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psnet.ahrq.gov/issue/multidisciplinary-approach-reduce-central-line-associated-bloodstream-infections
November 16, 2022 - Study
A multidisciplinary approach to reduce central line-associated bloodstream infections.
Citation Text:
McMullan C, Propper G, Schuhmacher C, et al. A multidisciplinary approach to reduce central line-associated bloodstream infections. Jt Comm J Qual Patient Saf. 2013;39(2):61-69. …
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psnet.ahrq.gov/issue/evaluation-patient-safety-programme-surgical-safety-checklist-compliance-prospective
March 23, 2016 - Study
Evaluation of a patient safety programme on Surgical Safety Checklist compliance: a prospective longitudinal study.
Citation Text:
Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on Surgical Safety Checklist Compliance: a prospective longitudinal …
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psnet.ahrq.gov/issue/quality-australian-health-care-study
February 02, 2022 - Study
Classic
The Quality in Australian Health Care Study.
Citation Text:
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
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psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit
April 08, 2011 - Study
A trigger tool to identify adverse events in the intensive care unit.
Citation Text:
Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…
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psnet.ahrq.gov/issue/prospective-study-multisite-spread-medication-safety-intervention-factors-common-hospitals
April 24, 2018 - Study
Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.
Citation Text:
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors commo…
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psnet.ahrq.gov/issue/how-dangerous-day-hospital-model-adverse-events-and-length-stay-medical-inpatients
February 09, 2012 - Study
Classic
How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.
Citation Text:
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med…
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psnet.ahrq.gov/node/39116/psn-pdf
April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician-
reported errors.
April 30, 2014
Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors.
Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/archinternmed.2009.333.
https://psnet.ahrq.gov/issue/diagnostic-err…
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psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - Effect of a postdischarge virtual ward on readmission or
death for high-risk patients: a randomized clinical trial.
November 3, 2015
Dhalla IA, O'Brien T, Morra D, et al. Effect of a postdischarge virtual ward on readmission or death for high-
risk patients: a randomized clinical trial. JAMA. 2014;312(13):1305-12. …
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psnet.ahrq.gov/issue/creating-culture-safety-opioid-prescribing-handbook-healthcare-executives
May 01, 2023 - Toolkit
Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives.
Citation Text:
Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives.
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psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - What evidence supports the use of computerized alerts
and prompts to improve clinicians' prescribing behavior?
March 4, 2011
Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and
prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…
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psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved-estimated-122300-lives
August 07, 2024 - Press Release/Announcement
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IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives.
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psnet.ahrq.gov/node/47272/psn-pdf
August 15, 2018 - Centers for Medicare and Medicaid Services hospital-
acquired conditions policy for central line–associated
bloodstream infection (CLABSI) and catheter-associated
urinary tract infection (CAUTI) shows minimal impact on
hospital reimbursement.
August 15, 2018
Calderwood MS, Kawai AT, Jin R, et al. Centers for medi…
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psnet.ahrq.gov/issue/what-correct-site-surgery
October 15, 2018 - Fact Sheet/FAQs
What is Correct-Site Surgery?
Citation Text:
What is Correct-Site Surgery? American College of Surgeons.
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Understand tracheostomy maintenance and complication-preventive interventions.
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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/perspective/conversation-elizabeth-salisbury-afshar-about-harm-reduction-strategies-improve-safety
October 30, 2024 - Elizabeth Salisbury-Afshar: I am board certified in family medicine, addiction medicine, and preventive
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psnet.ahrq.gov/perspective/harm-reduction-strategies-improve-safety-people-who-use-substances
October 30, 2024 - Elizabeth Salisbury-Afshar: I am board certified in family medicine, addiction medicine, and preventive
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www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety
Final Progress Report
Title: Effects of Extended Work Hours on ICU Patient Safety
Principal Investigator: Charles A. Czeisler, Ph.D., M.D.
Organization: Brigham and Women's Hospital
Co-Investigators: Christopher P. Landrigan, M.D., M.P.H.…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/032-four-key-strategies-target-graphic.pdf
April 01, 2025 - PowerPoint Presentation
MRSA Prevention: Targeting SSI
Evidence-Based Infection
Prevention
Antimicrobial Prophylaxis
Nasal Decolonization
Preoperative Skin Antisepsis MRSA
&
SSI
AHRQ Pub. No. 25-0029
April 2025
Slide Number 1
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_38.pdf
March 26, 2008 - Intravenous Infusion Safety Initiative: Collaboration, Evidence-Based Best Practices, and “Smart” Technology Help Avert High-Risk Adverse Drug Events and Improve Patient Outcomes
Intravenous Infusion Safety Initiative: Collaboration,
Evidence-Based Best Practices, and “Smart”
Technology Help Avert High-Risk Adverse…