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Showing results for "preventive".

8481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39932/psn-pdf
      October 20, 2010 - Incorrect surgical counts: a qualitative analysis. October 20, 2010 Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. https://psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis Preventing surgical instruments from be…

8482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852447/psn-pdf
      August 16, 2023 - Patient safety in palliative care at the end of life from the perspective of complex thinking. August 16, 2023 Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Basel). 2023;11(14):2030. doi:10.3390/hea…

8483. Million Hearts® | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/beyond/million-hearts/index.html
      November 01, 2022 - Million Hearts® Million Hearts ® , a national initiative co-led by the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) with the goal of preventing 1 million acute cardiovascular events by 2027, is working with cardiac rehabilitation (CR) professionals, pub…

8484. Staff-Safety-Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/staff-safety-assessment.docx
      March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Long-Term Care Safety Modules Staff Safety Assessment Purpose: To tap into your experience to determine risks that could harm residents. Who should use this tool? Anyone who works in or provides services to this nursing home. How should you use this tool? Provid…

8485. Labor and Delivery Unit Staff Safety Assessment | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/assessment.html
      July 01, 2023 - Labor and Delivery Unit Staff Safety Assessment AHRQ Safety Program for Perinatal Care Purpose: To tap into the knowledge and experiences of labor and delivery (L&D) providers and other clinical and nonclinical staff (e.g., health unit coordinators and environmental services personnel) to find ou…

8486. 033-Ss-Action-Chart-Decolonization (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/033-ss-action-chart-decolonization.docx
      April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Action Chart for Implementing a Preoperative Decolonization Program Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries CUSP = Comprehensive Unit-based Safety Program; MRSA = methicillin-resistant Staphylococcus au…

8487. AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix G. Urinary Catheter Project Fact Sheet. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-g.pdf
      September 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals - Appendix G. Urinary Catheter Project Fact Sheet. AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix G. Urinary Catheter Project Fact Sheet …

8488. Overcome Common Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/index.html
      April 01, 2022 - Overcome Common Challenges This section helps teams discover actionable strategies to overcome four common challenges in making changes to patient safety culture. Tools are shown in various formats and located on several pages of the toolkit to flexibly support users in addressing their question. Making It Work…

8489. Toolkit Materials | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/materials.html
      December 01, 2017 - Toolkit Materials Toolkit To Promote Safe Surgery The products consist of two guides, supplemental tools for each guide, and 15 instructional modules to support change at the unit level. Guides Applying CUSP To Promote Safe Surgery ( PDF , 508 KB) This guide provides an overview of the Comprehensive U…

8490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837851/psn-pdf
      August 17, 2022 - Medication errors in intensive care units: an umbrella review of control measures. August 17, 2022 Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcare10071221. https://psnet.ahrq.gov…

8491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38491/psn-pdf
      January 31, 2011 - Diagnostic errors--The next frontier for patient safety. January 31, 2011 Newman-Toker DE, Pronovost P. Diagnostic errors--the next frontier for patient safety. JAMA. 2009;301(10):1060-2. doi:10.1001/jama.2009.249. https://psnet.ahrq.gov/issue/diagnostic-errors-next-frontier-patient-safety Studies from autopsy dat…

8492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60966/psn-pdf
      January 01, 2021 - Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. September 30, 2020 Scopetti M, Santurro A, Tartaglia R, et al. Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic. Int J Qual Health Care. 2021;33(1):mzaa085. doi:10.1093/intqhc/m…

8493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44104/psn-pdf
      July 16, 2015 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. July 16, 2015 Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.…

8494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42115/psn-pdf
      March 20, 2013 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. March 20, 2013 Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4…

8495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38014/psn-pdf
      March 02, 2011 - The frequency and significance of discrepancies in the surgical count. March 2, 2011 Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. https://psnet.ahrq.gov/issue/frequency-and-significanc…

8496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36797/psn-pdf
      August 26, 2011 - The American College of Surgeons' closed claims study: new insights for improving care. August 26, 2011 Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013. https://p…

8497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47251/psn-pdf
      July 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can …

8498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43125/psn-pdf
      December 12, 2014 - Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. December 12, 2014 Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am Geriatr Soc. 2014;62(5):896-900…

8499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73614/psn-pdf
      August 18, 2021 - Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. August 18, 2021 Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospit…

8500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47465/psn-pdf
      October 17, 2018 - Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. October 17, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4. https://psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery- units-continue-…