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psnet.ahrq.gov/node/45116/psn-pdf
February 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…
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psnet.ahrq.gov/node/44831/psn-pdf
January 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…
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www.ahrq.gov/research/findings/evidence-based-reports/techbrief16.html
July 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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psnet.ahrq.gov/node/41789/psn-pdf
September 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…
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psnet.ahrq.gov/node/45652/psn-pdf
June 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…
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psnet.ahrq.gov/node/37940/psn-pdf
June 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…
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psnet.ahrq.gov/node/42748/psn-pdf
November 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…
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/mindsets.html
April 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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psnet.ahrq.gov/node/42693/psn-pdf
December 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 …
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www.ahrq.gov/research/findings/evidence-based-reports/nutritn2tp.html
April 01, 2018 - Volume 2: Issues and Challenges in Conducting Systematic Reviews to Support Development of Nutrient Reference Values: Workshop Summary
Structured Abstract
Full Title: Nutritional Research Series: Advancing the Role of Evidence-based Reviews in Nutrition Research and Applications
Nutrient reference values ha…
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psnet.ahrq.gov/node/43263/psn-pdf
July 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…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking1.html
September 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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psnet.ahrq.gov/node/44823/psn-pdf
February 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…
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www.ahrq.gov/talkingquality/assess/applying-lessons.html
May 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.pdf
March 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/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-showering-poster.docx
March 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…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/patient-assessment-chg-bed-bath.pdf
March 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/moreno.pdf
December 17, 2014 - AHRQ’s Ischemic Heart Disease Products Translated for High School Populations
Research to Help Underserved Populations
Innovative Adaptation and Dissemination of AHRQ Comparative Effectiveness
Research Products
AHRQ’s Ischemic Heart Disease Products Translated for High School Populations
Popuns
Purpose/Descripti…
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psnet.ahrq.gov/node/39365/psn-pdf
May 25, 2010 - Electronic prescribing improves medication safety in
community-based office practices.
May 25, 2010
Kaushal R, Kern LM, Barrón Y, et al. Electronic Prescribing Improves Medication Safety in Community-
Based Office Practices. J Gen Intern Med. 2010;25(6). doi:10.1007/s11606-009-1238-8.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/39142/psn-pdf
December 02, 2009 - Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an
academic medical center.
December 2, 2009
Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical
emergency team on education and patient safety in an academic medical c…