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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
October 01, 2024 - They noted an increase in C. difficile rates, with most cases occurring in rooms previously occupied
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www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
January 01, 2024 - This effort was
challenging, as the evolution of HIT is occurring concurrently with the establishment
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Debriefings are often brief meetings immediately following a case, either regularly occurring or under
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/rev-finalreport-update-2021.pdf
January 01, 2021 - These programs have largely focused on enhancing practices occurring within the hospital
setting, including
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Whitten_85.pdf
June 05, 2008 - information on errors, the
prescriptive practices used to correct them, and evidence-based changes occurring
-
psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring
-
psnet.ahrq.gov/node/72739/psn-pdf
February 10, 2021 - or used on patients” and relevant financial
relationships as “financial relationships in any amount occurring
-
digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
January 01, 2005 - This effort was challenging, as the evolution of HIT is occurring
concurrently with the establishment
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Walsh_74.pdf
May 28, 2008 - medications
for their child(ren) with chronic disease and to describe possible prior medication errors
occurring
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psnet.ahrq.gov/node/74030/psn-pdf
November 03, 2021 - Evaluation of a second victim peer support program on
perceptions of second victim experiences and supportive
resources in pediatric clinical specialties using the
second victim experience and support tool (SVEST).
November 3, 2021
Finney RE, Czinski S, Fjerstad K, et al. Evaluation of a second victim peer support…
-
psnet.ahrq.gov/node/836774/psn-pdf
March 23, 2022 - Patient harm and institutional avoidability of out-of-hours
discharge from intensive care: an analysis using mixed
methods.
March 23, 2022
Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge
from intensive care: an analysis using mixed methods. Crit Care Me…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/board-checklist.html
July 01, 2023 - Board Checklist
AHRQ Safety Program for Perinatal Care
Who should use this tool: Senior leaders
Checklist Items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork c…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz-key.docx
March 01, 2017 - AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Training Module 3 Quiz Answer Key
Personal Protective Equipment
1. Personal protective equipment (PPE) can reduce contamination of health care personnel hands and clothes.
☒ True
☐ False
2. PPE includes gloves, gowns, masks, and goggles.
☒ True
☐ False
3. Go…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/precautions/ppe-quiz.docx
March 01, 2017 - AHRQ Safety Program for
Long-Term Care: HAIs/CAUTI
Training Module 3 Quiz
Personal Protective Equipment
1. Personal protective equipment (PPE) can reduce contamination of health care personnel hands and clothes.
☐ True
☐ False
2. PPE includes gloves, gowns, masks, and goggles.
☐ True
☐ False
3. Gowns should …
-
www.ahrq.gov/cahps/surveys-guidance/item-sets/cancer/suppl-access-items.html
March 01, 2017 - Supplemental Items for the CAHPS Cancer Care Survey: Access
Population version: Adult
Download these items: English ( Word [28 KB] )
Users of the CAHPS ® Cancer Care Survey are free to incorporate supplemental items in order to meet the needs of their organizations, local markets, and/or audiences. The…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/boardchecklist.doc
June 02, 2025 - Checklist Items
Leader Responsible
Date
Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
3. Set expectation for unit-level culture assessment.
4. Require at least a 60 percent participation…
-
www.ahrq.gov/hai/cusp/toolkit/board-checklist.html
December 01, 2012 - Board Checklist
CUSP Toolkit
Who should use this tool? Senior leaders.
Checklist items
Leader Responsible
Date Initiated
1. Set an organization aim of annually assessing the safety and teamwork climate.
2. Improve the safety and teamwork climate using valid measures.
…
-
psnet.ahrq.gov/node/60246/psn-pdf
April 22, 2020 - The impact of surgical count technology on retained
surgical items rates in the Veterans Health
Administration.
April 22, 2020
Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items
rates in the Veterans Health Administration. J Patient Saf. 2020;16(4):255-258.
do…
-
psnet.ahrq.gov/node/39315/psn-pdf
March 21, 2017 - Risk managers, physicians, and disclosure of harmful
medical errors.
March 21, 2017
Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical
errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8.
https://psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-…
-
psnet.ahrq.gov/node/866583/psn-pdf
August 28, 2024 - Assessing the STOPS framework for coping with
intraoperative errors: evidence of efficacy, hints of hubris,
and a bridge to abridging burnout.
August 28, 2024
D'Angelo JD, Rivera M, Rasmussen TE, et al. Assessing the stops framework for coping with intraoperative
errors: evidence of efficacy, hints of hubris, and …