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digital.ahrq.gov/population/infants
January 01, 2023 - Infants
Application of participatory ergonomics to the dissemination of a quality improvement program for optimizing blood culture use.
Citation
Xie A, Koontz DW, Colantuoni EA, Voskertchian A, Miller MR, Fackler JC, Milstone AM, Woods-Hill CZ. Application of participatory erg…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apf.html
October 01, 2017 - Pressure Injury Prevention Program Implementation Guide
Appendix F. Hospital Practice Insights: Challenges and Solutions
Previous Page
Table of Contents
Pressure Injury Prevention Program Implementation Guide
Overview
Get Ready
Pressure Injury Prevention Program Phases
Appendix A. RACI Cha…
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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…
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www.ahrq.gov/topics/pressure-ulcers.html
Pressure Ulcers
Each year, more than 2.5 million people in the United States develop pressure ulcers. These skin lesions bring pain, associated risk for serious infection, and increased health care utilization. Pressure ulcers are associated with longer hospital stays and increased morbidity and m…
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psnet.ahrq.gov/node/45402/psn-pdf
November 01, 2017 - Potentially preventable 30-day hospital readmissions at a
children's hospital.
November 1, 2017
Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's
Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182.
https://psnet.ahrq.gov/issue/potentially-preventabl…
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psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
March 27, 2019 - Study
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Citation Text:
Dykes PC, Duckworth M, Cunningham S, et al. Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Tool…
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psnet.ahrq.gov/node/39698/psn-pdf
July 21, 2010 - Preventing catheter-related bloodstream infections
outside the intensive care unit: expanding prevention to
new settings.
July 21, 2010
Kallen AJ, Patel PR, O'Grady NP. Preventing catheter-related bloodstream infections outside the intensive
care unit: expanding prevention to new settings. Clin Infect Dis. 2010;51…
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psnet.ahrq.gov/node/45972/psn-pdf
April 05, 2017 - Comparing catheter-associated urinary tract infection
prevention programs between Veterans Affairs nursing
homes and non–Veterans Affairs nursing homes.
April 5, 2017
Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention
Programs Between Veterans Affairs Nursing Homes a…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/weight-gain-future_research.pdf
January 01, 2020 - Strategies To Prevent Weight Gain in Adults: Future Research Needs
Future Research Needs Paper
Number 43
Strategies To Prevent
Weight Gain in Adults:
Future Research Needs
Future Research Needs Paper
Number 43
Strategies To Prevent Weight Gain in Adults:
Future Research Needs
Identification of Future R…
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psnet.ahrq.gov/node/45434/psn-pdf
September 22, 2017 - Organisational strategies to implement hospital pressure
ulcer prevention programmes: findings from a national
survey.
September 22, 2017
Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer
prevention programmes: findings from a national survey. J Nurs Manag. 2017;25(6):…
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psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal
performance and system flaws in adverse events.
May 12, 2021
Velmahos CS, Kokoroskos N, Tarabanis C, et al. Preventable morbidity and mortality among non-trauma
emergency surgery patients: the role of personal per…
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psnet.ahrq.gov/node/866242/psn-pdf
July 10, 2024 - Evaluating the prevalence of four recommended practices
for suicide prevention following hospital discharge.
July 10, 2024
Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for
suicide prevention following hospital discharge. Jt Comm J Qual Patient Saf. 2024;50(6…
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psnet.ahrq.gov/node/38533/psn-pdf
January 31, 2011 - Measuring preventable harm: helping science keep pace
with policy.
January 31, 2011
Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA.
2009;301(12):1273-5. doi:10.1001/jama.2009.388.
https://psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace…
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psnet.ahrq.gov/issue/protect-patients-against-preventable-harm-improper-use-single-dosesingle-use-vials
June 11, 2014 - Government Resource
Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials.
Citation Text:
Protect Patients Against Preventable Harm from Improper Use of Single-dose⁄Single-use Vials. Atlanta, GA: Centers for Disease Control and Prevention; May 2,…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-slides.pptx
April 01, 2022 - Using a Tiered Approach With CUSP Principles Slides
Using a Tiered Approach With Comprehensive Unit-based Safety Program Principles
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
Objectives
Describe the tiered approach for central line-associated bloo…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/intro.html
November 01, 2014 - AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention
Introduction
This document provides an overview of the components of On-Time Pressure Ulcer Prevention, reports, and implementation materials used in preventing pressure ulcers in nursing homes. On-Time Pressure Ulcer Prevention has be…
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psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
May 06, 2015 - Special or Theme Issue
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons.
Citation Text:
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(su…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
October 01, 2014 - Module 3: Falls Prevention and Management
Conclusion
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
In Summary
Falls prevention…
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psnet.ahrq.gov/node/45020/psn-pdf
May 11, 2016 - Trends in Potentially Preventable Inpatient Hospital
Admissions and Emergency Department Visits.
May 11, 2016
Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief #195. Rockville, MD: Agency for
Healthcare Research and Quality; November 2015.
https://psnet.ahrq.gov/issue/trends-potentially-preventabl…
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psnet.ahrq.gov/node/40598/psn-pdf
August 10, 2011 - An inpatient fall prevention initiative in a tertiary care
hospital.
August 10, 2011
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt
Comm J Qual Patient Saf. 2011;37(7):317-325.
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertia…