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psnet.ahrq.gov/node/34789/psn-pdf
December 23, 2008 - Medication error prevention by pharmacists.
December 23, 2008
Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm.
1988;45(9):1902-3.
https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
This study investigated the impact of hospital pharmacists in preve…
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psnet.ahrq.gov/node/40142/psn-pdf
April 04, 2011 - Prevention of 3 "never events" in the operating room:
fires, gossypiboma, and wrong-site surgery.
April 4, 2011
Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires,
gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-60. doi:10.1177/1553350610389196.
htt…
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psnet.ahrq.gov/node/867698/psn-pdf
October 01, 2024 - Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
October 1, 2024
Agency for Healthcare Research and Quality. Toolkit for MRSA Prevention in ICU & Non-ICU Settings.
October 2024.
https://psnet.ahrq.gov/issue/toolkit-mrsa-prevention-icu-non-icu-settings
Methicillin-resistant Staphylococcus aureus (MRSA) infect…
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psnet.ahrq.gov/node/40098/psn-pdf
December 18, 2014 - Iatrogenic events in neonates: beneficial effects of
prevention strategies and continuous monitoring.
December 18, 2014
Ligi I, Millet V, Sartor C, et al. Iatrogenic events in neonates: beneficial effects of prevention strategies and
continuous monitoring. Pediatrics. 2010;126(6):e1461-8. doi:10.1542/peds.2009-2872…
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psnet.ahrq.gov/node/41074/psn-pdf
January 18, 2012 - Patients count on it: an initiative to reduce incorrect
counts and prevent retained surgical items.
January 18, 2012
Norton EK, Martin C, Micheli AJ. Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent
Retained Surgical Items. AORN J. 2011;95(1). doi:10.1016/j.aorn.2011.06.007.
https://psnet…
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psnet.ahrq.gov/node/41104/psn-pdf
September 20, 2012 - Challenges and opportunities to prevent transfusion
errors: a Qualitative Evaluation for Safer Transfusion
(QUEST).
September 20, 2012
Heddle NM, Fung MK, Hervig T, et al. Challenges and opportunities to prevent transfusion errors: a
Qualitative Evaluation for Safer Transfusion (QUEST). Transfusion (Paris). 2012;5…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide5.html
October 01, 2017 - Module 5: How To Measure Pressure Injury Rates and Prevention Practices
Training Guide
Module Aim
The aim of this module is to support your efforts to measure and monitor pressure injury rates and pressure injury prevention practices.
Module Goals
The goals of Module 5 are to have the Implementation T…
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psnet.ahrq.gov/node/46178/psn-pdf
December 22, 2017 - Evaluating serial strategies for preventing wrong-patient
orders in the NICU.
December 22, 2017
Adelman JS, Aschner JL, Schechter CB, et al. Evaluating Serial Strategies for Preventing Wrong-Patient
Orders in the NICU. Pediatrics. 2017;139(5). doi:10.1542/peds.2016-2863.
https://psnet.ahrq.gov/issue/evaluating-ser…
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psnet.ahrq.gov/node/41748/psn-pdf
April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals.
April 5, 2013
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals. Med Care. 2012;50(7):599-605.
doi:10.1097/MLR.0b013e…
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/slides4.html
October 01, 2017 - Module 4: How To Implement the Pressure Injury Prevention Program in Your Organization
Slide Presentation
Slide 1: How To Implement the Pressure Injury Prevention Program in Your Organization
ADD Hospital Name here
Module 4
Slide 2: What We Have Done Thus Far
Up to this point, you have:
Look…
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psnet.ahrq.gov/node/39831/psn-pdf
September 15, 2010 - The importance of leadership in preventing
healthcare–associated infection: results of a multisite
qualitative study.
September 15, 2010
Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-
associated infection: results of a multisite qualitative study. Infect Contro…
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psnet.ahrq.gov/node/40440/psn-pdf
July 02, 2014 - Residents' reflections on quality improvement: temporal
stability and associations with preventability of adverse
patient events.
July 2, 2014
Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability
and associations with preventability of adverse patient events. Ac…
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psnet.ahrq.gov/node/37401/psn-pdf
March 28, 2012 - Interventions for preventing falls in acute- and chronic-
care hospitals: a systematic review and meta-analysis.
March 28, 2012
Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and
chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(1…
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psnet.ahrq.gov/node/38573/psn-pdf
April 22, 2009 - Causes, consequences, detection, and prevention of
identification errors in laboratory diagnostics.
April 22, 2009
Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification
errors in laboratory diagnostics. Clin Chem Lab Med. 2009;47(2):143-53. doi:10.1515/CCLM.2009.0…
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psnet.ahrq.gov/node/35583/psn-pdf
June 17, 2010 - Using a bar-coded medication administration system to
prevent medication errors in a community hospital
network.
June 17, 2010
Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent
medication errors in a community hospital network. American Journal of Health-System …
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psnet.ahrq.gov/node/41112/psn-pdf
February 01, 2012 - Utilizing quality improvement methods to prevent falls
and injury from falls: enhancing resident safety in long-
term care.
February 1, 2012
MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls:
enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…
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psnet.ahrq.gov/node/42319/psn-pdf
June 28, 2013 - Impact of organizational culture on preventability
assessment of selected adverse events in the ICU:
evaluation of morbidity and mortality conferences.
June 28, 2013
Pelieu I, Djadi-Prat J, Consoli SM, et al. Impact of organizational culture on preventability assessment of
selected adverse events in the ICU: evalu…
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psnet.ahrq.gov/node/35470/psn-pdf
July 10, 2008 - Prevention of fall-related injuries in long-term care: a
randomized controlled trial of staff education.
July 10, 2008
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. 2005;165(19):2293-8.
https://psnet.ahr…
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psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
October 21, 2016 - Government Resource
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention.
Citation Text:
Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…
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www.ahrq.gov/pqmp/measures/dental-treatment-prevention.html
August 01, 2021 - Linkage Between Dental Treatment and Dental Prevention—PDENT-CH: Percentage of Eligibles Who Received Preventative Dental Services
Measure Domain: Management of Acute Conditions
Measure Sub-Domain: Dental Care
PQMP COE: PMCOE
Associated NQF # and Name: None
Products:
Fact Sheet: None
Full Report (…