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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/121-importance-mrsa-prevention-one-pager.docx
April 01, 2025 - Surgical Site Infection (SSI) Facts
SSIs account for 20 percent of all healthcare-associated infections.1
SSIs are a major cause of morbidity and mortality.2
SSIs lead to rehospitalization and increased costs ($3–10 billion annually).2,3
SSIs due to MRSA lead to higher morbidity and mortality.4
Staphylococcus aureus an…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/meeting-summary-031720.pdf
July 23, 2020 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care March Meeting Summary
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health Care
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ to co…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/056-nursing-protocol-bathing-cloths.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Nursing Decolonization Protocol: Bed Bathing With 2% Chlorhexidine Gluconate (CHG) Pre-Impregnated Cloths
The following protocol details the process for performing skin decolonization using impregnated 2% chlorhexidine gluconate (CHG) cloths.
Protocol Overview
· Daily CHG bathi…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/057-nursing-protocol-bathing-liquid.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Nursing Decolonization Protocol:
Basin Bed Bathing With 4% Chlorhexidine Gluconate Liquid (Diluted to 2%)
The following protocol details the process for performing skin decolonization with chlorhexidine (CHG) liquid diluted in a basin.
Protocol Overview
· Daily CHG bathing for …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-c.docx
January 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Reducing CAUTI in Hospitals
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix C. Sample Bladder Scan Policy
Purpose
To provide guidelines for the use of a bladder scanner.
Definition
The bladder scan measures ultrasonic reflections within th…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/maternal-mortality-4.html
September 01, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science
Research Agenda
Previous Page Next Page
Table of Contents
The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Chi…
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www.ahrq.gov/patient-safety/about/uni-missouri-healthcare.html
February 01, 2024 - University of Missouri Health Care Decreases Pressure Injuries and Saves in Avoidable Costs
University of Missouri (MU) Health Care utilized the AHRQ toolkit Preventing Pressure Ulcers in Hospitals to decrease PSI-03 (reportable pressure injuries) by 92% and save an estimated $350,000 in avoidable costs. Impl…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-072221.pdf
November 19, 2021 - Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup on Improving Diagnostic
Safety and Quality in Health…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T3-Resident_Information_Sheet_Antibiotic-Resistant_Bacteria_Final.pdf
October 01, 2016 - Nursing Home
Antimicrobial Stewardship Guide
Educate & Engage Residents, Family
Toolkit To Educate and Engage Residents and Family Members
Tool 3. Resident Information Sheet: Antibiotic-Resistant Bacteria
One of your tests showed that you have a type of bacteria that cannot be treated with the
antibiotics you h…
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www.ahrq.gov/news/newsroom/case-studies/cquips1402.html
January 01, 2014 - St. Jude Relies on AHRQ's Hospital Survey on Patient Safety Culture
Search All Impact Case Studies
January 2014
St. Jude Children's Research Hospital, an institution focused on pediatric cancer and other catastrophic diseases, treats nearly 8,000 patients annually and has used AHRQ's "Hospital Survey on Pat…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - Surgical Site Infection Investigation Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Your team cannot always predict which patients will develop a surgical site infection, but you can learn from them when they occur. To improve, perioperative teams need a structured appr…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
January 01, 2013 - Section 5, Table 6
1
Table 6: Evidence for Timely Fluid Bolus for Treatment of Children with Severe Sepsis or Septic
Shock
Type of
Evidence
Key Findings Level of
Evidence
(USPSTF
Ranking)
Citations
Clinical
guidelines
Pediatric considerations in severe sepsis:
In children, definitions of sepsis are…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-health-literacy-cgcahps-adult-2357-3a.docx
June 02, 2025 - CAHPS® Clinician & Group Survey 3.0 Supplemental Items: Health Literacy
Population Version: Adult
Supplemental Items for the CAHPS® Clinician & Group Survey 3.0
Topic: Health Literacy
Population Version: Adult
Language: English
Users of the CAHPS® Clinician & Group Survey are free to incorporate supplemental ite…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartinstructions.pdf
June 02, 2025 - EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS, AND RATES TO POPULATE THE POWERPOINT PRESENTATION
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool B.3a i
EXCEL WORKSHEETS FOR CHARTS ON DATA, TRENDS,
AND RATES TO POPULATE THE POWERPOINT
PRESENTATION
What is the purp…
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
June 02, 2025 - Health IT and Diagnostic Safety: A Human Factors and Systems Engineering Perspective
1
Health IT and Diagnostic Safety:
A Human Factors and Systems
Engineering Perspective
Pascale Carayon, Ph.D.
Procter & Gamble Bascom Professor in Total Quality,
Department of Industrial and Systems
Engineering Director, Center …
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www.ahrq.gov/patient-safety/resources/learning-lab/ambulatory-pediatric-long-desc.html
January 01, 2025 - Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home
Principal Investigator: Kathleen Elizabeth Walsh, M.D., M.S., Boston Children’s Hospital, Boston, MA Co-PI: Eric Kirkendall, M.B.I., M.D., Wake Forest School of Medicine, Winston-Salem, NC AHRQ Grant No.: HS26644 Project Per…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role1.html
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Introduction
Previous Page Next Page
Table of Contents
The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Introduction
The History of Patient Roles
Imp…
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digital.ahrq.gov/ahrq-funded-projects/prevent-diabetes-mellitus-predm-clinical-decision-support-intervention
January 01, 2023 - Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers
Project Final Report ( PDF , 287.12 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do…
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digital.ahrq.gov/ahrq-funded-projects/randomized-clinical-trial-smartphone-virtual-reality-pain-management-during
January 01, 2024 - A Randomized Clinical Trial of Smartphone Virtual Reality for Pain Management During Burn Care Transition
Project Description
Publications
The use of a virtual reality app has the potential to be a cost-effective way to alleviate pain, reduce the need for opioids, and imp…
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2010
January 01, 2010 - Technology for Optimizing Population Care in a Resource-Limited Environment - 2010
Project Name
Technology for Optimizing Population Care in a Resource-Limited Environment
Principal Investigator
Atlas, Steven J.
Organization
Massachusetts General Hospital
Funding Mech…