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digital.ahrq.gov/ahrq-funded-projects/bringing-communities-and-technology-together-healthy-aging/annual-summary/2011
January 01, 2011 - Bringing Communities and Technology Together for Healthy Aging - 2011
Project Name
Bringing Communities and Technology Together for Healthy Aging
Principal Investigator
Gustafson, David H.
Organization
University of Wisconsin - Madison
Funding Mechanism
RFA: HS10-01…
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psnet.ahrq.gov/node/33920/psn-pdf
December 12, 2018 - Policy Positions and Guidelines.
December 12, 2018
Amercian Society of Health-System Pharmacists; ASHP.
https://psnet.ahrq.gov/issue/policy-positions-and-guidelines
This searchable listing of the American Society of Health-System Pharmacists policy and guideline
collection provides user access to various content a…
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psnet.ahrq.gov/node/50645/psn-pdf
November 06, 2019 - FDA Funding Available for Research Aimed at Reducing
Preventable Harm from Medication
November 6, 2019
Silver Spring, MD; US Food and Drug Administration: October 4, 2019.
https://psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
Medication error is a persistent challen…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
September 01, 2012 - Spotlight Case July 2008
Spotlight Case
Peripheral IV in Too Long
1
2
Source and Credits
This presentation is based on the September 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Chi-Tai Fang, MD, PhD; Associate Professor, National Taiwan Uni…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - Scientific Rationale
Decolonization of
Non-ICU Patients With Devices
Section 4 – Scientific Rationale
The Burden of Healthcare-Associated Infections
Healthcare-associated infections (HAIs) have been recognized as a major preventable cause of
morbidity and mortality in the United States. In 1999, the Ins…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
What Are the 4 Es?
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
What Are the 4 Es?
SAY:
This presentation reviews the 4 Es, a framework to guide the implementation…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/068-cusp-monthly-meeting-agenda.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
CUSP Monthly Meeting Agenda
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Use this meeting agenda to support monthly Comprehensive Unit-based Safety Program (CUSP) meetings and the prevention of surgical site infections…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Central Line Rounds Tool
Communication among and between the multidisciplinary healthcare team about patient care goals is a vital part of delivering quality patient care. In addition to daily goal sheets, a central line rounding tool can assist the team in addressing the need fo…
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psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways-prevent-mix-ups
June 10, 2018 - Newspaper/Magazine Article
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups?
Citation Text:
Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? ISMP Medication Safety Alert! Acute Care Editi…
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psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics
December 21, 2022 - Newspaper/Magazine Article
Reduce medication errors through following metrics.
Citation Text:
Reduce medication errors through following metrics. Drug Formulary Review. June 1, 2009.
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psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
September 07, 2016 - Commentary
Necessity of a good surgical history: detection of a gossypiboma.
Citation Text:
Coleman JA, Wolfgang CL. Necessity of a Good Surgical History: Detection of a Gossypiboma. The Journal for Nurse Practitioners. 2013;9(5). doi:10.1016/j.nurpra.2013.02.021.
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psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
June 10, 2018 - Newspaper/Magazine Article
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
Citation Text:
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…
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psnet.ahrq.gov/issue/call-action-preventable-health-care-harm-public-health-crisis-and-patient-safety-requires
November 23, 2016 - Book/Report
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Health Response.
Citation Text:
Call to Action: Preventable Health Care Harm Is a Public Health Crisis and Patient Safety Requires a Coordinated Public Heal…
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psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation
February 08, 2017 - Book/Report
Opening the Door to Change. NHS Safety Culture and the Need for Transformation.
Citation Text:
Opening the Door to Change. NHS Safety Culture and the Need for Transformation. Newcastle upon Tyne, UK: Care Quality Commission; December 2018.
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psnet.ahrq.gov/issue/building-culture-safety-health-care
April 15, 2021 - Book/Report
Building a Culture of Safety in Health Care.
Citation Text:
Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023.
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psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
November 19, 2014 - Book/Report
Classic
When Things Go Wrong: Responding to Adverse Events.
Citation Text:
When Things Go Wrong: Responding to Adverse Events. Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
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psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare
February 23, 2018 - Book/Report
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare.
Citation Text:
Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763.
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psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
October 19, 2016 - Book/Report
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project.
Citation Text:
Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. Chicago, IL: Health Resea…
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - Congressional Testimony
Medical Liability: New Ideals for Making the System Work Better for Patients.
Citation Text:
Medical Liability: New Ideals for Making the System Work Better for Patients. Hearing before Senate Committee on Health Education Labor and Pensions (June 22, 2006).
…
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - Special or Theme Issue
Infection Control in the Intensive Care Unit.
Citation Text:
Infection Control in the Intensive Care Unit. Crit Care Med. 2010;38:S265-S404.
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