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www.ahrq.gov/hai/cusp/modules/learn/alt-text.html
April 01, 2013 - A medication look-alike incident led to an intervention in which education was conducted, medications
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - The estimated cost of a retained foreign object is estimated to be between $166,000 –
$200,000 per incident
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Barriers to incident reporting in a
healthcare system.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
June 01, 2010 - . *
Tool or Measure Set: National Core Indicators Project: Reported Incident Indicators
Data Source
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp5.pdf
October 01, 2011 - Cardiovascular
Health Study
Circulation OBS 5 19
Mozaffarian
200493
Fish intake and risk of incident … Fish intake and risk of incident atrial
fibrillation. Circulation. 2004;110:368-73.
94.
-
www.ahrq.gov/sites/default/files/2024-01/schnipper-report.pdf
January 01, 2024 - Time Series Analysis
Parameter Crude Incident Rate
Ratio (95% CI)
P Value Adjusted Incident
Rate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
June 02, 2025 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia
Bronchopulmonary Dysplasia
Characteristics
■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on
chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation).
■ Symptoms: …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/097-ss-normothermia-one-pager.docx
April 01, 2025 - Normothermia
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Why is maintaining normothermia during surgery important?1-4
· Mild hypothermia can increase blood loss, leading to wound hematomas or the need for transfusions, both of which can increase surgical site infection (…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet …
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
1. Are we ready for this change?
Previous Page Next Page
Table of Contents
Preventing Pressure Ulcers in Hospitals
Overview
Key Subject Area Index
1. Are we ready for this change?
2. How will we manage change?
3. What are the best practices in pressu…
-
www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix B. Clinical Materials to Share With Primary Care Providers
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet …
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/048-key-evidence-decolonization.docx
October 01, 2024 - Vernon MO, Hayden MK, Trick WE, et al. Archives of Internal Medicine, 2006
Chlorhexidine Gluconate to Cleanse Patients in a Medical Intensive Care Unit: The Effectiveness of Source Control to Reduce the Bioburden of Vancomycin-Resistant Enterococci
Purpose: To evaluate impact of daily chlorhexidine gluconate (CHG) bath…
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www.ahrq.gov/news/newsletters/e-newsletter/966.html
July 01, 2025 - Join the IDEAS Project To Advance Diagnostic Safety
Issue Number
966
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
July 15, 2025
Today’s Headlines: Join the IDEAS Project To Advance Diagnostic Safety . Help Shape the Future of AHRQ’s Quality Indicators . St…
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/state-of-science.html
September 01, 2020 - Operational Measurement of Diagnostic Safety: State of the Science
Next Page
Table of Contents
Operational Measurement of Diagnostic Safety: State of the Science
Introduction
Special Considerations for Measurement of Diagnostic Safety
Getting Ready for Measurement: Overcoming Barriers and Taking…
-
www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Retrospective case-control Retrospective case-control
Data Source(s) HCUP-NIS Hospital clinical data Hospital incident
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Retrospective case-control Retrospective case-control
Data Source(s) HCUP-NIS Hospital clinical data Hospital incident
-
www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
January 01, 2025 - Critical incident study collected information on reported
adverse events in the work setting.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
January 01, 2011 - Slide 1
Small and Rural
Critical Access Hospitals
July 19, 2011
Agenda
Denise Flook and Lorna Martin
Applying CUSP in the Small and Rural Critical Access Hospital
Using CUSP Beyond CLABSI and CAUTI
Critical Access Hospital Team Leaders
Paul Frigoli, Grant Regional Health Center
Illinois Critical Access Hos…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/nursing-home/2025-nursing-home-database-report-pt1.pdf
January 01, 2025 - Surveys on Patient Safety Culture (SOPS) Nursing Home Survey: 2025 User Database Report Part I
e
SURVEYS ON PATIENT SAFETY CULTURE®(SOPS)®
Nursing Home Survey:
2025 User Database Report
Surveys on
Patient Safety
Culture®
PATIENT
SAFETY
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Surveys on Patient Safety Cultu…