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psnet.ahrq.gov/node/36270/psn-pdf
October 21, 2010 - Between a rock and a hard place: disclosing medical
errors. … Between a rock and a hard place: disclosing medical errors. Clin
Chem. 2006;52(9):1809-14. … https://psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
The authors share … https://psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-236-section-1-tables-1-2.pdf
October 11, 2018 - Place of Service Codes
Place of Service Code
School 03
Homeless Shelter 04
Indian Health Service
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
April 01, 2022 - Barriers
• Lack of awareness by physicians that a catheter is in place. … When we examined the data, we determined that the central line catheters
remained in place when they … versus “Does the patient meet any
indication for having the line remain in place?” … case studies with all healthcare providers to address the
potential harm of leaving a catheter in place … be modified so that reminders can be
launched after a certain amount of time the central line is in place
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apb.html
August 01, 2022 - Is there a system in place for patients to give feedback about the organization's performance? … Is a patient safety program in place? … Is there a process in place for rapid dissemination of critical process improvements? … Identification and Analysis of Actual and Potential Adverse Events:
Is there a process in place for
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psnet.ahrq.gov/node/43948/psn-pdf
May 20, 2015 - Human factors engineering: its place and potential in OR
safety.
May 20, 2015
Criscitelli T. … Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. … https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
Human factors … https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool6a.docx
January 01, 2007 - Use this tool to ensure you have appropriate resources and strategies in place to sustain fall prevention … Infrastructure
Human resources
Are the internal/external human resources in place to sustain … Are external supports in place to sustain the effort going forward (describe—e.g., mentors, advisory … Are information systems in place to support the effort going forward?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/sustainability-tool.docx
May 01, 2017 - Use this tool to ensure you have appropriate resources and strategies in place to sustain improvement … Infrastructure
Human resources
Are the internal/external human resources in place to sustain … Are external supports in place to sustain the effort going forward (describe—e.g., mentors, advisory … Are information systems in place to support the effort going forward?
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
March 01, 2017 - Definitions:
Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in place … days prior to the event onset (day of removal=Day 1)
An indwelling urinary catheter should be in place … microorganisms—at least one of which is bacteria ≥10 2 CFU/ml
☐
☐
If urinary catheter in place … other microorganisms, which are not bacteria, are not NHSN acceptable UTI pathogens.
2 An IUC in place
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
March 01, 2017 - Definitions:
· Symptomatic CAUTI occurs in a resident while having an indwelling urinary catheter in place … days prior to the event onset (day of removal=Day 1)
· An indwelling urinary catheter should be in place … with any microorganisms—at least one of which is bacteria ≥102 CFU/ml
☐
☐
If urinary catheter in place … positive culture with any microorganism—at least one of which is bacteria of ≥105 CFU/ml [2: An IUC in place
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psnet.ahrq.gov/node/46517/psn-pdf
November 01, 2017 - Joy in medical practice: clinician satisfaction in the
Healthy Work Place trial. … Joy In Medical Practice: Clinician Satisfaction In The Healthy Work
Place Trial. … https://psnet.ahrq.gov/issue/joy-medical-practice-clinician-satisfaction-healthy-work-place-trial
Clinician … https://psnet.ahrq.gov/issue/joy-medical-practice-clinician-satisfaction-healthy-work-place-trial
https
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/060-nursing-protocol-nasal-iodophor.docx
October 01, 2024 - Place head of patient’s bed at 30 degrees, if tolerated.
3. … If nasal devices are in place (e.g., nasal intubation, NG tubes), apply iodophor around tubing.
2. … If nasal packing is in place (e.g., for recent surgery/trauma) or the patient has another anatomical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/122-unit-level-gap-analysis.pdf
October 02, 2024 - which of the following methicillin-resistant Staphylococcus aureus (MRSA) prevention
strategies are in place … Is there a system in place to monitor adherence to collecting samples for MRSA nasal surveillance
cultures … Is there a system in place to monitor adherence with CHG treatment (bathing) for all patients? … Is there a system in place to monitor adherence to CHG treatment (bathing) for patients with
central … Is there a system in place to monitor adherence to nasal MRSA decolonization for all patients?
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www.ahrq.gov/mcctransitions-challenge/timeline.html
February 01, 2020 - AHRQ/HHS will make up to two awards:
Total Cash Prize: $75,000
First place … winner: $50,000
Second place winner: $25,000
Semifinalists will also be provided
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psnet.ahrq.gov/node/33879/psn-pdf
May 01, 2019 - But it varies from place to place and system to system. … with more capacity or to go to the local place and
get things stable? … JB: In my opinion, the answer is that you go to the right place. … Let somebody else figure it out, because that's not the place for that conversation. … I think we're in a good place. I think that EMS providers have the capacity to do more.
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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging/annual-summary/2011
January 01, 2011 - 2011 - May 2016
AHRQ Funding Amount
$9,502,788
Summary: For many older adults, aging in place … Many technologies have been developed to assist aging in place, yet in general, adoption has been slow … integrated information and communication technology (ICT) system to facilitate and enhance aging in place … electronic services intended to support older adults and their informal caregivers by facilitating aging in place … (Ongoing)
Adapt E-CHESS to facilitate aging in place by addressing the issues of: loneliness and isolation
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
April 01, 2022 - not all recommendations account for duration of use and the length of time a venous catheter is in place … Vargas with difficult access, using a vein finder or ultrasound to place a peripheral IV may have been … Slide 9
Using the MAGIC criteria, site selection once a short-term CVC—that is, one that is in place
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/UTI-one-page.docx
November 01, 2019 - urinary pathogen
(≥ 1,000 in patients with urinary catheters)
· If a chronic indwelling catheter is in place … local treatment recommendations here]
· [Place local treatment recommendations here]
· [Place local … local treatment recommendations here]
· [Place local treatment recommendations here]
· [Place local … or urinary catheter is uncommon
· Remove and do not replace urinary catheters whenever possible
· [Place … local treatment recommendations here]
· [Place local treatment recommendations here]
· [Place local
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
November 01, 2019 - selective rather than routine antibiotic use
· Oral therapy (preferred if antibiotics are given): [Place … local recommendations here]
· Intravenous therapy: [Place local recommendations here]
· Complicated … peritonitis) in a stable patient
· Source control via percutaneous drain or operation when possible
· [Place … local recommendations here]
· [Place local recommendations here]
· Diverticulitis in a severely ill … here]
· [Place local recommendations here]
· [Place local recommendations here]
· Narrowing and oral
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www.ahrq.gov/sites/default/files/wysiwyg/stepup_Challenge/AHRQ_Step-Up_Fact_Sheet.pdf
September 24, 2018 - One grand prize winner will be awarded up to $35,000, followed
by second and third place winners, who … will be awarded up to
$30,000 for 2nd place and $25,000 for 3rd place.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
January 01, 2023 - Among Patients Ambulating with Assistance ................ 19
Common Intervention(s) in Place Among … Patients Ambulating Without Assistance .......... 21
Common Intervention(s) in Place Among Patients … Among Patients Ambulating with Assistance ................ 29
Common Intervention(s) in Place Among … Patients Ambulating Without Assistance .......... 29
Common Intervention(s) in Place Among Patients … DE216 (WHICH OF THE FOLLOWING WERE IN PLACE AND BEING USED TO PREVENT FALLS FOR THIS PATIENT?