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psnet.ahrq.gov/node/72589/psn-pdf
December 23, 2020 - US Preventive Services Task Force. Breast cancer: screening, 2016.
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psnet.ahrq.gov/web-mm/translating-normal-abnormal
October 02, 2019 - Pediatric preventive care and language barriers. J Pediatr. 2006;148:154-157.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereports.html
September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits
Electronic Reports
Five reports are described here. Each section presents a sample report followed by purpose, description, and users and potential uses. The reports are:
Transfer Risk Reports (A high r…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/progestogens-preterm-birth_executive.pdf
September 01, 2012 - 1
Comparative Effectiveness Review
Number 74
Progestogens for Prevention
of Preterm Birth
Executive Summary
Introduction
Burden of Preterm Birth
Birth before completion of 37 weeks of
pregnancy is considered preterm. These
early births are associated with more
than 85 percent of all perinatal morbidity
an…
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psnet.ahrq.gov/perspective/quality-and-safety-challenges-critical-care-preventing-and-treating-delirium-intensive
December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit
Eduard E. Vasilevskis, MD; E. Wesley Ely, MD, MPH; Robert S. Dittus, MD, MPH | December 1, 2012
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psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
June 21, 2016 - Commentary
The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits.
Citation Text:
Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…
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psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
January 04, 2019 - Commentary
Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs.
Citation Text:
Bearman G, Nori P. Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. Am J Med. 2024;137(8):694-697. doi:10.1016/…
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psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
December 01, 2021 - Commentary
Classic
A 62-year-old woman with skin cancer who experienced wrong-site surgery.
Citation Text:
Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Complications
Example…
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www.ahrq.gov/diagnostic-safety/research/index.html
November 01, 2024 - Research on Diagnostic Safety and Quality
Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/047-ss-faqs-staff-safety-side-effects.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Staff – Frequently Asked Questions:
Safety and Side Effects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
The products we are recommending for surgical site infection (SSI) preven…
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www.ahrq.gov/hai/clabsi-tools/appendix-9.html
March 01, 2018 - Appendix 9: Back to Basics
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood stream infections (CLABSI). When used with the CUSP (Comprehensive Unit-based Safety Program) Toolkit, th…
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/perioperative-asst.html
December 01, 2017 - Perioperative Staff Safety Assessment
AHRQ Safety Program for Surgery
Introduction
Problem Statement
One of the strongest determinants of safety culture is whether local and hospital leadership respond to staff patient safety concerns. Frontline providers understand patient safety risks in the…
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psnet.ahrq.gov/issue/medication-errors-involving-pediatric-patients
January 02, 2017 - Study
Medication errors involving pediatric patients.
Citation Text:
Santell JP, Hicks RW. Medication errors involving pediatric patients. Jt Comm J Qual Patient Saf. 2005;31(6):348-53.
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psnet.ahrq.gov/issue/sample-sample-carryover-source-analytical-laboratory-error-and-its-relevance-integrated
January 12, 2022 - Study
Sample to sample carryover: a source of analytical laboratory error and its relevance to integrated clinical chemistry/immunoassay systems.
Citation Text:
Armbruster DA, Alexander DB. Sample to sample carryover: a source of analytical laboratory error and its relevance to integra…
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - Newspaper/Magazine Article
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed.
Citation Text:
‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. Bailey M. Kaiser Health News. October 17, 2019.
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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned.
Citation Text:
McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152.
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psnet.ahrq.gov/issue/identification-errors-pathology-and-laboratory-medicine
October 19, 2022 - Commentary
Identification errors in pathology and laboratory medicine.
Citation Text:
Valenstein PN, Sirota RL. Identification errors in pathology and laboratory medicine. Clin Lab Med. 2004;24(4):979-96, vii.
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psnet.ahrq.gov/issue/nurses-role-medication-safety-0
September 18, 2019 - Commentary
The nurse's role in medication safety.
Citation Text:
Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4). doi:10.1097/01.NURSE.0000461850.24153.8b.
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psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
July 28, 2014 - Commentary
Kenneth W. Kizer, MD, MPH: health care quality evangelist.
Citation Text:
Kizer KW. Kenneth W. Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. JAMA. 2001;285(7):869-71.
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