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psnet.ahrq.gov/issue/spinal-surgery-and-patient-safety-systems-approach
January 12, 2022 - Review
Spinal surgery and patient safety: a systems approach.
Citation Text:
Wong DA. Spinal surgery and patient safety: a systems approach. J Am Acad Orthop Surg. 2006;14(4):226-32.
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psnet.ahrq.gov/node/836850/psn-pdf
March 31, 2022 - Older adults react negatively to language indicating that a patient may no
longer benefit from preventive
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psnet.ahrq.gov/node/866993/psn-pdf
October 30, 2024 - Elizabeth Salisbury-Afshar: I am board certified in family medicine, addiction medicine, and preventive
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/126-monthly-team-checkup-tool.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Monthly Team Checkup Tool for MRSA and SSI Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Your team can use this tool to track your progress in implementation of different areas of methicillin-resistant Staphy…
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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/nursing-home/resources/module-9-respiratory-hygiene.html
April 01, 2022 - Module 9—Respiratory Hygiene and Cough Etiquette—Nursing Home Infection Preventionist Training Course
Resource: Module 9—Respiratory Hygiene and Cough Etiquette—Nursing Home Infection Preventionist Training Course
This module describes the elements of Respiratory Hygiene and Cough Etiquette and how they prev…
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www.ahrq.gov/nursing-home/resources/module-6b-transmission-based-precautions.html
May 01, 2022 - Module 6B—Principles of Transmission-Based Precautions—Nursing Home Infection Preventionist Training Course
Resource: Module 6B—Principles of Transmission-Based Precautions—Nursing Home Infection Preventionist Training Course
This module discusses the principles of Transmission-Based Precautions and strateg…
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psnet.ahrq.gov/node/39609/psn-pdf
June 27, 2010 - Identification and Prevention of Common Adverse Drug
Events in the Intensive Care Unit.
June 27, 2010
Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.
https://psnet.ahrq.gov/issue/identification-and-prevention-common-adverse-drug-events-intensive-care-unit
This supplem…
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psnet.ahrq.gov/node/72863/psn-pdf
March 17, 2021 - 7 ways to prevent medical errors.
March 17, 2021
Caceres V. US News World Report. March 1, 2021.
https://psnet.ahrq.gov/issue/7-ways-prevent-medical-errors
Patients and families have an important role in reducing potential for error and harm. This article highlights
a set of tactics for patients to enhan…
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psnet.ahrq.gov/node/50667/psn-pdf
November 13, 2019 - Proactive prevention of maternal death from maternal
hemorrhage.
November 13, 2019
Quick Safety. October 29, 2019;(51):1-3.
https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety
…
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-optimizing-necrotizing-enterocolitis-prevention/citation/nec-zero
January 01, 2023 - NEC-zero recommendations from scoping review of evidence to prevent and foster timely recognition of necrotizing enterocolitis.
Citation
Gephart SM, Hanson C, Wetzel CM, et al. NEC-zero recommendations from scoping review of evidence to prevent and foster timely recognition of necrotizing enterocolit…
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integrationacademy.ahrq.gov/products/topic-briefs/emerging-best-practices-addressing-suicidality-primary-care
September 01, 2025 - Preventive Medicine . 2019;127:105796. doi:10.1016/j.ypmed.2019.105796 4.
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psnet.ahrq.gov/node/49699/psn-pdf
February 01, 2014 - Multifactorial Medication Mishap
February 1, 2014
Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
Case Objectives
Understand the system-based causes of medication errors.
Describe a model for a systems approach to error analysis.
Id…
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www.ahrq.gov/evidencenow/heart-health/cholesterol/control-spn.html
September 01, 2018 - Control Cholesterol Numbers: Patient Education Booklet (Spanish)
Resource title: How To Control Your Fat and Cholesterol: How To Control Your Cholesterol Numbers (Spanish)
Resource description: This patient education booklet in Spanish and in the form of a fotonovela (an illustrated pamphlet popular in Mexi…
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www.ahrq.gov/evidencenow/heart-health/cholesterol/control.html
September 01, 2018 - Control Cholesterol Numbers: Patient Education Booklet
Resource title: How To Control Your Fat and Cholesterol: How To Control Your Cholesterol Numbers
Resource description: This patient education booklet in the form of a fotonovela (an illustrated pamphlet popular in Mexico and Latin America) covers basics…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool16.html
March 01, 2014 - Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity
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Community Connections: Linking Primary Care Pati…