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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T2-Roles_and_Responsibilities_final.docx
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Implement, Monitor, & Sustain a Program
Toolkit 1. Start an Antimicrobial Stewardship Program
Tool 2. Roles and Responsibilities for Antimicrobial Stewardship
This table provides an example role and responsibility. Each nursing home should consider what the team needs to a…
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psnet.ahrq.gov/node/60531/psn-pdf
May 27, 2020 - Telenursing in incidents and disasters: a systematic
review of the literature.
May 27, 2020
Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic
review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005.
https://psnet.ahrq.gov/issue/telenursing-in…
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psnet.ahrq.gov/node/44551/psn-pdf
September 30, 2015 - Safety culture includes "good catches."
September 30, 2015
Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599.
doi:10.2146/news150065.
https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches
Near misses can provide opportunities for learning if there is a pro…
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psnet.ahrq.gov/node/41303/psn-pdf
March 11, 2013 - Clinical risk management in hospitals: strategy, central
coordination and dialogue as key enablers.
March 11, 2013
Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and
dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…
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psnet.ahrq.gov/node/45569/psn-pdf
January 23, 2017 - Patient experience must move beyond bad apples.
January 23, 2017
Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern
Med. 2016;165(12):869-870. doi:10.7326/M16-1725.
https://psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples
Patient safety leaders ha…
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psnet.ahrq.gov/node/36981/psn-pdf
September 14, 2011 - A new infusion syringe label system designed to reduce
task complexity during drug preparation.
September 14, 2011
Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity
during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1365-2044.2007.04993.x.
https://…
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psnet.ahrq.gov/node/45381/psn-pdf
July 01, 2017 - Incorporating quality and safety values into a CLABSI
simulation experience.
July 1, 2017
Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience.
Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175.
https://psnet.ahrq.gov/issue/incorporating-quality-and-safety-values-c…
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psnet.ahrq.gov/node/40503/psn-pdf
June 08, 2011 - The science of safety improvement: learning while doing.
June 8, 2011
Clancy CM, Berwick DM. The science of safety improvement: learning while doing. Ann Intern Med.
2011;154(10):699-701. doi:10.7326/0003-4819-154-10-201105170-00013.
https://psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
Acco…
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psnet.ahrq.gov/node/46726/psn-pdf
January 31, 2018 - Toolkit to Promote Safe Surgery.
January 31, 2018
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
Preventing surgical complications including surgical site infections are a worldwide target for improvement.
This toolkit builds on t…
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www.ahrq.gov/evidencenow/tools/pdsa-worksheet.html
November 01, 2018 - Worksheet for Plan-Do-Study-Act (PDSA) Cycle Planning
Resource: PDSA Worksheet (PDF, 162 KB, 2 pages)
This worksheet is for primary care staff to help plan a quality improvement (QI) Plan-Do-Study-Act (PDSA) cycle, outlining the QI goals and how the practice will try to reach them, as well as providing sp…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/omissions.html
October 01, 2019 - Understanding Omissions of Care in Nursing Homes
Adverse events and poor health outcomes are continuing challenges for nursing home residents and staff. Research has shown that many resident harms are avoidable and may be caused by situations in which residents do not receive needed care, often call…
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www.ahrq.gov/coronavirus/health-systems-research.html
April 01, 2023 - Health Systems Research
AHRQ invests in research to generate new evidence and evidence syntheses to help healthcare systems and healthcare professionals improve the care of patients. Those investments include research products for use by systems and professionals to address COVID-19.
Among resources available…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/10-diagnostic-safety-tool-patient-note-sheet.pdf
August 01, 2021 - Be the expert on you, Patient Notes
Be the expert on you.
Patient Name
DOB
Date
Your provider needs your help to make a safe diagnosis and care plan.
Please answer these five questions before your visit.
Why are you here today?
� New problem � Followup � Medicine refill � Something else
Has there been a change …
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/module5_pu_measurement.docx
January 01, 2016 - This run chart helps us understand the impact of the intervention by providing data before and after
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
November 01, 2014 - The facilitator helps clarify the roles of all team members, helps determine which data will be collected
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psnet.ahrq.gov/node/42101/psn-pdf
April 03, 2013 - Applying Lean methods to improve quality and safety in
surgical sterile instrument processing.
April 3, 2013
Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical
sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(3):99-105.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/73677/psn-pdf
September 08, 2021 - Toolkit for Engaging Patients to Improve Diagnostic
Safety.
September 8, 2021
Rockville, MD: Agency for Healthcare Research and Quality; August 2021. AHRQ Publication No.
21-0047-2-EF.
https://psnet.ahrq.gov/issue/toolkit-engaging-patients-improve-diagnostic-safety
Patient and family engagement is core to ef…
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www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide46.html
October 01, 2014 - 46. What's New in 2008? 2000 Recommendations Changed for 2008 (Continued)
Treating Tobacco Use and Dependence: 2008 Update
Text version of slide presentation.
Types of Counseling and Behavioral Therapies:
2000 Guideline: Recommendation: Three types of counseling and behavioral Therapies result in highe…
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psnet.ahrq.gov/node/850343/psn-pdf
December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools.
December 12, 2023
Rockville, MD: Agency for Healthcare Research and Quality; 2023.
https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools
The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…
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psnet.ahrq.gov/node/867451/psn-pdf
January 21, 2025 - Engineering Safety into Practice through Implementation
of the EHR SAFER Guides.
January 8, 2025
National Action Alliance for Patient and Workforce Safety. Engineering Safety into Practice through
Implementation of the EHR SAFER Guides. January 21, 2025, 12:00 - 1:00 PM (eastern).
https://psnet.ahrq.gov/issue/engi…