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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/iodophor-administration.pdf
March 01, 2022 - Staff Huddle Reminder: Importance of Iodophor Administration
Decolonization of
Non-ICU Patients With Devices
Section 13-5 – Staff Huddle Reminder:
Importance of Iodophor Administration
Staphylococcus aureus lives in the nose and can spread to other areas of the body to
cause infection
Iodophor sw…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-mupirocin.docx
March 01, 2022 - Nasal Mupirocin
MRSA Carriers With Devices: Prevent Infections During the Hospital Stay STAFFSection 10-4
How To Apply Nasal Mupirocin
AHRQ Pub. No. 20(22)-0036
March 2022
Apply nasal mupirocin ointment twice daily for 5 days to all adult non-ICU patients with medical devices (e.g., central lines, midline c…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-wound-cleaning.docx
March 01, 2022 - Wound Cleaning With CHG
Decolonization of
Non-ICU Patients With Devices
Section 13-3 – Staff Huddle Reminder:
Wound Cleaning With Chlorhexidine
· Do not forget to clean wounds! Cleaning wounds prevents surface bacteria from entering the body and causing infection.
· Clean ALL wounds unless deep or packed. Be sure to…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
July 01, 2023 - About the Toolkit Development
Toolkit for Improving Perinatal Safety
Background
Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology6.html
April 01, 2025 - Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Clarification in Using Different Paradigms and Terms for Improvement Efforts
Previous Page Next Page
Table of Contents
Exploration of Foundational Terminology and Paradigms for Improving Diagnosis
Introduction
Perspect…
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psnet.ahrq.gov/node/853057/psn-pdf
August 30, 2023 - Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis is associated with
increased VTE events in high-risk general surgery
patients.
August 30, 2023
Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous
thromboembolism chemoprophylaxis…
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psnet.ahrq.gov/node/60277/psn-pdf
January 01, 2021 - Evidence that nurses need to participate in diagnosis:
lessons from malpractice claims.
April 29, 2020
Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons
from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621.
https://psnet.…
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psnet.ahrq.gov/node/42832/psn-pdf
September 01, 2016 - Overrides of medication-related clinical decision support
alerts in outpatients.
September 1, 2016
Nanji KC, Slight SP, Seger DL, et al. Overrides of medication-related clinical decision support alerts in
outpatients. J Am Med Inform Assoc. 2014;21(3):487-91. doi:10.1136/amiajnl-2013-001813.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety
June 27, 2018 - Newspaper/Magazine Article
Library-hospital pairing empowers patients, improves safety.
Save
Save to your library
Print
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March 7, 2016
This article describes the P…
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psnet.ahrq.gov/node/848359/psn-pdf
May 03, 2023 - Medical line entanglement: the unspoken patient safety
hazard of medical devices.
May 3, 2023
Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of
medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000.
https://psnet.ahrq.gov/issue/medical-line-enta…
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psnet.ahrq.gov/node/60047/psn-pdf
March 18, 2020 - A systematic review exploring the content and outcomes
of interventions to improve psychological safety,
speaking up and voice behaviour.
March 18, 2020
O’Donovan R, McAuliffe E. A systematic review exploring the content and outcomes of interventions to
improve psychological safety, speaking up and voice behaviour…
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psnet.ahrq.gov/node/44767/psn-pdf
January 20, 2016 - "What's psychology got to do with it?" Applying
psychological theory to understanding failures in modern
healthcare settings.
January 20, 2016
Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding
failures in modern healthcare settings. J Med Ethics. 2015;41(11):880-…
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psnet.ahrq.gov/node/38543/psn-pdf
April 27, 2010 - Do patient safety events increase readmissions?
April 27, 2010
Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care.
2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da.
https://psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions
Preventable medical error…
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psnet.ahrq.gov/node/41686/psn-pdf
September 19, 2012 - The association between sepsis and potential medical
injury among hospitalized patients.
September 19, 2012
Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among
hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556.
https://psnet.ahrq.gov/issue/as…
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psnet.ahrq.gov/node/39753/psn-pdf
September 28, 2016 - Nursing care quality and adverse events in US hospitals.
September 28, 2016
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs.
2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
https://psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospit…
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psnet.ahrq.gov/node/38758/psn-pdf
July 08, 2009 - An international review of patient safety measures in
radiotherapy practice.
July 8, 2009
Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy
practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007.
https://psnet.ahrq.gov/issue/international…
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psnet.ahrq.gov/node/34818/psn-pdf
April 22, 2011 - The Canadian Adverse Events Study: the incidence of
adverse events among hospital patients in Canada.
April 22, 2011
Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events
among hospital patients in Canada. CMAJ. 2004;170(11):1678-86.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/node/852749/psn-pdf
January 01, 2024 - A multi-facetted patient safety resource--a qualitative
interview study on hospital managers' perception of the
nurse-led Rapid Response Team.
August 23, 2023
Axelsen MS, Baumgarten M, Egholm CL, et al. A multi?facetted patient safety resource—a qualitative
interview study on hospital managers' perception of the n…
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psnet.ahrq.gov/node/44098/psn-pdf
April 29, 2015 - Evaluation of the suitability of root cause analysis
frameworks for the investigation of community-acquired
pressure ulcers: a systematic review and documentary
analysis.
April 29, 2015
McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the
investigation of community-acquire…
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psnet.ahrq.gov/node/38722/psn-pdf
June 24, 2009 - Why do people sue doctors? A study of patients and
relatives taking legal action.
June 24, 2009
Vincent C, Young M, Phillips A. Why do people sue doctors? A study of patients and relatives taking legal
action. Lancet. 1994;343(8913):1609-1613.
https://psnet.ahrq.gov/issue/why-do-people-sue-doctors-study-patients-a…