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www.ahrq.gov/hai/cusp/national/index.html
December 01, 2016 - National Implementation Project Reports
Central Line Insertion Care Team Checklist
Checklist developed by Johns Hopkins Medicine that provides critical steps to reduce HAIs.
Ending Healthcare-Associated Infections
Fact sheet that provides an overview of CUSP and highlights AHRQ-supporte…
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psnet.ahrq.gov/node/48016/psn-pdf
January 01, 2020 - Reducing three infections across cardiac surgery
programs: a multisite cross-unit collaboration.
May 22, 2019
Chang BH, Hsu Y-J, Rosen MA, et al. Reducing Three Infections Across Cardiac Surgery Programs: A
Multisite Cross-Unit Collaboration. Am J Med Qual. 2020;35(1):37-45. doi:10.1177/1062860619845494.
https://p…
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psnet.ahrq.gov/issue/toolkit-decolonization-non-icu-patients-devices
November 15, 2023 - Toolkit
Toolkit for Decolonization of Non-ICU Patients with Devices.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Decolonization of Non-ICU Patients with Devices.
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psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
April 06, 2022 - Government Resource
Making Dialysis Safer for Patients Coalition.
Citation Text:
Making Dialysis Safer for Patients Coalition. Centers for Disease Control and Prevention.
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psnet.ahrq.gov/node/47228/psn-pdf
August 09, 2018 - A road map for advancing the practice of respect in health
care: the results of an interdisciplinary modified Delphi
consensus study.
August 9, 2018
Sokol-Hessner L, Folcarelli P, Annas CL, et al. A Road Map for Advancing the Practice of Respect in
Health Care: The Results of an Interdisciplinary Modified Delphi C…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/icu-assessment.docx
April 01, 2022 - ICU Assessment
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
Date Completed by Team: _____________________
ICU Assessment of Current CLABSI & CAUTI Prevention Practices
The purpose of this assessment is to understand current central line-associated bloodstream infections (CLABSI) and…
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psnet.ahrq.gov/web-mm/another-fall
June 01, 2010 - SPOTLIGHT CASE
Another Fall
Citation Text:
Bogardus SG. Another Fall. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
January 02, 2017 - Commentary
Counting matters: lessons from the root cause analysis of a retained surgical item.
Citation Text:
Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574.
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psnet.ahrq.gov/issue/root-cause-analysis
June 15, 2016 - Commentary
Root cause analysis.
Citation Text:
Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8.
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psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
December 22, 2021 - Special or Theme Issue
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation.
Citation Text:
Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
January 03, 2017 - Study
The cost of serious fall-related injuries at three midwestern hospitals.
Citation Text:
Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87.
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psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
February 09, 2022 - Newspaper/Magazine Article
Start the year off right by preventing these top 10 medication errors and hazards from 2020.
Citation Text:
Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…
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psnet.ahrq.gov/issue/suicide-medical-setting
April 24, 2018 - Review
Suicide in the medical setting.
Citation Text:
Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481.
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psnet.ahrq.gov/issue/get-clue-it-can-be-all-too-easy-make-assessment-errors-field-heres-some-tips-prevent-you
May 01, 2024 - Newspaper/Magazine Article
Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes.
Citation Text:
Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you …
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psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
May 20, 2020 - Press Release/Announcement
National Prescription Drug Take Back Day.
Citation Text:
National Prescription Drug Take Back Day. Drug Enforcement Administration. April 22, 2023.
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psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-useful-tool-risk-identification-and-injury-prevention
September 24, 2010 - Commentary
Failure mode and effects analysis: a useful tool for risk identification and injury prevention.
Citation Text:
Paparella S. Failure mode and effects analysis: a useful tool for risk identification and injury prevention. Journal of emergency nursing: JEN : official publicatio…
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psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
April 11, 2011 - Organizational Policy/Guidelines
Metric units and the preferred dosing of orally administered liquid medications.
Citation Text:
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542/peds.2015-0072.
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psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
May 08, 2013 - Commentary
Top 10 patient safety issues: what more can we do?
Citation Text:
Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012.
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psnet.ahrq.gov/issue/iatrogenic-delirium-and-coma-near-miss
September 23, 2020 - Commentary
Iatrogenic delirium and coma: a "near miss."
Citation Text:
Dunn WF, Adams SC, Adams RW. Iatrogenic delirium and coma: a "near miss". Chest. 2008;133(5):1217-20. doi:10.1378/chest.08-0471.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/BEqfaqsota4EqjZDZkEHMm
August 01, 2020 - Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: Clinician Summary of USPSTF Recommendation
1
www.uspreventiveservicestaskforce.org
Clinician Summary of USPSTF Recommendation
Behavioral Counseling Interventions to Prevent Sexually
Transmitted Infections August 2020
The USPSTF rec…