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psnet.ahrq.gov/issue/untenable-expectations-nurses-work-context-medication-administration-error-and-organization
September 21, 2022 - Study
Untenable expectations: nurses' work in the context of medication administration, error, and the organization.
Citation Text:
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration, error, and the organization. Glob Qual Nurs Res. 202…
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effectivehealthcare.ahrq.gov/sites/default/files/cognitive-decline-disposition-170707pdf.pdf
March 24, 2017 - This review
focused on interventions to preventive cognitive
decline and dementias, not treatments … intent of the review is "to make
recommendations that inform public health strategies
and messaging on preventive
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cognitive-decline-disposition-170707pdf.pdf
March 24, 2017 - This review
focused on interventions to preventive cognitive
decline and dementias, not treatments … intent of the review is "to make
recommendations that inform public health strategies
and messaging on preventive
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psnet.ahrq.gov/web-mm/no-bp-during-nibp
March 01, 2011 - No BP During NIBP
Citation Text:
Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-slides.html
December 01, 2017 - Infectious Complications Related to the Catheter Other Than CAUTI
Slide Presentation
Slide 1
Infectious Complications Related to the Catheter Other than CAUTI
Mohamad Fakih, MD, MPH
Medical Director, Infection Prevention and Control
St. John Hospital and Medical Center
Professor of Medicine
Wayne St…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established by Senate Report 115-150. The Senate Committee on
Appropriations requ…
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psnet.ahrq.gov/node/60952/psn-pdf
September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac
Arrest
September 30, 2020
Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
Disclosure of Relevant Financial Relationships: As a pr…
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psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - January 22, 2025 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Haste Makes Care Unsafe
Citation Text:
Eichhorn JH. Haste Makes Care Unsafe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt2.pdf
July 01, 2015 - Quality and Disparities Report
Treatment for Depression: Adults
Importance: The United States Preventive … ■ The United States Preventive Services Task Force (USPSTF) recommends screening of
adolescents ages
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Misconnection Leading to Arterial Thrombosis
Citation Text:
Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:
Google Scholar Bib…
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psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - Getting to the Root of the Matter
June 1, 2005
Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/getting-root-matter
Case Objectives
Appreciate the goals and limitations of root cause analysis
Outline the steps to conduct root cause analysis
The Case
A…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture
SOPS Hospital Survey Version 2.0 Resource List
1
Improving Patient Safety in Hospitals: A Resource List
for Users of the AHRQ Hospital Survey on Patient
I. Purpose
This document provid…
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effectivehealthcare.ahrq.gov/sites/default/files/vte-protocol-8-4-10.pdf
February 01, 2008 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: August 06, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Venous
Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery
I. Background and Objectives for the …
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/blood-clots-hip-knee-surgery_research-protocol.pdf
February 01, 2008 - Evidence Report on the
Source: www.effectivehealthcare.ahrq.gov
Published Online: August 06, 2010
Evidence-based Practice Center Systematic Review Protocol
Project Title: Comparative Effectiveness of Venous
Thromboembolism (VTE) Prophylaxis in Orthopedic Surgery
I. Background and Objectives for the …
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psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - He reported also taking
sertraline for a history of depression, low-dose aspirin and vitamins for preventive
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www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.pdf
March 01, 2017 - Clinical Quality Improvements in coordinated diabetes care metrics, no change in preventive
screening
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cds.ahrq.gov/sites/default/files/cds/artifact/1146/Warfarin-Antidepressants%20MDIA%20Implementation%20Guide.docx
August 29, 2020 - Preventive Services Task Force
Reference List
[1] Osheroff J, Teich J, Middleton B, et al.
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www.ahrq.gov/data/apcd/backgroundrpt/review.html
July 01, 2022 - there is great interest in using such data to spot variation (e.g., in utilization, spending, rates of preventive
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/dot-plots-methods.pdf
October 01, 2021 - Prevention of Cardiovascular Disease in
Adults: Evidence Report and Systematic
Review for the US Preventive