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psnet.ahrq.gov/node/44967/psn-pdf
March 16, 2016 - Wrong site surgery: a critical incident analysis of a near
miss.
March 16, 2016
Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-
2):11-5.
https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
Despite efforts to prevent wrong-s…
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psnet.ahrq.gov/node/48028/psn-pdf
August 28, 2019 - Error Reduction and Prevention in Surgical Pathology,
Second Edition.
August 28, 2019
Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636.
https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
Surgical specimen and laboratory process proble…
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digital.ahrq.gov/ahrq-funded-projects/prevent-diabetes-mellitus-predm-clinical-decision-support-intervention/final-report
January 01, 2023 - Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers - Final Report
Citation
O'Brien MJ. Prevent Diabetes Mellitus (PreDM) Clinical Decision Support Intervention in Community Health Centers - Final Report. (Prepared by Northwestern University under Grant…
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digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable/final-report
January 01, 2023 - Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Computable Form - Final Report
Citation
Friedman C. Achieving Individualized Precision Prevention (IPP) through Scalable Infrastructure Employing the USPSTF Recommendations in Co…
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digital.ahrq.gov/ahrq-funded-projects/user-centered-designed-anticoagulation-shared-decision-making-tool-stroke/final-report
January 01, 2023 - A User-Centered Designed Anticoagulation Shared Decision-Making Tool for Stroke Prevention in Atrial Fibrillation - Final Report
Citation
Dorsch M. A User-Centered Designed Anticoagulation Shared Decision-Making Tool for Stroke Prevention in Atrial Fibrillation - Final Report. (Prepared by the Univers…
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - Two Wrongs Don't Make a Right (Kidney)
March 1, 2015
DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
Case Objectives
Review the current definition of wrong-site surgery.
Describe the incidence of wrong-site surgery, and the…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-insertion/unlicensed-staff/unlicensed-catheter.pptx
March 01, 2017 - Catheter Types and Being Part of the Insertion Team
Urinary Catheter Types and
Care for Residents With Catheters
AHRQ Pub. No. 16(17)-0003-11-EF
March 2017
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Welcome to today’s session on how to care for residents with urinary catheters. This training is part of …
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-1-implementation-guide.pdf
January 01, 2018 - Module 1 Implementation Guide: Welcome to the TAKEheart Initiative and an Overview of the Benefits of Increasing Cardiac Rehabilitation Participation
Implementation Guide - Module 1
Welcome to the TAKEheart Initiative and an Overview of the …
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www.ahrq.gov/nursing-home/resources/search.html?page=11
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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www.ahrq.gov/nursing-home/resources/search.html?page=2
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
-
www.ahrq.gov/es/nursing-home/resources/search.html?page=2
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
-
www.ahrq.gov/es/nursing-home/resources/search.html?page=11
January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes
AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…
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digital.ahrq.gov/ahrq-funded-projects/machine-learning-health-system-integrate-care-substance-misuse-and-hiv-treatment-and-prevention
August 31, 2024 - A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients
Project Final Report ( PDF , 209.8 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are resp…
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qualityindicators.ahrq.gov/Downloads/Modules/V2022/AHRQ_QI_Full_Brochure.pdf
March 28, 2023 - AHRQ QI Quality Indicators Brochire
Get to know the AHRQ Quality Indicators
PQI
Prevention Quality
Indicators
IQI
Inpatient Quality
Indicators
PSI
Patient Safety
Indicators
PDI
Pediatric Quality
Indicators
About AHRQ Quality Indicators (AHRQ Qls)
The AHRQ Qls are standardized, evidence-based he…
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digital.ahrq.gov/technology/computerized-provider-order-entry-system
January 01, 2023 - Computerized Provider Order Entry System
Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report
Citation
Ratwani R., Hettinger A. Improving Patient Safety and Clinician Cognitive Support Through eMAR Redesign – Final Report. (Prepared by …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0651-131114.pdf
June 20, 2013 - Topic 0552 Low Back Pain NSD FINAL SJ
Diagnosis and Treatment of Low Back Pain
Nomination Summary Document
Results of Topic Selection Process & Next Steps
The topic, Dia…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
January 01, 2007 - Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology
Physician-Reported Adverse Events and Medical
Errors in Obstetrics and Gynecology
Martin November, MD, MBA; Lucy Chie, MD; Saul N. Weingart, MD, PhD
Abstract
Objective: To explore the feasibility of a novel method for capturi…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/healthcare-infections_disposition-comments.pdf
August 10, 2015 - Implications section titled “Implementation
and Process Research” that describes
sustainability of HAI preventive … added text to the Introduction
section that alludes to pressures that may
contribute to failure of preventive
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psnet.ahrq.gov/node/36529/psn-pdf
August 09, 2011 - 5 Million Lives Campaign.
August 9, 2011
Institute for Healthcare Improvement; IHI
https://psnet.ahrq.gov/issue/5-million-lives-campaign
The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than
3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…
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psnet.ahrq.gov/node/44172/psn-pdf
September 28, 2016 - Preventing high-alert medication errors in hospital
patients.
September 28, 2016
Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
High-alert medications have the potential to cause serious patient harm. This article fo…