-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - The numerator is limited to accidental punctures or lacerations that require
a return to the operating … room at least one day after the index procedure.
-
psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - H is transferred to the operating room for repair of multiple fractures. Subsequently, Mr.
-
psnet.ahrq.gov/web-mm/bowel-prep
March 01, 2017 - Deprescribing as a Patient Safety Strategy
October 27, 2021
Crisis checklists for the operating … room: development and pilot testing.
-
psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - While being prepped on the operating room table several hours later, the patient developed asystole,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/unlicensed-catheter.pptx
March 01, 2017 - Catheter Types and Being Part of the Insertion Team
Urinary Catheter Types and
Care for Residents With Catheters
AHRQ Pub. No. 16(17)-0003-11-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s session on how to care for residents with urinary catheters. This training is part of …
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2025 - Slide 11: Endotracheal Intubation Uncommon and considered inappropriate outside of the operating room
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - surfaces in the ED or on the inpatient unit remain on the surface when transported to
Radiology and the operating … room.
-
digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
December 29, 2006 - Microsoft Word - IAVR_ExecSumm.doc
December 29, 2006
Privacy and Security Solutions for
Interoperable Health Information
Exchange
Interim Assessment of Variation
Executive Summary
Prepared for
Susan Christensen, Senior Advisor
Agency for Healthcare Research and Quality
540 Gaither…
-
psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - In Conversation With… Alison Holmes, MD, MPH
March 1, 2014
Also Read an Essay
Citation Text:
In Conversation With… Alison Holmes, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - • Document the reason for and objective of all operating room (OR) and non-OR
procedures performed
-
psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
March 01, 2007 - The Role of the Patient in Improving Patient Safety
Rosemary Gibson, MSc | March 1, 2007
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Gibson R. The Role of the Patient in Improving Patient Safety. PSNet [internet]. Rockville…
-
www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/develop/index.html
June 01, 2020 - Develop Your Own?
The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children.
Existing measurement sets assess a limited number of factors. There may be health conditions, health services, or specific population subgroups of great interest for which esta…
-
psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - ABCDEF Bundle + Data Literacy Training, Performance Measurement Tracking, and Performance Feedback
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
February 28, 2024
Innovation
Conta…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/131-ss-swiss-cheese.pptx
April 01, 2025 - PowerPoint Presentation
Learning From Defects: Applying the “Swiss Cheese Model” of System Failures
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevent…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - components of work, like performing skin prep The “intangible” components of work, like ensuring an operating … room team holds members accountable for quality skin prep
Work that we know we “should” do, like letting … Team Members
Surgeons
Anesthesiologists
Nurse Anesthetists (CRNAs)
Circulating nurses
Scrub nurses/operating … room technicians
Perioperative nurses
Executive partner
Nurse leaders
Enhancing Team Members
Physician … assistants
Nurse educators
Anesthesia assistants
Infection preventionists
Operating room directors
Patient
-
www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
January 01, 2024 - length of stay as much as 1.8
fold.13-15 Other researchers investigated team communication in the operating … room, analyzing 421
communication events, and found that communication failures occurred in approximately … Communication failures in the operating room: an observational
classification of recurrent types and
-
psnet.ahrq.gov/node/49549/psn-pdf
December 06, 2007 - Elopement
December 1, 2007
Gerardi D. Elopement. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/elopement
Case Objectives
Define elopement and differentiate it from wandering and leaving against medical advice.
Identify leading contributors to elopement events.
Describe strategies for preventing elopement…
-
hcup-us.ahrq.gov/partners.jsp
July 01, 2025 - HCUP Partners
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updates
…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Neuspiel_43.pdf
March 05, 2008 - Improving Error Reporting in Ambulatory Pediatrics with a Team Approach
Improving Error Reporting in Ambulatory
Pediatrics with a Team Approach
Daniel R. Neuspiel, MD, MPH; Margo Guzman, RN, MSN; Cari Harewood, MPA
Abstract
Objective: We aimed to determine the effectiveness of team-based reporting, system…
-
digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-ri-final-report.pdf
December 01, 2015 - Final Report -- State and Regional Demonstration in Health Information Technology: Rhode Island
Final Contract Report
State and Regional Demonstration in
Health Information Technology:
Rhode Island
HEALTH IT
Final Contract Report
State and Regional Demonstration in Health
Informa…