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Showing results for "preventive".

  1. psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
    January 29, 2021 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. Citation Text: Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of He…
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
    April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes CLABSI Module: Central Venous Catheter Insertion Facilitator Guide Slide Number and Image This module, titled Central Venous Catheter Insertion, is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Units (ICUs) t…
  3. www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - Making Healthcare Safer Practices: 16. Venous Thromboembolism Venous Thromboembolism 16-1 16. Venous Thromboembolism Eleanor Fitall, M.P.H., and Kendall K. Hall, M.D., M.S. Introduction Background Venous thromboembolism (VTE) is a disorder that includes deep vein thrombosis (DVT) and pulmonary embolism (PE). …
  4. www.ahrq.gov/sites/default/files/2025-02/peterson-report.pdf
    January 01, 2025 - Final Progress Report: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Title: Detection, Education, Research, and Decolonization without Isolation in Long-term Care (DERAIL MRSA) Principal Investigator: Lance R. Peterson, MD Team Members: Ari Robicsek, MD, Jenni…
  5. effectivehealthcare.ahrq.gov/sites/default/files/pdf/stroke-atrial-fibrillation_research-protocol.pdf
    January 30, 2012 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: January 30, 2012 Page 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Stroke Prevention in Atrial Fibrillation I. Background and Objectives fo…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42270/psn-pdf
    December 31, 2014 - Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. December 31, 2014 Leung AA, Keohane C, Lipsitz S, et al. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. J Am Med Info Asso. 2013;20(e1):…
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/058-patient-instructions-iodophor.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Patient Info Sheet: Preoperative Nasal Decolonization With Iodophor Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries What Is Nasal Decolonization? Some bacteria can live inside your nostrils for a long time. Normally, the…
  8. www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Next Steps Previous Page   Table of Contents Eliminating CLABSI, A National Patient Safety Imperative: Neonatal CLABSI Prevention Executive Summary Introduction & Objectives Methods Data Collection and Analy…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37707/psn-pdf
    March 02, 2011 - Bar-coding surgical sponges to improve safety: a randomized controlled trial.   March 2, 2011 Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5. https://psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safe…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41610/psn-pdf
    January 25, 2017 - Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. January 25, 2017 Matlow A, Baker R, Flintoft V, et al. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ. 2012;184(13):E709-718. doi:10.1503/cmaj.112153. https://…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42458/psn-pdf
    February 13, 2014 - Human factors and ergonomics as a patient safety practice. February 13, 2014 Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice As…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46560/psn-pdf
    January 24, 2019 - The hidden cost of regulation: the administrative cost of reporting serious reportable events. January 24, 2019 Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212-218. doi:10.1016/j.jcjq.2017.0…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43064/psn-pdf
    January 01, 2015 - Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. December 12, 2014 McFadden KL, Stock GN, Gowen CR. Leadership, safety climate, and continuous quality improvement: impact on process quality and patient safety. Health Care Manage Rev. 2015;40(1):24-34. d…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72467/psn-pdf
    November 18, 2020 - Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. November 18, 2020 Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845640/psn-pdf
    March 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. March 8, 2023 Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I?PASS on adverse event rates in hospitalized children with complex chronic conditions. J Hosp Med. 202…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41369/psn-pdf
    May 29, 2015 - Cognitive interventions to reduce diagnostic error: a narrative review. May 29, 2015 Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149. https://psnet.ahrq.gov/issue/cognitive-interventions-re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73109/psn-pdf
    April 07, 2021 - Common general surgical never events: analysis of NHS England never event data. April 7, 2021 Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045. https://psnet.ahrq.gov/issue/comm…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74752/psn-pdf
    February 07, 2022 - Coronavirus disease 2019 (COVID-19) pandemic, central- line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts. February 7, 2022 Fakih MG, Bufalino A, Sturm L, et al. Coronavirus disease 2019 (COVID-19) pan…
  19. psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
    December 02, 2020 - SPOTLIGHT CASE The Lost Start Date: an Unknown Risk of E-prescribing Citation Text: Wright A, Schiff G. The Lost Start Date: an Unknown Risk of E-prescribing. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…
  20. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/functspecs2.html
    December 01, 2017 - AHRQ's Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention Functional Specifications (continued) 2.0. Pressure Ulcer Prevention Reports The reports included in On-Time Pressure Ulcer Prevention and described in this document are listed in the table below. On-Time Pressure Ulcer Prevention …