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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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…
  3. 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 …
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. 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…
  9. Psn-Pdf (pdf file)

    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 …
  10. 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…
  11. Psn-Pdf (pdf file)

    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…
  12. 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…
  13. Psn-Pdf (pdf file)

    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…
  14. 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 …
  15. 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…
  16. 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…
  17. 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…
  18. 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…
  19. Psn-Pdf (pdf file)

    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/…
  20. Psn-Pdf (pdf file)

    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…