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  1. 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…
  2. 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…
  3. 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 …
  4. Psn-Pdf (pdf file)

    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…
  5. 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…
  6. Psn-Pdf (pdf file)

    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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. 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…
  10. Psn-Pdf (pdf file)

    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…
  11. 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
  12. 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 PreventivePreventive Services Task Force. U.S. Preventive Services Task Force Procedure Manual. … Preventive Services Task Force. July 2017.
  13. Psn-Pdf (pdf file)

    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…
  14. 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…
  15. 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 Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Tea…
  16. 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 …
  17. Psn-Pdf (pdf file)

    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…
  18. Psn-Pdf (pdf file)

    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…
  19. 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 …
  20. Psn-Pdf (pdf file)

    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 …