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psnet.ahrq.gov/node/43264/psn-pdf
June 18, 2014 - CDC central-line bloodstream infection prevention efforts
produced net benefits of at least $640 million during
1990–2008.
June 18, 2014
Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts
produced net benefits of at least $640 Million during 1990-2008. Health Af…
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psnet.ahrq.gov/node/36188/psn-pdf
March 28, 2011 - Role of medical students in preventing patient harm and
enhancing patient safety.
March 28, 2011
Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient
safety. Qual Saf Health Care. 2006;15(4):272-6.
https://psnet.ahrq.gov/issue/role-medical-students-preventing-patie…
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psnet.ahrq.gov/node/38620/psn-pdf
January 03, 2017 - Hospital complications: linking payment reduction to
preventability.
January 3, 2017
Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to
preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5.
https://psnet.ahrq.gov/issue/hospital-complications-linking-payment-red…
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psnet.ahrq.gov/node/41044/psn-pdf
January 27, 2012 - Methods for assessing the preventability of adverse drug
events: a systematic review.
January 27, 2012
Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug
events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596570-000000000-00000.
https://psnet…
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psnet.ahrq.gov/node/42584/psn-pdf
September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable"
complications.
September 11, 2013
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications.
J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…
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www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
June 01, 2012 - Improving Patient Safety in Long-Term Care Facilities, Module 3
Improving
Patient Safety
in Long-Term
Care Facilities
Agency for Healthcare Research and Quality
Advancing Excellence in Health Care www.ahrq.gov
Module 3.
Falls Prevention
and Management
Student
Workbook
These training materials were dev…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
May 01, 2023 - Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set
SOPS Workplace Safety for Hospitals Supplemental Item Set Resource List 1
Improving Workplace Safety in Hospitals:
A Resource List for Users of the AHRQ Workplace
Safety Supplemental Item Set
I…
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digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-training.pdf
February 15, 2008 - Using a Clinical Decision Support Tool to Improve Fall/Injury Prevention Care Planning
Using a Clinical Decision Support Tool to
Improve Fall/Injury Prevention Care Planning
Description:
This offering provides Information to educate nurses in
using a new clinical decision support (CDS) tool to
facilitate car…
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www.ahrq.gov/es/tools/index.html?page=2
January 01, 2018 - Comprehensive Unit-based Safety Program (CUSP) The CUSP toolkit includes training tools to make care safer. More
The SHARE Approach Five-step process for clinicians and their patients More
EvidenceNOW Tools for Change Helping practices implement evidence More
Tools
The …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/077-contact-precautions-one-pager.docx
April 01, 2025 - Methicillin-resistant Staphylococcus aureus (MRSA) Transmission Pathways
MRSA can spread through either direct contact (from person to person) or indirect contact (by touching something in the environment that was previously contaminated by someone else).
The use of transmission-based precautions, specifically contact …
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwpref.html
August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions
References
Previous Page Next Page
Table of Contents
High-Performance Work Practices in CLABSI Prevention Interventions
Case Studies
Key Findings
Conclusions
References
Table 1. Case Study Sites
Table 2. Summary of Key I…
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psnet.ahrq.gov/issue/strategies-prevent-healthcare-associated-infections-through-hand-hygiene
July 03, 2014 - Commentary
Strategies to prevent healthcare-associated infections through hand hygiene.
Citation Text:
Ellingson K, Haas JP, Aiello AE, et al. Strategies to prevent healthcare-associated infections through hand hygiene. Infect Control Hosp Epidemiol. 2014;35(8):937-960. doi:10.1086/67714…
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psnet.ahrq.gov/issue/american-college-surgeons-and-surgical-infection-society-surgical-site-infection-guidelines
October 23, 2018 - Review
American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update.
Citation Text:
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll …
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/impguide.html
July 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Facilitator Training
Implementation of the Preventable Hospital and ED Visits Reports
Note: This part of the training consists of interactive exercises and does not have any associated slides.
Introduction
Say:
Yesterday you were introduced to the compon…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruprev/saworksheet.pdf
June 02, 2025 - Self-Assessment Worksheet for Pressure Ulcer
Agency for Healthcare Research and Quality Safety Program for Nursing Homes: On-Time Prevention
Self-Assessment Worksheet for Pressure Ulcer Prevention 1
On-Time Pressure Ulcer Prevention
Self-Assessment Worksheet for Pressure Ulcer
The Self-Assessment Worksheet i…
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psnet.ahrq.gov/node/50573/psn-pdf
October 23, 2019 - Preventing patient harm via adverse event review: An
APSA survey regarding the role of morbidity and mortality
(M&M) conference.
October 23, 2019
Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey
regarding the role of morbidity and mortality (M&M) conference. J …
-
psnet.ahrq.gov/node/867596/psn-pdf
January 22, 2025 - Creation of root cause analysis and action (RCA2)
standard work by a multidisciplinary team to prevent
harm, reduce bias, and improve safety culture.
January 22, 2025
Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work
by a multidisciplinary team to prevent harm,…
-
psnet.ahrq.gov/node/73242/psn-pdf
May 12, 2021 - Strategies to prevent missed nursing care: an
international qualitative study based upon a positive
deviance approach.
May 12, 2021
Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international
qualitative study based upon a positive deviance approach. J Nurs Manag. 20…
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psnet.ahrq.gov/node/73663/psn-pdf
September 01, 2021 - Racial disparities in preventable adverse events attributed
to poor care coordination reported in a national study of
older US adults.
September 1, 2021
Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to
poor care coordination reported in a national study o…
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psnet.ahrq.gov/node/73358/psn-pdf
June 02, 2021 - Just Culture, Medication Error Prevention, and Second
Victim Support: a Better Prescription for Preparing
Nursing Students for Practices.
June 2, 2021
Jones J, Treiber L, Shabo R, et al. Kennesaw, GA: WellStar School of Nursing, WellStar College of Health
and Human Services, Kennesaw State University; 2021.
https…