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psnet.ahrq.gov/issue/checklists-improve-patient-safety
July 31, 2013 - Book/Report
Checklists to Improve Patient Safety.
Citation Text:
Checklists to Improve Patient Safety. Chicago, IL: Health Research & Educational Trust; June 2013.
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hcup-us.ahrq.gov/reports/statbriefs/sb66.pdf
January 01, 2009 - Microsoft Word - hcup_sb66_pdf_text_v2 _2_.doc
1
January 2009
Medicare Hospital Stays: Comparisons
between the Fee-for-Service Plan and
Alternative Plans, 2006
Bernard Friedman, Ph.D., H. Joanna Jiang, Ph.D., and C. Allison
Russo, M.P.H.
Introduction
More than 37 percent of hospital discharg…
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psnet.ahrq.gov/node/73473/psn-pdf
January 01, 2022 - Improving safety recommendations before
implementation: a simulation-based event analysis to
optimize interventions designed to prevent recurrence of
adverse events.
July 7, 2021
Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a
simulation-based event analysis to …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/113-staff-safety-assessment.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
Staff Safety Assessment
ICU & Non-ICU
Purpose of this form: This form is designed to tap into your experience to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety.
Who should use this tool? Healthcare providers.
How to complete…
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www.ahrq.gov/hai/carb/index.html
May 01, 2022 - Combating Antibiotic-Resistant Bacteria
AHRQ works alongside Federal Agencies across the Government as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described in the National Action Plan for C…
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www.ahrq.gov/hai/tools/mvp/modules.html
January 01, 2017 - Toolkit Modules
The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture.
Module on How To Apply CUSP for Mechanically Ventilated Patients
The Comprehensive Unit…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_immsched.pdf
June 02, 2025 - NICU Toolkit, Appendix A, Premature Babies Immunization
Premature Babies Immunization
Schedule
What is an immunization?
Immunizations protect us from getting sick with serious
diseases. Often, they are given by a shot, but sometimes
they are given by mouth or nose.
Premature babies
Immunizations are given to pr…
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psnet.ahrq.gov/node/45361/psn-pdf
December 22, 2018 - Healthy life-years lost and excess bed-days due to 6
patient safety incidents: empirical evidence from English
hospitals.
December 22, 2018
Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient
Safety Incidents: Empirical Evidence From English Hospitals. Med Care. 2017;5…
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psnet.ahrq.gov/node/47250/psn-pdf
September 26, 2018 - Hospital-acquired infections under pay-for-performance
systems: an administrative perspective on management
and change.
September 26, 2018
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an
Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
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psnet.ahrq.gov/node/837025/psn-pdf
May 04, 2022 - Central venous catheter guidewire retention: lessons
from England's never event database.
May 4, 2022
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from
England's never event database. J Patient Saf. 2022;18(2):e387-e392.
doi:10.1097/pts.0000000000000826.
https:/…
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psnet.ahrq.gov/node/34709/psn-pdf
February 18, 2011 - Views of practicing physicians and the public on medical
errors.
February 18, 2011
Blendon RJ, DesRoches CM, Brodie M, et al. Views of practicing physicians and the public on medical
errors. N Engl J Med. 2002;347(24):1933-40.
https://psnet.ahrq.gov/issue/views-practicing-physicians-and-public-medical-errors
In r…
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psnet.ahrq.gov/node/38852/psn-pdf
April 04, 2011 - Effect of clinical pharmacists on care in the emergency
department: a systematic review.
April 4, 2011
Cohen V, Jellinek SP, Hatch A, et al. Effect of clinical pharmacists on care in the emergency department: a
systematic review. Am J Health Syst Pharm. 2009;66(15):1353-1361. doi:10.2146/ajhp080304.
https://psnet.…
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psnet.ahrq.gov/node/36632/psn-pdf
July 28, 2010 - Operating room briefings and wrong-site surgery.
July 28, 2010
Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll
Surg. 2007;204(2):236-43.
https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
Although wrong-site surgeries are rare, they have…
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digital.ahrq.gov/principal-investigator/hurd-donna
January 01, 2023 - Hurd, Donna
Evaluation of AHRQ's on-time pressure ulcer prevention program: a facilitator-assisted clinical decision support intervention for nursing homes.
Citation
Olsho LE, Spector WD, Williams CS, et al. Evaluation of AHRQ's on-time pressure ulcer prevention program: a fac…
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psnet.ahrq.gov/node/867690/psn-pdf
March 05, 2025 - Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review
studies.
March 5, 2025
Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review studies. Diagnosis (Berl…
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psnet.ahrq.gov/node/846439/psn-pdf
March 22, 2023 - Which adverse events and which drugs are implicated in
drug-related hospital admissions? A systematic review
and meta-analysis.
March 22, 2023
Haerdtlein A, Debold E, Rottenkolber M, et al. Which adverse events and which drugs are implicated in
drug-related hospital admissions? A systematic review and meta-analysi…
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www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/heartfailure.pdf
June 02, 2025 - Heart Failure: Most Common and Expensive Reason for Preventable Hospital Stays, 2017
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Appendix R. Infection Prevention Support Tool
Previous Page Next Page
Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter …
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www.ahrq.gov/ncepcr/communities/pbrn/registry/kansas-patients-and-providers-engaged-prevention-research.html
January 16, 2013 - Kansas Patients and Providers Engaged in Prevention Research
Status:
Active
Registered Date:
January 16, 2013
PBRN Acronym:
KPPEPR
PBRN Type:
Family Medicine Network (at least 75% are Family Medicine Clinicians)
Network Category:
Established
City:
Kansas City
…
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www.ahrq.gov/sites/default/files/2024-11/lamb-report.pdf
January 01, 2024 - Final Progress Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors
Final Report: Automated Image Analysis for the Prevention of Radiotherapy Delivery Errors
Resubmission Date 1-10-2024
Title of Project: Automated I…