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psnet.ahrq.gov/issue/when-its-surgery-dont-get-it-wrong
August 18, 2010 - Newspaper/Magazine Article
When it's surgery, don't get it wrong.
Citation Text:
When it's surgery, don't get it wrong. Grant T.
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www.ahrq.gov/patient-safety/settings/hospital/match/appendix/index.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix: The MATCH Work Plan
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building t…
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www.ahrq.gov/es/patient-safety/settings/hospital/match/appendix/index.html
July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Appendix: The MATCH Work Plan
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Table of Contents
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation
Introduction
Chapter 1. Building t…
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psnet.ahrq.gov/issue/aviations-gift-health-care
December 19, 2018 - Newspaper/Magazine Article
Aviation's gift to health care.
Citation Text:
Aviation's gift to health care. Nance JJ.
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psnet.ahrq.gov/issue/center-diagnostic-excellence
July 09, 2019 - Multi-use Website
Center for Diagnostic Excellence.
Citation Text:
Center for Diagnostic Excellence. Armstrong Institute for Patient Safety and Quality
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-approach.html
August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Initial Approach
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Table of Contents
Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study
Introduction
In…
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief5.html
July 01, 2024 - Simulation To Improve Patient Safety: Getting Started
Use Simulation To Improve Healthcare Delivery Systems
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Table of Contents
Simulation To Improve Patient Safety: Getting Started
Introduction
Leverage Patient Safety Infrastructure
Use Simulation To Adopt and Adapt Best…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-4.html
August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Role of the Patient and Family in Telediagnosis
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Table of Contents
Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis
Introduction
Evidence Base Supporting Te…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-ostomy.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Ostomy Care
Ostomy Care
Ostomy Basics
■ An ostomy is usually temporary and created as part of a staged surgical approach to divert
fecal matter, allow for resolution of inflammation, and to provide time for infant to grow and
stabilize.
■ Often has 2 parts: proximal o…
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psnet.ahrq.gov/issue/dead-mistake
August 10, 2016 - Multi-use Website
Dead by Mistake.
Citation Text:
Dead by Mistake. Crowley CF, Nalder E. New York, NY: Hearst Digital News; August 2009.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic_printable.pdf
June 02, 2025 - The Importance of Investing in Care for People with Multiple Chronic Conditions
INVESTING IN CARE FOR PEOPLE WITH
Multiple Chronic Conditions
COMMON CHRONIC CONDITIONS
Depression
Asthma
Heart Disease
Arthritis
Diabetes
Patients with multiple chronic conditions (MCC) have two or more chronic ill…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mcc_infographic.pdf
June 02, 2025 - The Importance of Investing in Care for People with Multiple Chronic Conditions
0 MCC = $215 3 MCC = $1,035 5 MCC = $1,620
AVERAGE ANNUAL OUT OF POCKET EXPENDITURES
RX
5 chronic conditions = 50 prescriptions
3 chronic conditions = 23 prescriptions
0 chronic conditions = 3.5 prescriptions
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.docx
March 01, 2022 - Nursing Practice Guide
Section 9-5 – Decolonization of Non-ICU Patients With Devices
Nursing Practice Guide
Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decolonization intervention.
Engagement and Collaboration
CHG Bath
Documentation
N…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/sample-adherence-report.pdf
March 01, 2022 - Sample Adherence Report
Decolonization of
Non-ICU Patients With Devices
Section 12-5 – Sample Adherence Report
Use this document to build a useful report that allows for tracking of daily adherence and for
drilling down as needed to identify shifts or personnel who have the lowest adherence and
theref…
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psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes
August 17, 2016 - Newspaper/Magazine Article
Hospitals overhaul ERs to reduce mistakes.
Citation Text:
Hospitals overhaul ERs to reduce mistakes. Landro L.
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psnet.ahrq.gov/issue/getting-diagnosis-wrong
January 20, 2021 - Newspaper/Magazine Article
Getting the diagnosis wrong.
Citation Text:
Getting the diagnosis wrong. Ofri D. New York Times. October 8, 2015.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/nursing-practice-guide.pdf
March 01, 2022 - Nursing Practice Guide
AHRQ Pub. No. 20(22)-0036
March 2022
Section 9-5 – Decolonization of Non-ICU Patients With Devices
Nursing Practice Guide
Use this guide to help ensure that all nursing practice processes and leadership support are in place to actively support the decolonization intervention.
CHG = c…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/skills/sample-adherence-report.docx
March 01, 2022 - Sample Adherence Report
Decolonization of
Non-ICU Patients With Devices
Section 12-5 – Sample Adherence Report
Use this document to build a useful report that allows for tracking of daily adherence and for drilling down as needed to identify shifts or personnel who have the lowest adherence and therefore may need re…
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psnet.ahrq.gov/issue/mistakes-some-deadly-haunt-county-jails
March 01, 2017 - Newspaper/Magazine Article
Mistakes, some deadly, haunt county jails.
Citation Text:
Mistakes, some deadly, haunt county jails. Carter M. Seattle Times. March 9, 2007
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psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology
March 10, 2021 - Book/Report
Critical Care Safety: Essentials for ICU Patient Care and Technology.
Citation Text:
Critical Care Safety: Essentials for ICU Patient Care and Technology. Plymouth Meeting PA: ECRI Institute; 2007. ISBN 9780977914258.
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