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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
April 01, 2022 - Quality Improvement in Action Facilitator Guide
CUSP Module: Quality Improvement in Action
Facilitator Guide
Slide Number and Image
This module, titled “Quality Improvement in Action,” is part of the Agency for Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-1-year-final-report-updated-title_0.pdf
May 01, 2024 - Making Healthcare Safer IV: Summary of Findings, 2023-2024
Making Healthcare Safer IV
Making Healthcare Safer IV: Summary of Findings on
Patient Safety Practices and Ratings by a Technical
Expert Panel, 2023-2024
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Se…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - thromboembolism (VTE) intervention that empowers
patients to make informed decisions about their VTE preventive … and deployment of
four campaigns:
• Patient Involvement – Consumer & Clinician Campaign
• Men’s Preventive … errors and worrying more about medical
errors both were linked with a greater likelihood of engaging in preventive … An
understanding of how self-efficacy and worry influence preventive efforts will help in
building
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - Themes from HCBS Expert Call Discussions
11/24/09
1
Themes from HCBS Expert Call Discussions
This document is organized into three sections. The first section summarizes panelists’
comments about the validity of the indictors as a set and concerns about their use. The second
section lists factors that pane…
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www.ahrq.gov/sites/default/files/2024-02/kane-gill-report.pdf
January 01, 2024 - Final Progress Report: Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-Centered, Telemedicine-Based Approach to Prevent ADEs in the Nursing Home
Transforming the Medication Regimen Review Process of High-Risk Drugs Using a Patient-
Centered, Telemedicine-Based Approach to Prevent…
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psnet.ahrq.gov/web-mm/urinary-retention-dilemma
March 01, 2013 - Urinary Retention Dilemma
Citation Text:
Joseph AC. Urinary Retention Dilemma. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…
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psnet.ahrq.gov/node/49462/psn-pdf
October 01, 2004 - Thin Air
October 1, 2004
Gaba DM. Thin Air. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/thin-air
Case Objectives
Identify the gas-specific non-interchangeable connectors used for bulk gas supply outlets in
hospitals.
Define forcing function, both in engineered safety devices and in human procedures.
R…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/038-ss-nasal-iodophor-protocol.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Pre-Op Surgical Nasal Iodophor Decolonization Protocol for Staff
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Background: Nasal Iodophor
· Does not require a physician order and can be used for nasal decoloni…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-n.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix N. Skin Care in the Incontinent Patient
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Gui…
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www.ahrq.gov/hai/tools/surgery/how-to-use.html
December 01, 2017 - How To Use the Toolkit
Toolkit To Promote Safe Surgery
The toolkit has two complementary guides that should be used together and are a good starting point: Applying CUSP To Promote Safe Surgery , and Surgical Complication Prevention . These two guides address adaptive and technical work, which are both crit…
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psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor
April 16, 2018 - Journal Article
Patient Guide: 10 Ways to Improve Communication with Your Doctor.
Citation Text:
Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50.
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Format:
DOI Google Scholar Bi…
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psnet.ahrq.gov/node/44709/psn-pdf
November 18, 2016 - Lost information during the handover of critically injured
trauma patients: a mixed-methods study.
November 18, 2016
Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured
trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…
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psnet.ahrq.gov/node/40586/psn-pdf
March 21, 2017 - Adopting real-time surveillance dashboards as a
component of an enterprisewide medication safety
strategy.
March 21, 2017
Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of
an enterprisewide medication safety strategy. Jt Comm J Qual Patient Saf. 2011;37(7):326-3…
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psnet.ahrq.gov/node/38961/psn-pdf
September 01, 2016 - An empirical model to estimate the potential impact of
medication safety alerts on patient safety, health care
utilization, and cost in ambulatory care.
September 1, 2016
Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of
medication safety alerts on patient safety,…
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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
June 16, 2019 - Meeting/Conference Proceedings
Proceedings of a summit on preventing patient harm and death from IV medication errors.
Citation Text:
Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406.
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Format:
DO…
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psnet.ahrq.gov/node/41526/psn-pdf
April 05, 2013 - Effect of a pharmacist intervention on clinically important
medication errors after hospital discharge: a randomized
trial.
April 5, 2013
Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medication
errors after hospital discharge: a randomized trial. Ann Intern Me…
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psnet.ahrq.gov/node/45714/psn-pdf
December 20, 2017 - US emergency department visits for outpatient adverse
drug events, 2013–2014.
December 20, 2017
Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug
Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:10.1001/jama.2016.16201.
https://psnet.ahrq.gov/issue/us-emergenc…
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psnet.ahrq.gov/node/47634/psn-pdf
January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National
Incidence Among Medicare Beneficiaries.
January 9, 2019
Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare
Beneficiaries. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; 2018. R…
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psnet.ahrq.gov/node/39425/psn-pdf
September 20, 2011 - Medication errors in acute cardiovascular and stroke
patients. A scientific statement from the American Heart
Association.
September 20, 2011
Michaels AD, Spinler SA, Leeper B, et al. Medication Errors in Acute Cardiovascular and Stroke Patients.
Circulation. 2010;121(14). doi:10.1161/cir.0b013e3181d4b43e.
https:…
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psnet.ahrq.gov/node/45945/psn-pdf
April 24, 2018 - Families as partners in hospital error and adverse event
surveillance.
April 24, 2018
Khan A, Coffey M, Litterer KP, et al. Families as Partners in Hospital Error and Adverse Event Surveillance.
JAMA Pediatr. 2017;171(4):372-381. doi:10.1001/jamapediatrics.2016.4812.
https://psnet.ahrq.gov/issue/families-partners-…