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psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
October 20, 2010 - Study
Experience of wrong site surgery and surgical marking practices among clinicians in the UK.
Citation Text:
Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8.
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psnet.ahrq.gov/issue/threats-patient-safety-primary-care-office-concerns-physicians-and-nurses
November 09, 2015 - Study
Threats to patient safety in the primary care office: concerns of physicians and nurses.
Citation Text:
Schwappach DLB, Gehring K, Battaglia M, et al. Threats to patient safety in the primary care office: concerns of physicians and nurses. Swiss Med Wkly. 2012;142:w13601. doi:10.…
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psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
February 08, 2023 - Commentary
Supporting the Patient Safety and Clinical Pharmacy Services Collaborative.
Citation Text:
Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558.
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psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
June 22, 2009 - Review
Utility and assessment of non-technical skills for rapid response systems and medical emergency teams.
Citation Text:
Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/echo/about/209_echo-reporting-measures.pdf
January 01, 2004 - Reporting Measures for the ECHO Survey 3.0 Page 1 of 3
Document No. 209 – 8/31/06
For additional guidance, please email cahps1@ahrq.gov or call the CAHPS Help Line at (800) 492-9261.
ECHO® Survey and Reporting Kit 2004
Reporting Measures for the ECHO® Survey
3.0
Items Included in the Measure Reportin…
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psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
January 19, 2011 - Commentary
Patient safety: threats and solutions.
Citation Text:
McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58.
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hcup-us.ahrq.gov/db/vars/chldwtcharge/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
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Careers
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psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
December 05, 2007 - Study
Inability of providers to predict unplanned readmissions.
Citation Text:
Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3.
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hcup-us.ahrq.gov/db/vars/cmpbwtcharge/kidnote.jsp
September 01, 2008 - Healthcare Cost and Utilization Project (HCUP) KID Notes
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d2_combo_projectcharter.pdf
December 23, 2009 - Project Charter
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.2
Project Charter
What is the purpose of this tool? The purpose of the project charter is to describe the performance
improvement rationale, goals, barriers, and anticipated resources to which the…
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psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
February 15, 2017 - Commentary
Using an automated risk assessment report to identify patients at risk for clinical deterioration.
Citation Text:
Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - Commentary
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events.
Citation Text:
Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …
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psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
December 19, 2018 - Commentary
How policy makers can smooth the way for communication-and-resolution programs.
Citation Text:
Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaf…
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psnet.ahrq.gov/issue/problem-medication-reconciliation
May 08, 2017 - Commentary
The problem with medication reconciliation.
Citation Text:
Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734.
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psnet.ahrq.gov/issue/coaching-debriefer-peer-coaching-improve-debriefing-quality-simulation-programs
July 31, 2019 - Commentary
Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.
Citation Text:
Cheng A, Grant V, Huffman J, et al. Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs. Simul Healthc. 2017;12(5):319-325. doi:10.…
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psnet.ahrq.gov/issue/problem-never-events
July 12, 2023 - Commentary
The problem with 'never events'.
Citation Text:
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/environmental-cleaning.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Optimizing Environmental Cleaning
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Survei…
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psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
February 23, 2015 - Review
Intrathecal chemotherapy: potential for medication error.
Citation Text:
Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chan-d-et-al-2003
January 01, 2003 - Chan D et al. 2003 "An internet-based store-and-forward video home telehealth system for improving asthma outcomes in children."
Reference
Chan D, Callahan C, Sheets S, et al. An internet-based store-and-forward video home telehealth system for improving asthma outcomes in children. AJHP 2003;60(19):1…
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - Newspaper/Magazine Article
Amid lack of accountability for bias in maternity care, a California family seeks justice.
Citation Text:
Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023
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