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psnet.ahrq.gov/node/33808/psn-pdf
May 01, 2016 - ref1
https://psnet.ahrq.gov//#ref2
lead placement and change the electrodes daily.(6) In addition, proper … None of these interventions can be successful without proper staff education and
training.
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psnet.ahrq.gov/node/49850/psn-pdf
January 01, 2019 - A
well-designed order set would support selection of proper bolus dosing, correct rate of maintenance … decision support, the order set should have been designed to provide guidance as to how to select the
proper
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psnet.ahrq.gov/node/73062/psn-pdf
January 01, 2022 - Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient
parenteral anti-cancer therapy.
March 25, 2021
Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double
checks during cognitive order verification of outpatient …
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
June 02, 2025 - Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic Health Record Case Study
1
Intervention: Many older adults experience chronic pain that
requires long term opioid therapy (LTOT). The physician- owner,
who also acts as a quality improvement (QI) lead at Pearl
F…
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psnet.ahrq.gov/web-mm/result-stopped-here
December 01, 2006 - Proper handling of the result would have led to proper treatment and prevented patient harm. … The timing increased the likelihood of error, since proper handling of the laboratory result required
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psnet.ahrq.gov/node/862992/psn-pdf
February 21, 2024 - Evaluating independent double checks in the pediatric
intensive care unit: a human factors engineering
approach.
February 21, 2024
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive
care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20…
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psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - and Administration (1)
• Use of standardized pain order sets can improve opioid safety
through:
– Proper … lettering on
pharmacy-applied labels
• Dual signature verification with double-
check by 2 RNs to verify proper … availability of oxygen and naloxone
• ETCO2 use (capnography)
• Teach patient and family about the proper
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - This was the physician’s first experience using this agent, and
there had been no training on its proper … Proper use of tissue adhesives involves choosing appropriate wounds, as well as patients, for the
procedure
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psnet.ahrq.gov/node/49421/psn-pdf
October 01, 2003 - Therefore, verification of
patient identification and proper labeling of specimens, requisitions, and … Then, clinical staff can
collaborate to design fail-safe mechanisms for ensuring proper specimen identification
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psnet.ahrq.gov/node/42386/psn-pdf
December 29, 2014 - Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements.
December 29, 2014
Rydenfält C, Johansson G, Odenrick P, et al. Compliance with the WHO Surgical Safety Checklist:
deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187.
doi:10.1093/intqhc/mzt004.
ht…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/activity.html
March 01, 2017 - Training Module 1 — Skills Activity
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The How-To's of Hand Hygiene
Activity 1: Are your hands clean?
This activity is designed to show staff just how many germs are on health care workers' hands.
Ask for staff volunteers. Try to select staff…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh10.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 10. Probability variations used in the sensitivity analyses
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Ch…
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psnet.ahrq.gov/node/46920/psn-pdf
August 08, 2018 - Identification and characterization of failures in infectious
agent transmission precaution practices in hospitals: a
qualitative study.
August 8, 2018
Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in Infectious Agent
Transmission Precaution Practices in Hospitals: A Qualitati…
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psnet.ahrq.gov/node/44922/psn-pdf
March 01, 2017 - Mobilising a team for the WHO Surgical Safety Checklist:
a qualitative video study.
March 1, 2017
Korkiakangas T. Mobilising a team for the WHO Surgical Safety Checklist: a qualitative video study. BMJ
Qual Saf. 2017;26(3):177-188. doi:10.1136/bmjqs-2015-004887.
https://psnet.ahrq.gov/issue/mobilising-team-who-sur…
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psnet.ahrq.gov/node/49675/psn-pdf
February 01, 2013 - contact patients about abnormal test results
that is proportionate to the harm that might occur without proper
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integrationacademy.ahrq.gov/sites/default/files/2020-07/frank_degruy.docx
January 01, 2020 - Successfully Integrating Behavioral Health in Primary Care Settings Requires Teamwork
Frank Degruy Transcript AHRQ Academy Video
A successful integrated health care model has at least three members of the team at its core. This would be a primary care clinician, a behavioral health clinician, and a care manager or a c…
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psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - 1-3) This finding is not
surprising, as patients often lack sufficient information to help support proper … psnet.ahrq.gov//#references
Clinicians should ensure patients are adequately counseled regarding the proper … should be written and transmitted to a
pharmacy in a manner that does not allow for deviation from proper
-
psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events
September 30, 2015 - January 4, 2012
Patient safety begins with proper planning: a quantitative method to
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psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
April 05, 2017 - December 22, 2010
Medical liability and patient safety: setting the proper course.
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psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
April 22, 2015 - February 1, 2023
Patient safety begins with proper planning: a quantitative method to