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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apg.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix G. Safety and Adverse Events
Previous Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationale
References
Appendix A. …
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-sbar-rural-clinic-guide.pdf
June 02, 2025 - TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic
TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural
Community Clinic
Video Objective
To demonstrate how CUS is used to ensure patient safety and showcase the SBAR communication
technique.
TeamSTEPPS Tool or Concept
CUS, SBAR.
Brief V…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/caren-ginsberg-slides-6-11.pdf
June 02, 2025 - Ambulatory Surgery Center SOPS: What You Need to Know Webcast
Overview of AHRQ’s Patient Safety
Priorities
Caren Ginsberg, PhD
Director, SOPS and CAHPS Division
Center for Quality Improvement and Patient Safety, AHRQ
6
https://www.ahrq.gov/sops
AHRQ’s Core Competencies
• Research: Invest in research and evid…
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www.ahrq.gov/sops/events/webinars/sops-data-entry-analysis-tool.html
February 01, 2024 - Tutorial on the SOPS® Data Entry and Analysis Tool (Webcast)
December 3, 2020
Summary
Speakers and Presentation Slides
Recording
Summary
This webcast provided a tutorial on the AHRQ Surveys on Patient Safety Culture™ (SOPS ® ) Data Entry and Analysis Tool. Speakers demonstrated how you can enter y…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/great-plains-primary-care-pbrn.html
August 05, 2024 - Great Plains Primary Care PBRN
Status:
Active
Registered Date:
August 5, 2024
PBRN Acronym:
Great Plains Primary Care PBRN
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Developi…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/primary-care-behavioral-health-campus-consortium.html
August 05, 2024 - Primary Care Behavioral Health Campus Consortium
Status:
Active
Registered Date:
August 5, 2024
PBRN Acronym:
PCBH-CC
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Established
…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/nyu-lutheran-family-health-centers.html
January 01, 2012 - NYU Lutheran Family Health Centers
Status:
Inactive
Registered Date:
January 1, 2012
PBRN Acronym:
NYU Lutheran
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Established
C…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/palo-alto-medical-foundation-research-institute.html
January 01, 2012 - Palo Alto Medical Foundation Research Institute
Status:
Inactive
Registered Date:
January 1, 2012
PBRN Acronym:
PAMFRI
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Affiliate
…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/ohio-valley-node-clinical-trials-network.html
March 27, 2015 - The Ohio Valley Node of the Clinical Trials Network
Status:
Active
Registered Date:
March 27, 2015
PBRN Acronym:
OVN
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
PBRN Type Other:
Addiction-focus…
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www.ahrq.gov/ncepcr/communities/pbrn/registry/connecticut-center-primary-care.html
January 01, 2012 - Connecticut Center for Primary Care
Status:
Inactive
Registered Date:
January 1, 2012
PBRN Acronym:
CCPC
PBRN Type:
Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties)
Network Category:
Established
City:
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
July 28, 2016 - o Did you call anyone (doctor, nurse, other)? … o Did you try to see or did you see a doctor or nurse or other provider before you came? … health [daily clinical, nutritional, medication management, socialization, etc.]
Public health nurses … Treatment team includes a Medical
Treatment Centers Director, Program Director, Clinical Supervisor, nurses
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www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
May 01, 2015 - Focus on improving culture (e.g., emphasis on patient safety,
transparency, improvement orientation, nurse … posted on units, on
screensavers)
Rewards and recognition for CLABSI prevention
Empowerment of nurses
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pdf
June 02, 2025 - • The first person who comes into his room is his bedside
nurse, Angela.
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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 - Care
Introduction: Essential First Steps
• Engage key perioperative/procedure personnel, including nurses … physicians
• Other providers involved in perioperative care
• Anesthesia professionals
• Perioperative registered … nurses
• Surgical technologists
Equipment
• X-ray and other imaging technologies to ensure that no … Denver: Association of Perioperative Registered
Nurses; 2010. Publication No.
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www.ahrq.gov/news/newsroom/case-studies/201414.html
August 01, 2014 - staff members completed the survey in 2010 vs. 42 percent in 2012), the response rate among clinicians—registered … nurses, physicians, medical residents—and administrative/management staff increased.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - Involvement Menu:
Invites family members to assist in EM exercises
Encourages family members to partner with nurses … Joseph Mercy Hospital from the American Association of Critical-Care Nurses early progressive mobility … e.g., unstable, active gastrointestinal bleeding)
Patient unavailable throughout the day
Staffing (registered … nurse, PT, and OT) unavailable throughout the day
Patient declined mobilization throughout the day … Aliso Viejo, CA: American Association of Critical-Care Nurses.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - Erin Brown is a Registered Nurse and the Director of Nursing Services for Digestive Health Clinic and … in order to improve
communication between physicians and staff.
2
And Terry Tinsley is also a Registered … Nurse and Clinical Nurse Manager for Underwood Surgery Center
in Orlando, Florida. … registered nurse anesthetists, physician assistants, nurse practitioners,
technicians, management staff … We also have three part-time or PRN nurses and one endoscopy manager.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
March 01, 2016 - correct-site-surgery-tool-
kit/aorn-comprehensive-surgical-checklist
The Association of periOperative Registered … Patient%20Safety%20Tool
kits/PST_surgical%20checklists_FINAL.pdf
The Association of periOperative Registered … Nurses also plan, deliver, and evaluate nurse-initiated care to manage
patients’ symptoms and responses … Organizations can
prevent missed nursing care by ensuring appropriate nurse staffing, promoting a positive … primers/primer/23
14
computerized provider order entry and clinical decision support to minimizing nurse
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - This could be a nurse, physician, administrator, or other member of the hospital quality improvement … pharmacist, were all done by the same person, called a " discharge educator " or " DE. " The DE was a registered … nurse hired specifically to implement the RED. … The staff nurse caring for the patient being discharged
Pros: Has clinical expertise, knows the … Case managers or nurses from the patient's health plan or insurers
Pros: Reduces work burden to
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - This could be a nurse, physician, administrator, or other member of the hospital quality improvement … pharmacist, were all done by the same person, called a " discharge educator " or " DE. " The DE was a registered … nurse hired specifically to implement the RED. … The staff nurse caring for the patient being discharged
Pros: Has clinical expertise, knows the … Case managers or nurses from the patient's health plan or insurers
Pros: Reduces work burden to