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psnet.ahrq.gov/web-mm/missed-opportunities-suicide-risk-assessment
September 27, 2023 - SPOTLIGHT CASE
Missed Opportunities for Suicide Risk Assessment
Citation Text:
Xiong G, Kahn D. Missed Opportunities for Suicide Risk Assessment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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For…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix A. References and Equipment Sources
Previous Page Next Page
Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter 1. Introduction and Program Ove…
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psnet.ahrq.gov/primer/computerized-provider-order-entry
March 15, 2025 - Computerized Provider Order Entry
Citation Text:
Computerized Provider Order Entry. 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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effectivehealthcare.ahrq.gov/sites/default/files/pdf/gout_consumer.pdf
January 01, 2017 - Managing Gout: A Review of the Research for Adults
Managing Gout
A Review of the Research for Adults
e
Is This Information Right for Me?
This information is right for you if:
� Your health care professional* has said that you have gout.
� You are age 18 or older. This information is from research on adults.
…
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psnet.ahrq.gov/node/33825/psn-pdf
January 01, 2017 - Rethinking Root Cause Analysis
January 1, 2016
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
Annual Perspective 2016
Introduction
Root cause analysis (RCA) is a systematic process to analyze adverse events and near miss…
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hcup-us.ahrq.gov/db/nation/kid/reports/KID_2000_File_Composition.pdf
January 01, 2000 - Microsoft Word - KID_file_comps_2000.doc
HCUP KIDS’ INPATIENT DATABASE
2000
FILE COMPOSITION BY STATE
This document contains cumulative descriptions of HCUP data sources
across all years of HCUP data from 1988 to the current data year.
…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Central Venous Catheter Maintenance Facilitator Notes
CLABSI Module:
Central Venous Catheter Maintenance
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Maintenance, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) a…
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psnet.ahrq.gov/node/33743/psn-pdf
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing
and Treating Delirium in the Intensive Care Unit
December 1, 2012
Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating
Delirium in the Intensive Care Unit. PSNet [internet]. 2012.
https://psnet.ahrq.gov…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/obesity-child_research-protocol.pdf
March 31, 2010 - Title
Source: www.effectivehealthcare.ahrq.gov
Published Online: December 20, 2011
1
Evidence-Based Practice Center Systematic Review Protocol
Project Title: Childhood Obesity Prevention Programs: A Comparative Effectiveness
Review and Meta-Analysis
I. Background and Objectives for the Systematic…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/implement/team-roster.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Appendix A. Team Roster
This template provides suggestions about roles, characteristics, and responsibilities for members of your improvement team. Develop your team and documen…
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digital.ahrq.gov/principal-investigator/lambert-bruce
January 01, 2023 - Lambert, Bruce
Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems - Final Report
Citation
Lambert B. Preventing Wrong-Drug and Wrong-Patient Errors With Indication Alerts in CPOE Systems – Final Report. (Prepared by Northwestern University un…
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psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
March 02, 2022 - Study
Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care.
Citation Text:
Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…
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psnet.ahrq.gov/issue/evaluation-automated-surveillance-system-using-trigger-alerts-prevent-adverse-drug-events
August 30, 2017 - Study
Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward.
Citation Text:
DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts to prevent adverse…
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psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
December 21, 2017 - Study
Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.
Citation Text:
Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…
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digital.ahrq.gov/research-method/delphi-method
January 01, 2023 - Delphi Method
Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Final Report
Citation
Nanji K. Preventing Perioperative Medication Errors and Adverse Drug Events Through the Use of Clinical Decision Support - Fina…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/039-ss-nasal-mupirocin-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Nasal Decolonization Protocol for Staff: Nasal Mupirocin
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Background: Mupirocin
· 2 percent mupirocin ointment was approved by the Food and Drug Administrati…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/do-dont.html
March 01, 2017 - Catheter Care Do's and Don'ts
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
When an indwelling urinary catheter is present, follow these guidelines to prevent a catheter-associated urinary tract infection (CAUTI).
DO
DON'T
Do perform hand hygiene immediately before and after…
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pso.ahrq.gov/resources/oig-reports
August 01, 2025 - SHARE:
More topics in this section
Resources
Resources
Resources About the Patient Safety and Quality Improvement Act of 2005
Resources for Improving Patient Safety and Healthcare Quality
Resources for Artificial Intelligence (AI) in …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/patient-chg-bathing.pdf
March 01, 2022 - Patients With Devices: Prevent Infections During Your Hospital Stay_BATHE Daily With Chlorhexidine (CHG) Cloths
AHRQ Pub. No. 20(22)-0036
March 2022
Section 10-7 PATIENT Patients With Devices: Prevent Infections During Your Hospital Stay
BATHE Daily With Chlorhexidine (CHG) Cloths
During your stay, …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-cloth-bathing.pdf
March 01, 2022 - Patients With Devices: Prevent Infections During the Hospital Stay BATHE Daily With Chlorhexidine (CHG)
AHRQ Pub. No. 20(22)-0036
March 2022
STAFF Patients With Devices: Prevent Infections During the Hospital Stay
BATHE Daily With Chlorhexidine (CHG)
Bathe hospital patients with devices
every day …