidal Volume Ventilation Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients ( PDF , 1 MB) This guide provides an overview of how low tidal volume ventilation can improve outcomes for all mechanically ventilated patients, how to implement the us…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/mindsets.htmlApril 01, 2022 - Overcoming Mindsets It can be difficult to address your staff’s underlying attitudes and beliefs about infection prevention practices. Many teams struggle to believe that reducing the number of infections to zero is possible or to find the passion to keep this work going. With time, effort, and shared understan…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies.htmlJuly 01, 2023 - Perinatal Safety Strategies Toolkit for Improving Perinatal Safety This pillar helps teams use concepts of the Comprehensive Unit-based Safety Program (CUSP) to address four perinatal safety topics. Safe Electronic Fetal Monitoring Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Pres…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42693/psn-pdfDecember 23, 2016 - Preventing unintended retained foreign objects. December 23, 2016 Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects Sentinel event alerts are issued periodically by The Joint Commission to identify common … -
www.ahrq.gov/patient-safety/resources/simulation-issue-brief6.htmlJuly 01, 2024 - Simulation To Improve Patient Safety: Getting Started Additional Benefits of Simulation Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Use Sim…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43263/psn-pdfJuly 16, 2014 - Patient complaints in healthcare systems: a systematic review and coding taxonomy. July 16, 2014 Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437. https://psnet.ahrq.gov/issue/patien… -
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.htmlSeptember 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Probability and the Diagnostic Pathway Futu…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44823/psn-pdfFebruary 15, 2017 - US poison control center calls for infants 6 months of age and younger. February 15, 2017 Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. https://psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-m… -
www.ahrq.gov/talkingquality/assess/applying-lessons.htmlMay 01, 2019 - Applying Lessons Learned From Evaluating a Quality Report What Have You Learned? Consider the implications of your evaluation for each aspect you were able to assess. For example, do you need to: Improve relationships with partners or stakeholders? Cultivate additional partners? Rethink who is really …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-showering.pdfMarch 01, 2022 - Patient Self-Showering Skills Assessment: Showering With Chlorhexidine Patient Name_______________________ Unit_________ Date________________ AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 12-1 – Patient Self-Showering Skills Assessment: Showering With C…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/improve.htmlMarch 01, 2017 - Improve Safety Culture Long-Term-Care Safety Toolkit Modules Comprises six modules (available in English and Spanish) that describe how to apply CUSP for long-term care resident safety. They support learning and implementation efforts to improve safety culture and practices in long term care facilities. The…
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CHG Showering Poster (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-showering-poster.docxMarch 01, 2022 - CHG Showering Poster Section 10-8 – Decolonization of Non-ICU Patients With Devices Shower Instructions Our hospital uses chlorhexidine gluconate (CHG), which works better than soap and water to remove skin germs and protect you from infection. CHG has been safely used in healthcare for over 60 years. 1. Use 4% liq… -
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-bed-bath.pdfMarch 01, 2022 - Patient Self-Bathing Skills Assessment: Bed Bath With 2% Chlorhexidine Cloth Patient Name_______________________ Unit_________ Date________________ AHRQ Pub. No. 20(22)-0036 March 2022 Decolonization of Non-ICU Patients With Devices Section 12-2 – Patient Self-Bathing Skills Assessment: Bed Bath wit…
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