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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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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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effectivehealthcare.ahrq.gov/sites/default/files/s96.pdf
October 01, 2007 - ORIGINAL ARTICLE
Evaluation and Overview of the National Electronic Injury
Surveillance System-Cooperative Adverse Drug Event
Surveillance Project (NEISS-CADES)
Michael A. Jhung, MD, MPH,* Daniel S. Budnitz, MD, MPH,* Aaron B. Mendelsohn, PhD,*†
Kelly N. Weidenbach, MPH,* Theresa D. Nelson, MS,‡ and Daniel A. Polloc…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
The Evidence for MRSA Decolonization
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
The Evidence for MRSA Decolonization
SAY:
Welcome to this presentation on the evi…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2024.xlsx
January 01, 2024 - Introduction
Introduction-Medication or Other Substance
The tables in this workbook present data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. The tables include the relative frequency…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Medication_Dashboard_Data_2025.xlsx
January 01, 2025 - Introduction
Introduction-Medication or Other Substance
The tables in this workbook present data on Medication or Other Substance reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2024. The tables include the relative frequency…
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix B. Decisionmaking and Readiness for Implementation
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationa…
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apb.html
September 01, 2013 - Universal ICU Decolonization: An Enhanced Protocol
Appendix B. Decisionmaking and Readiness for Implementation
Previous Page Next Page
Table of Contents
Universal ICU Decolonization: An Enhanced Protocol
Introduction and Welcome
Universal ICU Decolonization Protocol Overview
Scientific Rationa…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/aggression_research-protocol.pdf
October 05, 2015 - Preventive
strategies to reduce the likelihood of becoming acutely aggressive focus on providing a … at risk of aggressive behavior (i.e.,
are not actively aggressive), in which case interventions are preventive
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-o-fac-notes.html
May 01, 2017 - Appendix O. Part 2—Disinfection/Sterilization Record Keeping: Facilitator Notes
Implementation Guide
Slide 1: Appendix O. Part 2: A Clear View of Flexible Endoscope Processing: Disinfection/Sterilization Record Keeping
Hi, and welcome to Part 2 of A Clear View on Flexible Endoscope Processing . In this p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-o-part2-transcript.docx
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix O. A Clear View on Flexible Endoscope Processing – Part 2, Disinfection/Sterilization Record Keeping
Transcript/Facilitator Notes
Sue Klacik:
(Slide 1) Hi, and welcome to Part 2 of A Clea…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/environ-equip-slides.html
March 01, 2017 - Clean Equipment and Environment Promotes Safe Resident Care
AHRQ Safety Program for Long-Term Care: CAUTI
Slide 1: Clean Equipment and Environment Promotes Safe Resident Care
Training Module 2
Slide 2: Objectives
Upon completion of this session, long-term care (LTC) staff will be able to—
Descri…
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.html
February 01, 2023 - Module 1: Overview - Facilitator's Notes
Preventing CAUTI in the ICU Setting
Slide 1. Preventing CAUTI in the ICU Setting
Say:
"Preventing CAUTI in the ICU Setting" is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in cathe…
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psnet.ahrq.gov/web-mm/listen-family
April 15, 2015 - Listen to the Family
Citation Text:
Campbell D. Listen to the Family. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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www.ahrq.gov/sites/default/files/2025-02/silver2-report.pdf
January 01, 2025 - Final Progress Report: Sociotechnical Probabilistic Risk Assessment in Home Health Care
ST-PRA IN HOME HEALTH CARE
Title: Sociotechnical Probabilistic Risk Assessment in Home Health Care
Principal Investigator and Team Members:
Michael P. Silver, MPH Principal Investigator
Cher Edmonds, Study Coordinator
Robert Fer…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/hand-hygiene/hand-hygiene.pptx
March 01, 2017 - Hand Hygiene
The How-To’s of Hand Hygiene
Training Module 1
AHRQ Pub. No. 16(17)-0003-8-EF
March 2017
AHRQ Safety Program for Long-term Care: HAIs/CAUTI
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ SAFETY PROGRAM FOR LONG-TERM CARE: HAIs/CAUTI
Welcome to the first training module for the Agency for H…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4j
Selected Best Practices and Suggestions for Improvement
PDI 12: Central Venous Catheter (CVC)-Related Bloodstream Infection Rate (BSIs)
Why …