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psnet.ahrq.gov/node/45859/psn-pdf
August 03, 2017 - Root cause analysis and actions for the prevention of
medical errors: quality improvement and resident
education.
August 3, 2017
Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical
Errors: Quality Improvement and Resident Education. Orthopedics. 2017;40(4):e628-e635…
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psnet.ahrq.gov/node/837335/psn-pdf
June 08, 2022 - Root cause analysis using the prevention and recovery
information system for monitoring and analysis method in
healthcare facilities: a systematic literature review.
June 8, 2022
Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery
information system for monitoring and …
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psnet.ahrq.gov/node/843326/psn-pdf
February 01, 2023 - Surgical site infection prevention: a review.
February 1, 2023
Seidelman JL, Mantyh CR, Anderson DJ. Surgical site infection prevention: a review. JAMA.
2023;329(3):244-252. doi:10.1001/jama.2022.24075.
https://psnet.ahrq.gov/issue/surgical-site-infection-prevention-review
Surgical site infections (SSIs) remain a …
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psnet.ahrq.gov/node/74758/psn-pdf
February 09, 2022 - Emotional harm in the radiology department: analysis of
an underrecognized preventable error.
February 9, 2022
Siewert B, Swedeen S, Brook OR, et al. Emotional harm in the radiology department: analysis of an
underrecognized preventable error. Radiology. 2022;302(3):613-619. doi:10.1148/radiol.2021211846.
https://…
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp4c.html
January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Infections Avoided, Excess Costs Averted, and Changes in Mortality Rate
Previous Page Next Page
Table of Contents
Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide
Preface
…
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effectivehealthcare.ahrq.gov/sites/default/files/09_infectiousdisease_potential_high_impact_june_2012.pdf
January 01, 2012 - Currently, no preventive options are
available other than abstinence and condom use, which are not … Currently, no preventive options are available other than abstinence and condom use,
which are not … FDA panel OKs Truvada as first
HIV-preventive drug. [internet]. … Available:
http://www.webmd.com/hiv-
aids/news/20120510/fda-panel-oks-truvada-
first-hiv-preventive-drug … /hiv-aids/news/20120510/fda-panel-oks-truvada-first-hiv-preventive-drug
http://www.drugstore.com/truvada
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www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide2.html
October 01, 2017 - Module 2: How To Manage Change
Training Guide
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve or…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module2/module2_managingchange.docx
June 02, 2025 - Module 2: How To Manage Change
Module 2: How To Manage Change
Module Aim
The aim of this module is to support change in your organization to maximize the possibility of successful implementation of the Pressure Injury Prevention Program.
Module Goals
The goals of Module 2 are to identify necessary actions to improve …
-
psnet.ahrq.gov/node/39884/psn-pdf
September 29, 2010 - New dosing recommendations to prevent potential
Valcyte (valganciclovir) overdose in pediatric transplant
patients.
September 29, 2010
United States Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/new-dosing-recommendations-prevent-potential-valcyte-valganciclovir-
overdose-pediatric
This announc…
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psnet.ahrq.gov/node/36864/psn-pdf
August 29, 2011 - Falls prevention at Mayo Clinic Rochester: a path to
quality care.
August 29, 2011
Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual.
2007;22(2):138-44.
https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
The authors share th…
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psnet.ahrq.gov/node/36726/psn-pdf
January 22, 2017 - Eliminating preventable death at Ascension Health.
January 22, 2017
Tolchin S, Brush R, Lange P, et al. Eliminating preventable death at Ascension Health. Jt Comm J Qual
Patient Saf. 2007;33(3):145-54.
https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
The authors report the results of imp…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/integrate-cusp-approach.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
How To Integrate a CUSP Approach
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Surveil…
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psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
March 09, 2022 - Review
Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.
Citation Text:
Montero-Odasso MM, Kamkar N, Pieruccini-Faria F, et al. Evaluation of clinical practice guidelines on fall prevention and management for older adults:…
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psnet.ahrq.gov/issue/influence-electronic-prescribing-has-medication-errors-and-preventable-adverse-drug-events
August 18, 2010 - Study
The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.
Citation Text:
van Doormaal J, van den Bemt PMLA, Zaal RJ, et al. The influence that electronic prescribing has on medication errors and preve…
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psnet.ahrq.gov/issue/request-comments-proposed-measures-and-2020-targets-national-action-plan-adverse-drug-event
October 21, 2016 - Press Release/Announcement
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics.
Cita…
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psnet.ahrq.gov/issue/hospital-acquired-infections-under-pay-performance-systems-administrative-perspective
January 30, 2019 - Review
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Citation Text:
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and C…
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psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite
April 13, 2011 - Study
The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.
Citation Text:
Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - Adverse Events, Near Misses, and Errors
Citation Text:
Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-patient.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Tools & Resources for Decolonization: Patient Educational Resources
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 & …
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/decolonization-protocols.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Tools & Resources for Decolonization: Protocols
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 Decolo…