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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standing-order-protocol-mupirocin.pdf
    March 01, 2022 - Standing Order Protocol: Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Section 9-3 – Standing Order Protocol: Nasal Mupirocin The following is a standing order protocol for implementing nasal decolonization in adult non- intensive care unit (ICU) patients who are methicillin-resistant S…
  2. psnet.ahrq.gov/issue/human-based-errors-involving-smart-infusion-pumps-catalog-error-types-and-prevention
    November 16, 2022 - Review Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Citation Text: Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(1…
  3. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/3_TK1_T1-Gather-a-Team-updated.docx
    October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Implement, Monitor, & Sustain a Program Toolkit 1. Start an Antimicrobial Stewardship Program Tool 1. Gather a Team Choose members to serve on the antimicrobial stewardship program team. Depending on the size of the nursing home, the team may be very small (two or three me…
  4. psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
    April 01, 2020 - Study Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. Citation Text: Oliva EM, Bowe T, Tavakoli S, et al. Development and applications of the Veterans He…
  5. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
    January 01, 2022 - Understanding SOPS® Surveys: A Primer for New Users - Gray Overview of the SOPS Surveys Laura Gray, MPH Senior Study Director User Network for the AHRQ Surveys on Patient Safety Culture (SOPS) Westat 14 What are the SOPS Surveys? • Surveys of providers and staff about the extent to which their organizational …
  6. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase_4_Monitoring.pdf
    May 01, 2014 - Phase 4 Monitoring Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit Phase 4 Monitoring It will be important to monitor the antibiogram program by (1) soliciting feedback from prescribin…
  7. Workflow (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/workflow-analysis-qi.pdf
    February 01, 2005 - Workflow Workflow Ann Lefebvre MSW, CPHQ Associate Director, NC AHEC North Carolina Area Health Education Centers North Carolina Area Health Education Centers “Every system is perfectly designed to get the results that it gets.” Paul Batalden, MD North Carolina Area Health Education CentersNorth Carolina…
  8. psnet.ahrq.gov/issue/patient-specific-electronic-decision-support-reduces-prescription-excessive-doses
    November 02, 2010 - Study Patient-specific electronic decision support reduces prescription of excessive doses. Citation Text: Seidling HM, Schmitt SPW, Bruckner T, et al. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care. 2010;19(5):e15. doi:10.113…
  9. digital.ahrq.gov/principal-investigator/sockolow-paulina
    January 01, 2023 - Sockolow, Paulina Planning the episode: Home care admission nurse decision-making regarding the patient visit pattern. Citation Sockolow PS, Bowles KH, Pankok C Jr, Zhou Y, Potashnik S, Bass EJ. Planning the episode: Home care admission nurse decision-making regarding the pati…
  10. psnet.ahrq.gov/issue/diagnosis-physical-and-mental-health-conditions-primary-care-during-covid-19-pandemic
    June 30, 2021 - Study Emerging Classic Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study. Citation Text: Williams R, Jenkins DA, Ashcroft DM, et al. Diagnosis of physical and mental health conditions in…
  11. digital.ahrq.gov/principal-investigator/vest-joshua-ryan
    January 01, 2024 - Vest, Joshua Ryan Health-related social needs information in the emergency department: clinician and patient perspectives on availability and use. Citation Mazurenko O, Hirsh AT, Harle CA, McNamee C, Vest JR. Health-related social needs information in the emergency department:…
  12. psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
    July 28, 2023 - Study Emerging Classic Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. Citation Text: Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…
  13. www.ahrq.gov/cahps/surveys-guidance/hospital/about/dev_adult_hp_survey.html
    January 01, 2025 - Development of the CAHPS Adult Hospital Survey The  CAHPS Hospital Survey  was conceived first and foremost as a tool for public reporting purposes. While many hospitals already conduct some type of patient survey, CMS needed a standardized instrument that would allow consumers to compare inpatients' perspectiv…
  14. www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/5-2023hcbs-survey-webcast-rubin.pdf
    December 31, 2023 - Participating in the 2023 CAHPS® Home and Community-Based Services Survey Database: What You Need to Know - Rubin CAHPS HOME AND COMMUNITY-BASED SERVICES SURVEY DATABASE Joshua Rubin Lead Research Associate HCBS CAHPS Database, Westat CAHPS Database Overview • Central repository of data for selected CAHPS sur…
  15. www.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients Search All Impact Case Studies May 2015 AHRQ-sponsored research on how clinical pharmacy services can reduce medication-related errors in emergency departments (E.D.) helped inspire Banner Desert Medical Center in Mesa, A…
  16. psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing
    December 21, 2022 - Study Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. Citation Text: Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…
  17. psnet.ahrq.gov/issue/efficiency-and-thoroughness-trade-offs-high-volume-organisational-routines-ethnographic-study
    June 14, 2017 - Study Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. Citation Text: Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of pre…
  18. psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
    February 03, 2011 - Review Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. Citation Text: Pereira N, Duff JP, Hayward T, et al. Methods for studying medication safety following electronic health record implementation in acute care: a …
  19. digital.ahrq.gov/ahrq-funded-projects/learning-primary-care-meaningful-use-exemplars
    January 01, 2023 - Learning from Primary Care Meaningful Use Exemplars Project Final Report ( PDF , 358.17 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. N…
  20. www.ahrq.gov/cahps/surveys-guidance/hospital/about/adult_hp_survey.html
    January 01, 2025 - CAHPS Adult Hospital Survey The Adult version of the CAHPS Hospital Survey (HCAHPS) asks people 18 and older about their experiences with care provided in an inpatient setting. The Centers for Medicare & Medicaid Services (CMS) implements the Adult version of HCAHPS on a national basis. As of January 2022, 4,48…