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psnet.ahrq.gov/node/37359/psn-pdf
January 02, 2017 - Case study: preventing surgical complications at
Baystate Medical Center.
January 2, 2017
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical
Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:10.1016/s1553-
7250(07)33076-6.
http…
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psnet.ahrq.gov/node/44789/psn-pdf
April 25, 2016 - Guideline for prevention of retained surgical items.
April 25, 2016
Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13.
https://psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
Retained surgical items are considered a sentinel event in perioperative care. Thi…
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psnet.ahrq.gov/node/39445/psn-pdf
April 14, 2010 - Oncology nurses' perceptions about involving patients in
the prevention of chemotherapy administration errors.
April 14, 2010
Schwappach DLB, Hochreutener M-A, Wernli M. Oncology nurses' perceptions about involving patients in
the prevention of chemotherapy administration errors. Oncol Nurs Forum. 2010;37(2):E84-91…
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psnet.ahrq.gov/node/36564/psn-pdf
January 12, 2011 - Preventing medication errors in hospitals through a
systems approach and technological innovation: a
prescription for 2010.
January 12, 2011
Crane J, Crane FG. Preventing medication errors in hospitals through a systems approach and
technological innovation: a prescription for 2010. Hosp Top. 2006;84(4):3-8.
http…
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psnet.ahrq.gov/node/45558/psn-pdf
May 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse
Events in Healthcare.
May 10, 2017
Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
Patients continue to experience preventable health care–associated harm.…
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psnet.ahrq.gov/node/36288/psn-pdf
December 23, 2016 - Preventing adverse events caused by emergency
electrical power system failures.
December 23, 2016
Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert.
2006;37(37):1-3.
https://psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-
…
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psnet.ahrq.gov/node/42358/psn-pdf
June 12, 2013 - CDC Grand Rounds: preventing unsafe injection practices
in the U.S. health-care system.
June 12, 2013
Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care
system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5.
https://psnet.ahrq.gov/issue/cdc-grand-rounds-preventi…
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psnet.ahrq.gov/node/36264/psn-pdf
October 21, 2010 - The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care.
October 21, 2010
Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in
preventing medication errors in anticoagulant care. J Health Commun. 2006;11(6):555-67.
https:/…
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psnet.ahrq.gov/node/41603/psn-pdf
August 22, 2012 - Nurse–pharmacist collaboration on medication
reconciliation prevents potential harm.
August 22, 2012
Feldman LS, Costa LL, Feroli R, et al. Nurse-pharmacist collaboration on medication reconciliation
prevents potential harm. J Hosp Med. 2012;7(5):396-401. doi:10.1002/jhm.1921.
https://psnet.ahrq.gov/issue/nurse-ph…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal-notes.docx
April 01, 2022 - Central Venous Catheter Removal Facilitator Notes
CLABSI Module:
Central Venous Catheter Removal
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Removal, is part of the Agency for Healthcare Research and Quality’s Safety Program for intensive care units (ICUs). The module ad…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Introduction to Falls Reports
Falls Prevention
Electronic Reports
Electronic Reports
Falls High-Risk Report
Summary of Fall Risk Factors (by Unit or Facility)
Contextual Factors Report (by Unit or Facilit…
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE
Save
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psnet.ahrq.gov/node/836840/psn-pdf
April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE)
Collaborative Studies and Implements Methods to Prevent
Avoidable Cases of Hospital Associated VTE
April 7, 2022
https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-
implements-methods
Summary
Venous thromboembolism (…
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hcup-us.ahrq.gov/reports/statbriefs/sb83.pdf
December 01, 2009 - Statistical Brief #83: Potentially Preventable Hospitalization Rates Declined for Older Adults, 2003-2007
From
HEALTHCARE COST AND
UTILIZATION PROJECT
Agency for Healthcare
Research and Quality
STATISTICAL BRIEF #83
December 2009
Highlights
• In 2007, rates of potentially
preventable hos…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/007-ss-contact-precautions-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Contact Precautions
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Contact Precautions
SAY:
Welcome to this presentation on contact precautions. This presentation wi…
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psnet.ahrq.gov/issue/medication-safety-program
November 30, 2023 - Multi-use Website
Medication Safety Program.
Citation Text:
Medication Safety Program. Atlanta, GA: Centers for Disease Control and Prevention.
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - Healthcare-associated Infections
Citation Text:
Healthcare - Associated Infections. 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 XML Endnote t…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
April 01, 2025 - designed to help a multidisciplinary nursing home team prevent falls that can be avoided
with good preventive
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/tools-resources-decolonization.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Tools & Resources for Decolonization
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
…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/preoperative-chlorhexidine.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
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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
…