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psnet.ahrq.gov/node/838019/psn-pdf
September 07, 2022 - Strength of safety measures introduced by medical
practices to prevent a recurrence of patient safety
incidents: an observational study.
September 7, 2022
Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to
prevent a recurrence of patient safety incidents: an obser…
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psnet.ahrq.gov/node/838131/psn-pdf
January 01, 2023 - What I wish I’d known: how experienced physician
managers diagnose, treat and prevent disruptive
behaviour.
September 21, 2022
Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose,
treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202…
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psnet.ahrq.gov/node/35783/psn-pdf
July 10, 2008 - Role of pharmacist counseling in preventing adverse drug
events after hospitalization.
July 10, 2008
Schnipper JL, Kirwin JL, Cotugno MC, et al. Role of pharmacist counseling in preventing adverse drug
events after hospitalization. Arch Intern Med. 2006;166(5):565-571.
https://psnet.ahrq.gov/issue/role-pharmacist-…
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psnet.ahrq.gov/node/851457/psn-pdf
July 19, 2023 - Root causes and preventability of unintentionally retained
foreign objects after surgery: a national expert survey
from Switzerland.
July 19, 2023
Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects
after surgery: a national expert survey from Switzerland. Patient…
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psnet.ahrq.gov/node/840479/psn-pdf
January 01, 2023 - A multicenter collaborative effort to reduce preventable
patient harm due to retained surgical items.
November 30, 2022
Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient
harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13.
doi:10.…
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psnet.ahrq.gov/node/837693/psn-pdf
January 01, 2023 - Medication-related medical emergency team activations: a
case review study of frequency and preventability.
July 20, 2022
Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case
review study of frequency and preventability. BMJ Qual Saf. 2023;32(4):214-224. doi:10.1136…
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psnet.ahrq.gov/node/34680/psn-pdf
February 09, 2011 - Estimating hospital deaths due to medical errors:
preventability is in the eye of the reviewer.
February 9, 2011
Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the
reviewer. JAMA. 2001;286(4):415-20.
https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…
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effectivehealthcare.ahrq.gov/products/rheumatoid-arthritis-medicine-1/research
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psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
February 17, 2011 - Study
Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education.
Citation Text:
Ray WA, Taylor JA, Brown AK, et al. Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. Arch Intern Med. 20…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0251_05-20-2010.pdf
January 01, 2010 - Effective Health Care
Topic Number(s): 0267 & 0302
Document Completion Date: 11-15-10
1
Results of Topic Selection Process & Next Steps
Prevention and treatment of pressure ulcers will go forward for refinement as a systematic review. The
scope of this topic, including populations, intervention…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/assembling-cusp-team.pdf
April 01, 2022 - Making It Work Tip Sheet: Assembling the CUSP Team
AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI
Making It Work Tip Sheet
Assembling the CUSP Team
This “Making It Work” tip sheet provides additional information to help intensive care unit (ICU) team
leaders implement effect…
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psnet.ahrq.gov/node/39723/psn-pdf
February 01, 2011 - Barriers and facilitators to chemotherapy patients'
engagement in medical error prevention.
February 1, 2011
Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical
error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346.
https://psnet.ahrq.gov/issue/ba…
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psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight_Falls in Skilled Nursing Units_04.12.2023.pptx
Spotlight
Failure to Ensure Patient Safety Leads to Patient Falls in
Nursing Homes
Source and Credits
• This presentation is based on the April 2023 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/we…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/antibiotic-stewardship.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Antibiotic Stewardship
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: ICUs & Non-ICUs
The Four Key Strategies of MRSA Prevention
The Importance of MRSA Prevention
Decolonization
Tools & Resources for Decolonization
Tools & Resour…
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psnet.ahrq.gov/node/39921/psn-pdf
September 01, 2016 - Unintended effects of a computerized physician order
entry nearly hard-stop alert to prevent a drug interaction:
a randomized controlled trial.
September 1, 2016
Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician order entry nearly
hard-stop alert to prevent a drug interaction: a…
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - Implementation of the Centers for Medicare & Medicaid
Services' nonpayment policy for preventable hospital-
acquired conditions in rural and nonrural US hospitals.
October 14, 2015
Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy
for Preventable Hospital-Acquired…
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www.ahrq.gov/nursing-home/resources/module-13-occupational-health.html
May 01, 2022 - Module 13—Occupational Health Considerations for the Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course
Resource: Module 13—Occupational Health Considerations for the Infection Prevention and Control Program—Nursing Home Infection Preventionist Training Course
This…
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psnet.ahrq.gov/node/38203/psn-pdf
November 05, 2008 - Addressing prehospital patient safety using the science
of injury prevention and control.
November 5, 2008
Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury
prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1080/10903120802290851.
https://psnet.…
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psnet.ahrq.gov/node/35573/psn-pdf
April 12, 2011 - How experiencing preventable medical problems changed
patients' interactions with primary health care.
April 12, 2011
Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients'
interactions with primary health care. Ann Fam Med. 2005;3(6):537-44.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/35677/psn-pdf
June 28, 2010 - Systematic review: antimicrobial urinary catheters to
prevent catheter-associated urinary tract infection in
hospitalized patients.
June 28, 2010
Johnson JR, Kuskowski MA, Wilt TJ. Systematic review: antimicrobial urinary catheters to prevent catheter-
associated urinary tract infection in hospitalized patients. A…