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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
    April 01, 2025 - Remember to consider variations in practices that may occur within the organization. … Policy content should also be included in annual recertification, especially as changes occur and there
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_508.docx
    April 05, 2013 - ) ensure that the organizational transformations required for patient and family engagement efforts occur … improvement efforts.6–8 Other hospital leaders, such as unit managers, ensure that engagement efforts occur
  3. www.ahrq.gov/sites/default/files/wysiwyg/chsp/compendium/2018-hospital-linkage-techdoc-cx.pdf
    January 01, 2018 - However, because OneKey and AHA data vary in the periodicity of their updates, lags may occur in updating
  4. www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 01, 2015 - often disengaged and demoralized staff and an environment in which patient harm is more likely to occur … And when a CAUTI does occur, what existing infrastructures will support the “Learning From Defects”
  5. www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
    January 01, 2025 - Final Progress Report: Center for Safety In Emergency Care Center for Safety In Emergency Care Final Progress Report Principal Investigator Robert L Wears, MD, MS Team Members Christopher Beach, MD Ravi Behara, PhD Patrick Croskerry, MD, PhD Shawna J Perry, MD Marc Shapir…
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - often disengaged and demoralized staff and an environment in which patient harm is more likely to occur … And when a CAUTI does occur, what existing infrastructures will support the “Learning From Defects”
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
    June 10, 2008 - important barrier to improving patient safety is lack of awareness of the extent to which errors occur … been identified.21 Some suggestions include: • Provide an easy avenue to report problems as they occur
  8. effectivehealthcare.ahrq.gov/sites/default/files/pdf/ischemic-stroke-treatment_research-protocol.pdf
    February 19, 2010 - region.13 If blood flow is not restored to the affected area, ischemia and eventual cell death will occur
  9. meps.ahrq.gov/data_files/publications/st536/stat536.shtml
    September 01, 2021 - STATISTICAL BRIEF #536: Trends in Health Insurance at Private Employers, 2008-2020   Skip to main content An official website of the Department of Health & Human Services More …
  10. hcup-us.ahrq.gov/reports/statbriefs/sb166.pdf
    August 01, 2013 - Overview of Hospital Stays in the United States, 2011 1 November 2013 Overview of Hospital Stays in the United States, 2011 Anne Pfuntner, Lauren M. Wier, M.P.H., and Anne Elixhauser, Ph.D. Introduction The Agency for Healthcare Research and Quality has provided an annual overview of nat…
  11. hcup-us.ahrq.gov/reports/statbriefs/sb170-Operating-Room-Procedures-United-States-2011.pdf
    January 01, 2011 - involving administration of medications, diagnostic or therapeutic procedures (such as an X- ray) that occur
  12. www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/syphilis-infection-in-pregnancy-screening-september-2018
    September 04, 2018 - prozone phenomenon occurs when undiluted serum containing a high titer of nonspecific antibody (as may occur
  13. www.uspreventiveservicestaskforce.org/home/getfilebytoken/AkQC-rTVEsusNWG_TmWWtd
    February 01, 2011 - Amblyopia usually occurs unilat- erally but can occur bilaterally. … An important risk of amblyopia is that an unrelated, se- vere vision impairment or blindness might occur
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867137/psn-pdf
    November 13, 2024 - Enteral nutrition: an underappreciated source of patient safety events. November 13, 2024 Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. https://psnet.ahrq.gov/issue/enteral-nutrition-underapprec…
  15. Ff 2009 Exhibit5 2 (pdf file)

    hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_2.pdf
    January 01, 2009 - 5.2A HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2009 65 EXHIBIT 5.2 Common Conditions During Hospital Stays for Females 5.3 6.4 1.1 1.21.4 1.91.5 1.91.9 2.13.1 2.7 2.2 2.1 4.6 0 5 10 15 20 25 Male Stays 16.4 Million Stays (42% of All Stays) Female Stays 22.…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38360/psn-pdf
    March 18, 2010 - Medication errors occurring with the use of bar-code administration technology. March 18, 2010 PA-PSRS Patient Saf Advis. December 2008;5:122-126. https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology This article describes errors associated with bar coded medication admin…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73067/psn-pdf
    March 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89…
  18. www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/child-maltreatment-interventions-draft-rec-bulletin.pdf
    September 25, 2023 - U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatment www.uspreventiveservicestaskforce.org 1 U.S. Preventive Services Task Force Issues Draft Recommendation Statement on Primary Care Interventions to Prevent Child Maltreatmen…
  19. TND-0775-150722 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0775-150722.pdf
    May 12, 2015 - TND-0775-150722 Treatments for Adults with Schizophrenia Nomination Summary Document Results of Topic Selection Process & Next Steps § This topic will go forw…
  20. hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_2.jsp
    January 01, 2009 - Facts and Figures Exhibit 5.2 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …