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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/index.html
May 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement
Implementing the…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/135-translating-research-into-practice-one-pager.docx
April 01, 2025 - Summarize the Evidence1
The first step of the TRiP model is to summarize the evidence obtained from quality research, which can include both primary research and systematic reviews. Published clinical guidelines are good resources for concise summaries of evidence-based recommendations.
Once the literature is collec…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/130-dec-patient-daily-bathing-chg-handout.docx
October 01, 2024 - Daily Bathing With Chlorhexidine Gluconate
Why Am I Getting Special Bathing?
There are some common bacteria that can live on your skin and in your nose that normally don’t cause you any problems. But when you’re in the hospital, because you’re more vulnerable, these common bacteria can end up causing a severe …
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psnet.ahrq.gov/node/39948/psn-pdf
December 21, 2014 - Wrong-site and wrong-patient procedures in the Universal
Protocol era: analysis of a prospective database of
physician self-reported occurrences.
December 21, 2014
Stahel PF, Sabel A, Victoroff MS, et al. Wrong-site and wrong-patient procedures in the universal protocol
era: analysis of a prospective database of p…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/resources.html
June 01, 2017 - Resources
Additional resources that ambulatory surgery centers can use for surgical site infection prevention and safety culture improvement are provided below.
Infection Prevention Tools
Hand Hygiene Webinar
Infection Prevention Infographic Poster
Endoscopy Infographic Poster
Endoscope Reprocessing…
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psnet.ahrq.gov/node/43745/psn-pdf
December 17, 2014 - Identifying hospital-wide harm: a set of ICD-9–CM-coded
conditions associated with increased cost, length of stay,
and risk of mortality.
December 17, 2014
Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions
associated with increased cost, length of stay, and ri…
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psnet.ahrq.gov/node/42472/psn-pdf
August 07, 2013 - Anticoagulant medication errors in nursing homes:
characteristics, causes, outcomes, and association with
patient harm.
August 7, 2013
Desai RJ, Williams CE, Greene SB, et al. Anticoagulant medication errors in nursing homes:
characteristics, causes, outcomes, and association with patient harm. J Healthc Risk Mana…
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psnet.ahrq.gov/node/39463/psn-pdf
February 10, 2015 - Mixed results in the safety performance of computerized
physician order entry.
February 10, 2015
Metzger J, Welebob E, Bates DW, et al. Mixed results in the safety performance of computerized physician
order entry. Health Aff (Millwood). 2010;29(4):655-663. doi:10.1377/hlthaff.2010.0160.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist
October 02, 2024 - Toolkit
Central Line Insertion Care Team Checklist.
Citation Text:
Agency for Healthcare Research and Quality. Central Line Insertion Care Team Checklist.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Download…
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psnet.ahrq.gov/node/42395/psn-pdf
July 31, 2013 - Return on investment for vendor computerized physician
order entry in four community hospitals: the importance
of decision support.
July 31, 2013
Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order
entry in four community hospitals: the importance of decision suppo…
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psnet.ahrq.gov/perspective/addressing-workplace-violence-and-creating-safer-workplace
October 31, 2023 - Workplace violence in healthcare settings: the risk factors, implications and collaborative preventive
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/patient-monitoring-systems-rapid-review.pdf
December 01, 2024 - recent eligible systematic review, a team member used the criteria developed
by the United States Preventive … Preventive Services Task Force. U.S.
Preventive Services Task Force Procedure
Manual. … Preventive Services Task
Force. July 2017.
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psnet.ahrq.gov/node/49737/psn-pdf
June 01, 2015 - Unseen Perils of Urinary Catheters
June 1, 2015
Newman DK, Strauss R, Abraham L, et al. Unseen Perils of Urinary Catheters. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
The Case
A 68-year-old man with a history of hypothyroidism, hypertension, seizures, cerebral vascular at…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Insertion Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter Insertion
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter Insertion Bundle,” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive Care Un…
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psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Value and Patient Safety
Download
Share
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Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Tea…
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www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
January 01, 2024 - Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research
Title: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research
Principal Investigator: Traci C. Green, Boston Medical Center
Dates of Project: April 01, 2015-July …
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psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - Importance of Following Safe Practices for Infant Feeding
and Handling Expressed Breast Milk
December 18, 2024
Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling
Expressed Breast Milk. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/importance-following-saf…
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psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong
Medication
September 30, 2020
Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
The Case
A 65-year-old woman co…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-slides.pptx
November 01, 2016 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Pressure Ulcer Healing
Facilitator Training
Overview of On-Time
On-Time Pressure Ulcer Healing Facilitator Training
Two-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and …
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psnet.ahrq.gov/node/49515/psn-pdf
July 01, 2006 - Over Not So Easy
July 1, 2006
Cucina R. Over Not So Easy. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/over-not-so-easy
The Case
A 62-year-old woman with end-stage liver disease was hospitalized for recurrent variceal bleeding. On
admission, she reported allergies to a number of medications as well as a …