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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
April 02, 2025 - CUSP
Care and Removal
Removal of unnecessary indwelling catheters based on HICPAC recommendations
Proper
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psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Take-Home points Home medications brought into the hospital for use require vigilance to ensure proper
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2a_pdi_ratesgenbysas.pdf
March 01, 2016 - PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool B.2a i
PDI RATES GENERATED BY THE AHRQ SAS PROGRAMS
Guidance for Using the SAS Programs and an Example of
Output for One Hospital
What is the purpose of this to…
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cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - Under idealized conditions, preliminary CQL
code may be generated quickly, but this does not include proper … Proper testing in a clinical setting is imperative to understand the utility of
developed CQL and should … time (and, thus, the driver of the project timeline) was the
identification and build process for proper
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Newspaper/Magazine Article
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety.
Citation Text:
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event-surveillance
September 11, 2019 - Newspaper/Magazine Article
Partnering with families and patient advocates: another line of defense in adverse event surveillance.
Citation Text:
Partnering with families and patient advocates: another line of defense in adverse event surveillance. ISMP Medication Safety Alert! Acute Care…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - There were no independent checks and no proper sign outs between the different providers about the patient … areas (ICU and OR) along with multiple care teams required clear communication, yet it was unclear if proper … In the first month, you learn that only 15 out of 30 patients had the proper body temperature.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-wound-cleaning.pdf
March 01, 2022 - Addressing Questions Asked by Staff: Wound Cleaning
Decolonization of
Non-ICU Patients With Devices
Section 14-5 – Addressing Questions Asked by Staff:
Wound Cleaning
There are some new nurses and nursing assistants on our unit. How can I ease
any concerns related to wound cleaning?
Some nurses and n…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/149-cusp-tip-sheet-assembling-team.docx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
CUSP Tip Sheet:
Assembling the CUSP Team
ICU & Non-ICU
Purpose
Teamwork and interprofessional collaboration are important to high-quality patient care. A culture of teamwork and learning from mistakes helps improve patient safety. The Comprehensive Unit-based Safety Program (CUS…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/044-vap-prevention-essential.docx
October 01, 2024 - Ventilator-Associated Pneumonia (VAP) Prevention Essential Practices1
Avoid intubation if possible.2-3
Consider alternative strategies, such as, high flow O2 or noninvasive positive pressure ventilation.
Consider each patient’s clinical scenario to determine the most appropriate strategy.
Minimize sedation.2-5
Determ…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Implement and continually monitor and educate staff on the importance and proper
techniques of … physician, or other health care professional who has received appropriate education to
ensure that the proper
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-5.html
October 01, 2013 - Measure 6: Clinician confidence in ability to instruct patient/family in proper use of local agency referral
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www.ahrq.gov/prevention/resources/chronic-care/ccrm-atlas-suppl/ccrm-atlas3-2.html
October 01, 2013 - Measure 6: Clinician confidence in ability to instruct patient/family in proper use of local agency referral
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - adverse events
include prolonged length of stay, subsequent surgeries and incisional herniation.2,3
• Proper
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guideapa.pdf
January 01, 2009 - My unit follows proper insertion guidelines (such
as the CDC HICPAC guidelines1).
1 Centers for Disease
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digital.ahrq.gov/ahrq-funded-projects/creating-foundation-design-culturally-informed-health-it/annual-summary/2011
January 01, 2011 - Creating a foundation for the design of culturally-informed health IT - 2011
Project Name
Creating a Foundation for the Design of Culturally-Informed Health Information Technology
Principal Investigator
Valdez, Rupa Sheth
Organization
University of Wisconsin - Madison
…
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cds.ahrq.gov/sites/default/files/cds/artifact/76/CMSs%20Million%20Hearts%20Model%20Longitudinal%20ASCVD%20Risk%20Assessment%20Tool%20for%20Shared%20Decision%20Making.pdf
April 01, 2021 - Under idealized conditions, preliminary CQL
code may be generated quickly, but this does not include proper … Proper testing in a clinical setting is imperative to understand the utility of
developed CQL, and its … time (and, thus, the driver of the project
timeline) was the identification and build process for proper
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psnet.ahrq.gov/issue/safety-enhancements-every-hospital-must-consider-wake-another-tragic-neuromuscular-blocker
June 19, 2019 - Newspaper/Magazine Article
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.
Citation Text:
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. ISMP Medication Safety Alert! Acute Ca…
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www.ahrq.gov/news/newsroom/case-studies/202202.html
February 01, 2022 - Henry Ford Hospital's Hematology-Oncology Unit Uses AHRQ Safety Program to Lower Bloodstream Infections
Search All Impact Case Studies
February 2022
Using AHRQ's Comprehensive Unit-based Safety Program ( CUSP ), Henry Ford Hospital in Detroit has reduced the incidence of central line-associated bloodstream …
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psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
March 01, 2015 - Had there been a proper handoff, the prehospital ECG would have been seen by ED providers at the time