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psnet.ahrq.gov/issue/unit-based-clinical-pharmacists-prevention-serious-medication-errors-pediatric-inpatients
March 04, 2015 - Study
Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.
Citation Text:
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;…
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psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
March 03, 2019 - Study
The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors.
Citation Text:
Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. Holist Nurs Pract. …
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psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
October 19, 2022 - Study
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.
Citation Text:
Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…
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psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
December 15, 2011 - Study
Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.
Citation Text:
Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of c…
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psnet.ahrq.gov/issue/vital-signs-changes-opioid-prescribing-united-states-2006-2015
June 10, 2020 - Study
Vital signs: changes in opioid prescribing in the United States, 2006-2015.
Citation Text:
Guy GP, Zhang K, Bohm MK, et al. Vital Signs: Changes in Opioid Prescribing in the United States, 2006-2015. MMWR Morb Mortal Wkly Rep. 2017;66(26):697-704. doi:10.15585/mmwr.mm6626a4.
Copy…
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psnet.ahrq.gov/issue/medication-administration-errors-nursing-homes-using-automated-medication-dispensing-system
January 23, 2019 - Study
Medication administration errors in nursing homes using an automated medication dispensing system.
Citation Text:
van den Bemt PMLA, Idzinga JC, Robertz H, et al. Medication administration errors in nursing homes using an automated medication dispensing system. J Am Med Inform As…
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psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse
May 16, 2018 - Study
One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.
Citation Text:
Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…
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psnet.ahrq.gov/issue/design-safe-or-sorry-study-cluster-randomised-trial-development-and-testing-evidence-based
May 22, 2013 - Study
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.
Citation Text:
van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? st…
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psnet.ahrq.gov/node/73104/psn-pdf
January 04, 2021 - Further, the World Health Organization estimates that over 20 million routine
preventive vaccinations … will be missed due to the pandemic.15 The pandemic has also been attributed to
delays in preventive
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www.ahrq.gov/nursing-home/resources/long-term-care-facilities.html
April 01, 2022 - Long-Term Care Facilities in the Context of COVID-19
Resource: Long-Term Care Facilities in the Context of COVID-19
This infection prevention and control course for long-term care facilities consists of four training modules that address infection prevention and control measures to support long-term care f…
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psnet.ahrq.gov/node/40937/psn-pdf
November 16, 2011 - AHRQ Projects to Prevent Healthcare-Associated
Infections, Fiscal Year 2011.
November 16, 2011
Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-
P013-4-E.
https://psnet.ahrq.gov/issue/ahrq-projects-prevent-healthcare-associated-infections-fiscal-year-2011
This annou…
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psnet.ahrq.gov/node/41259/psn-pdf
June 27, 2022 - Making health care safer: stopping C. difficile infections.
June 27, 2022
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-health-care-safer-stopping-c-difficile-infections
This newsletter article and accompanying set of infographics describes strategies to help patients and
health c…
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psnet.ahrq.gov/node/41840/psn-pdf
November 14, 2012 - Risk Prevention and Surgical Checklists.
November 14, 2012
Neurosurg Focus. 2012;33(5):E1-E16.
https://psnet.ahrq.gov/issue/risk-prevention-and-surgical-checklists
This special issue includes articles discussing tactics to improve safety in neurosurgery, including tools,
time-outs, and incident reporting.
…
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psnet.ahrq.gov/node/33894/psn-pdf
April 11, 2011 - Prevention of medication errors in the pediatric inpatient
setting.
April 11, 2011
Stucky ER; American Academy of Pediatrics Committee on Drugs; American Academy of Pediatrics
Committee on Hospital Care. Pediatrics. 2003;112(2):431-436.
https://psnet.ahrq.gov/issue/prevention-medication-errors-pediatric-inpat…
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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - Economic evaluation of quality improvement
interventions for bloodstream infections related to central
catheters: a systematic review.
January 25, 2017
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for
Bloodstream Infections Related to Central Catheters: A Systema…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Appendix A. Teamwork and Communication Definitions and Tools
Previous Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Dev…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-iodophor.pdf
March 01, 2022 - MRSA Carriers With Devices: Prevent Infections During the Hospital Stay How To Apply Nasal 10% Povidone-Iodine (Iodophor)
AHRQ Pub. No. 20(22)-0036
March 2022
STAFF MRSA Carriers With Devices: Prevent Infections During the Hospital Stay
How To Apply Nasal 10% Povidone-Iodine (Iodophor)
Apply nasal…
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-resources.html
February 01, 2023 - Resources
Toolkit for Reducing CAUTI in Hospitals
The Resources module of the Toolkit for Reducing CAUTI in Hospitals links to additional resources for CAUTI prevention and safety culture improvement.
Tools
Preventing CAUTI in the ICU Setting
This four-module narrated presentation is designed for inte…
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psnet.ahrq.gov/node/37908/psn-pdf
June 10, 2010 - Incidence and characteristics of potential and actual
retained foreign object events in surgical patients.
June 10, 2010
Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained
foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7.
doi:10.1016/…
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psnet.ahrq.gov/node/39337/psn-pdf
May 07, 2014 - Clinical and economic outcomes attributable to health
care–associated sepsis and pneumonia.
May 7, 2014
Eber MR, Laxminarayan R, Perencevich E, et al. Clinical and economic outcomes attributable to health
care-associated sepsis and pneumonia. Arch Intern Med. 2010;170(4):347-53.
doi:10.1001/archinternmed.2009.509.…