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  1. Pressure Ulcer Prevention Toolkit (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module4/putoolkit_module4_tools.docx
    January 01, 1995 - Pressure Ulcer Prevention Toolkit Pressure Ulcer Prevention Toolkit Module 4 Tools 2G: Pieper Pressure Ulcer Knowledge Test 4A: Assigning Responsibilities for Using Best Practice Bundle with the left column completed (by the Implementation Team Leader/co-leaders and best practices decided upon earlier by the team 4B:…

  2. Decolonization Strategies

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
    April 01, 2025 - Decolonization Strategies Decolonization Strategies Surgical Services​ For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries​ AHRQ Pub. No. 25-0029 April 2025 AHRQ Safety Program for MRSA Prevention: Targeting SSI AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implemen…

  3. Right Place, Right Drug, Wrong Strength | PSNet

    psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
    March 26, 2015 - Right Place, Right Drug, Wrong Strength Citation Text: Jelincic V, Greenall J. Right Place, Right Drug, Wrong Strength. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX En…

  4. Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/chen-report.pdf
    January 01, 2024 - Final Progress Report: Risk of Acute Asthma Associated with the Pediatric Use of Opioids FINAL PROGRESS REPORT Risk of Acute Asthma Associated with the Pediatric Use of Opioids Principal Investigator: Hua Chen, MD, PhD1 Co-Investigator: Harold J. Farber, MD, MSPH2,3 Organization …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33671/psn-pdf
    July 01, 2008 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis July 1, 2008 Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause Analysis. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis Perspective Throughout most of his life, …

  6. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
    September 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case September 2005 Double Trouble Source and Credits This presentation is based on the Sept. 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Jerry H. Gurwitz, MD, University of…

  7. Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
    June 18, 2008 - Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Continuous Respiratory Monitoring and a “Smart” Infusion System Improve Safety of Patient-Controlled Analgesia in the Postoperative Period Ray R. Maddox, PharmD; Harold Oglesby…

  8. Screening for Skin Cancer: US Preventive Services Task Force Recommendation Statement (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/zWWcTu328Y27Uu4mPt6ZVF
    August 01, 2022 - Screening for Skin Cancer: US Preventive Services Task Force Recommendation Statement Screening for Skin Cancer US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force Summary of Recommendation See the Summary of Recommendation figure. Preamble The US Preventive Services Task …

  9. Archived: Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
    August 26, 2014 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Coun…

  10. Competence and certification of registered nurses and safety of patients in intensive care units. | PSNet

    psnet.ahrq.gov/issue/competence-and-certification-registered-nurses-and-safety-patients-intensive-care-units
    May 01, 2006 - Study Competence and certification of registered nurses and safety of patients in intensive care units. Citation Text: Kendall-Gallagher D, Blegen MA. Competence and certification of registered nurses and safety of patients in intensive care units. Am J Crit Care. 2009;18(2):106-113; q…

  11. Draft Research Plan: Syphilis Infection During Pregnancy: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/syphilis-infection-pregnant-persons
    December 01, 2022 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Research Plan Syphilis Infection During Pregnancy: Screening December 01, 2022 Recommendations made by the USPSTF are independent of the U.S. government. The…

  12. Blood sampling guidelines with focus on patient safety and identification—a review. | PSNet

    psnet.ahrq.gov/issue/blood-sampling-guidelines-focus-patient-safety-and-identification-review
    August 10, 2016 - Review Blood sampling guidelines with focus on patient safety and identification—a review. Citation Text: Cornes M, Ibarz M, Ivanov H, et al. Blood sampling guidelines with focus on patient safety and identification - a review. Diagnosis (Berl). 2019;6(1):33-37. doi:10.1515/dx-2018-0042.…

  13. Data as a catalyst for change: stories from the frontlines. | PSNet

    psnet.ahrq.gov/issue/data-catalyst-change-stories-frontlines
    July 28, 2023 - Commentary Data as a catalyst for change: stories from the frontlines. Citation Text: Siegal D, Ruoff G. Data as a catalyst for change: stories from the frontlines. J Healthc Risk Manag. 2015;34(3):18-25. doi:10.1002/jhrm.21161. Copy Citation Format: DOI Google Scholar PubM…

  14. Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. | PSNet

    psnet.ahrq.gov/issue/evidence-based-guidelines-fatigue-risk-management-ems-formulating-research-questions-and
    March 14, 2018 - Study Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes. Citation Text: Patterson D, Higgins S, Lang ES, et al. Evidence-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Out…

  15. Building an ambulatory safety program at an academic health system. | PSNet

    psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
    April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

  16. Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. | PSNet

    psnet.ahrq.gov/issue/task-errors-emergency-physicians-are-associated-interruptions-multitasking-fatigue-and
    March 29, 2017 - Study Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. Citation Text: Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with interr…

  17. Decoding laboratory test names: a major challenge to appropriate patient care. | PSNet

    psnet.ahrq.gov/issue/decoding-laboratory-test-names-major-challenge-appropriate-patient-care
    April 24, 2018 - Study Decoding laboratory test names: a major challenge to appropriate patient care. Citation Text: Passiment E, Meisel JL, Fontanesi J, et al. Decoding laboratory test names: a major challenge to appropriate patient care. J Gen Intern Med. 2013;28(3):453-8. doi:10.1007/s11606-012-2253-8…

  18. Automatic detection of omissions in medication lists. | PSNet

    psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
    December 31, 2014 - Study Automatic detection of omissions in medication lists. Citation Text: Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. Copy Citation Format: DOI Googl…

  19. Patients' identification and reporting of unsafe events at six hospitals in Japan. | PSNet

    psnet.ahrq.gov/issue/patients-identification-and-reporting-unsafe-events-six-hospitals-japan
    January 11, 2023 - Study Patients' identification and reporting of unsafe events at six hospitals in Japan. Citation Text: Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. Copy Citati…

  20. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. | PSNet

    psnet.ahrq.gov/issue/popi-pediatrics-omission-prescriptions-and-inappropriate-prescriptions-development-tool
    June 30, 2011 - Study POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): development of a tool to identify inappropriate prescribing. Citation Text: Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate prescriptions): deve…
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