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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/7-things.pdf
March 01, 2017 - 7 Things You Should Know About Urinary Leg Bags
AHRQ Safety Program for Long-Term Care:
HAIs/CAUTI
Infographic: 7 Things You Should Know About Urinary
Leg Bags
The infographic flier on page 5 of this PDF can be printed and posted in patient care areas,
meeting rooms, or nurse stations, to educate clinicians, …
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cdsic.ahrq.gov/sites/default/files/2023-01/Final%20Workgroup%20Charter_CDS%20Standards%20and%20Regulatory%20Frameworks_Personnel%20Update_Jan26.pdf
January 01, 2023 - FINAL WORKGROUP CHARTER: CDS STANDARDS AND REGULATORY FRAMEWORKS
FINAL WORKGROUP CHARTER: CDS
STANDARDS AND REGULATORY
FRAMEWORKS
O C T O B E R 2 0 2 2
Agency for Healthcare
Research and Quality:
Clinical Decision Support
Innovation Collaborative
(CDSiC)
Presented by:
NORC at the Universit…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - He was urgently taken to the operating room, where he required debridement of 7300 cm/sq (an area roughly
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psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - She was taken to the operating room for repair and found to have a 4 mm cut in the cornea that extended
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psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - relatively short duration of
action requires administration via intermittent bolus (primarily in the operating … room [OR]) or continuous
infusion (primarily in the emergency department [ED] and intensive care units
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psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - In the
operating room, the surgeon found stercoral colitis and a large perforated “stercoral ulcer”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_15.pdf
February 26, 2008 - Error Producing Conditions in the Intensive Care Unit
Error Producing Conditions in the
Intensive Care Unit
Frank A. Drews, PhD; Adrian Musters, BS; Matthew H. Samore, MD
Abstract
Up to 98,000 patients die because of human error in U.S. hospitals each year. Among the areas
where errors occur frequently is t…
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web6.html
December 01, 2017 - Webinar 6: Enhance Services for High-Risk Patients
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
Designing & Delivering Whole-Person Tr…
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
February 01, 2014 - environments such as the pediatric ward, the emergency department, medical–surgical units, and the operating … room appear to be at high risk for interruption- and distraction-related errors. … simulated environment, Feuerbacher and colleagues ( 11 ) found that in 8 of 18 simulated procedures, operating … room distractions and interruptions resulted in major surgical errors. … In contrast, when there were no operating room distractions or interruptions, only 1 of 18 simulated
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
June 01, 2015 - control) or throughput in emergency departments to
prevent diversions or reduce waiting times;
Operating … room procedures such as on-time starts or tight glycemic control; and
Administrative processes such
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
January 01, 2003 - Develop Your Own
Develop Your Own?
Contents
Before You Begin
· Have You Identified the Significant Health Problems of Your Target Population(s)?
· Do Measures Already Exist that Accurately Assess Quality in Your Area of Interest?
· Have You Clearly Defined the Anticipated Uses of the Resulting Quality Informat…
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datatools.ahrq.gov/hcupnet/glossary/
January 01, 2022 - manipulation, or suturing of tissue that penetrates or breaks the skin; typically require use of an operating … room; and also require regional anesthesia, general anesthesia, or sedation to control pain. … Operating room procedures – Defined as “valid OR procedures” based on Diagnosis Related Groups coding
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - 40 percent of nurses reported high levels of teamwork with
doctors.17 Similarly, in another study, operating … room surgeons rated the quality of their
collaboration and cooperation with other surgeons “high” or … Operating room teamwork among physicians and
nurses: Teamwork in the eye of the beholder.
-
psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - The patient was taken to the operating room for drainage of the
abscess.
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psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - July 17, 2024
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
WebM&M Cases
Turn the Other
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - A second anesthesiologist in the group spends the day in the operating room (OR)
supervising three nurse
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psnet.ahrq.gov/node/840175/psn-pdf
November 16, 2022 - The patient was taken to the Operating Room (OR) to extirpate the arterial
thrombus, but the surgeon
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psnet.ahrq.gov/node/49573/psn-pdf
January 01, 2009 - Dangerous Shift
November 1, 2008
Patterson ES. Dangerous Shift. PSNet [internet]. 2008.
https://psnet.ahrq.gov/web-mm/dangerous-shift
Case Objectives
Review the evidence base on erroneous actions related to shift changes.
Understand the limits of standardizing handoffs in preventing errors at shift change.
Expla…
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effectivehealthcare.ahrq.gov/sites/default/files/crosscutting-horizon-scan-high-impact-1312.pdf
December 01, 2013 - AHRQ Healthcare Horizon Scanning System – Potential
High-Impact Interventions Report
Crosscutting Interventions and Programs
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Contract No. HHS…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-surgical-report-cards.pdf
November 01, 2023 - Measurements
4
procedure involving incision or excision or suturing of tissue that requires an operating … room and anesthesia.
1.2 Purpose of the Rapid Response
The overall purpose of this rapid response … The outcomes
are shared quarterly with surgeons, nurses, and the operating room staff, along with
a … room). … room staff,
other perioperative
staff members
- Decrease in average
ICU time from 84 to 75
hours