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psnet.ahrq.gov/node/44917/psn-pdf
November 30, 2016 - Canadian Incident Analysis Framework.
November 30, 2016
Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN:
9781926541440.
https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework
Performing incident analysis can help organizations understand why adverse e…
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psnet.ahrq.gov/node/43538/psn-pdf
September 17, 2014 - Medication errors: an overview for clinicians.
September 17, 2014
Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc.
2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007.
https://psnet.ahrq.gov/issue/medication-errors-overview-clinicians
Medication safety is an ongoing…
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psnet.ahrq.gov/node/73173/psn-pdf
April 21, 2021 - Racism and Health.
April 21, 2021
Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/racism-and-health
Ethnic and social inequities have a substantial impact on the safety and effectiveness of health care. This
US Centers for Disease Control and Prevention (CDC) initiative provides access to …
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psnet.ahrq.gov/node/36593/psn-pdf
November 17, 2011 - Infant deaths associated with cough and cold
medications—two states, 2005.
November 17, 2011
Prevention C for DC and. Infant deaths associated with cough and cold medications--two states, 2005.
MMWR Morb Mortal Wkly Rep. 2007;56(1):1-4.
https://psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medicatio…
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psnet.ahrq.gov/node/41744/psn-pdf
November 27, 2012 - Venous thromboembolism after trauma: a never event?
November 27, 2012
Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit
Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60.
https://psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
A …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles
Say:
The Comprehensive LTC Safety Modules…
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psnet.ahrq.gov/node/49523/psn-pdf
November 01, 2006 - Urinary Retention Dilemma
November 1, 2006
Joseph AC. Urinary Retention Dilemma. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/urinary-retention-dilemma
The Case
Following an elective thyroidectomy, a 56-year-old man with a history of benign prostatic hypertrophy
(BPH) and urinary hesitancy returned to th…
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psnet.ahrq.gov/web-mm/suicide-risk-hospital
November 01, 2011 - Suicide Risk in the Hospital
Citation Text:
Mills PD. Suicide Risk in the Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January 12, 2022
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/patient…
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psnet.ahrq.gov/node/837658/psn-pdf
July 08, 2022 - Preventable Transfer to the Hospital
July 8, 2022
Agrawal G, Kashkouli P, Bakerjian D. Preventable Transfer to the Hospital. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/preventable-transfer-hospital
The Case
A 78-year-old veteran with dementia-associated aggressive behavior and multiple comorbidities had…
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
August 21, 2016 - Annual Perspective
Rethinking Root Cause Analysis
Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016
View more articles from the same authors.
Citation Text:
Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/clinical-care/clinicalcare_slides.pptx
September 03, 2014 - PowerPoint Presentation
Clinical Care of the Hemodialysis Patient
1
Objectives
Summarize key reasons clinical care is important in vascular access infection (VAI) prevention
Identify five occasions in which hand hygiene is critical
Explain practices that all staff members can follow during site access in order to…
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
January 01, 2022 - To
reduce VTE events, patients need preventive care, but guidelines for
providing preventive VTE care … Preventive Services
Task Force (USPSTF).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Quantitative and Qualitative Analysis of Medication Errors: The New York Experience
131
Quantitative and Qualitative Analysis of
Medication Errors: The New York Experience
Elizabeth Duthie, Barbara Favreau, Angelo Ruperto,
Janet Mannion, Ellen Flink, Ruth Leslie
Abstract
Objectives: In June 2000, the New Yo…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/nursing-home-safety_research-protocol.pdf
July 22, 2015 - Critical Analysis of the Evidence for Patient Safety Practices in Nursing Home Settings
Evidence-based Practice Center
Project Title: Critical Analysis of …
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psnet.ahrq.gov/node/49838/psn-pdf
August 01, 2018 - An Untimely End Despite End-of-Life Care Planning
August 1, 2018
Elia G, Barbour S, Anderson WG. An Untimely End Despite End-of-Life Care Planning. PSNet [internet].
2018.
https://psnet.ahrq.gov/web-mm/untimely-end-despite-end-life-care-planning
The Case
A 76-year-old man was admitted to the intensive care unit (…
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www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
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www.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - The Emergency Nurses Association Presents CAUTI Slides and Transcript
Part Two: Removing the Obstacles to Practice Change
Previous Page Next Page
Table of Contents
The Emergency Nurses Association Presents CAUTI Slides and Transcript
Opening Materials: Attribution, Objectives, Introduction, and Ma…
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apa2.html
December 01, 2013 - Transitioning Newborns from NICU to Home
Appendix A: Family Information Packet (continued)
Previous Page Next Page
Table of Contents
Transitioning Newborns from NICU to Home
A Resource Toolkit
Basic Components of the Health Coach Program
Family Information Packet Cover Sheet
Coaching in the …
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4h_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4h
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Posto…