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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42502/psn-pdf
    October 07, 2013 - Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. October 7, 2013 Wahr JA, Prager RL, Abernathy JH, et al. Patient Safety in the Cardiac Operating Room: Human Factors and Teamwork. Circulation. 2013;128(10):1139-1169. doi:10.1161/c…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40692/psn-pdf
    October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. October 4, 2011 Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency…

  3. 159-Which-Type-Decolonization-Work-Best (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/159-which-type-decolonization-work-best.docx
    October 01, 2024 - AHRQ Safety Program for MRSA Prevention Which Type of MRSA Decolonization Will Work Best in My Unit? Universal Versus Targeted MRSA Decolonization Universal methicillin-resistant Staphylococcus aureus (MRSA) Decolonization: · is a strategy wherein: all patients in a specific hospital unit are treated with nasal dec…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46361/psn-pdf
    May 23, 2018 - Inadequate hand-off communication. May 23, 2018 Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. https://psnet.ahrq.gov/issue/inadequate-hand-communication The Joint Commission publishes sentinel event alerts to draw attention to pressing or emerging safety issues and provide guidelines fo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37961/psn-pdf
    May 05, 2010 - Does the Leapfrog program help identify high-quality hospitals? May 5, 2010 Jha AK, Orav J, Ridgway AB, et al. Does the Leapfrog program help identify high-quality hospitals? Jt Comm J Qual Patient Saf. 2008;34(6):318-325. https://psnet.ahrq.gov/issue/does-leapfrog-program-help-identify-high-quality-hospitals The…

  6. TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-sbar-rural-clinic-guide.pdf
    June 02, 2025 - TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic TeamSTEPPS Video Debrief Guide: CUS and SBAR in Rural Community Clinic Video Objective To demonstrate how CUS is used to ensure patient safety and showcase the SBAR communication technique. TeamSTEPPS Tool or Concept CUS, SBAR. Brief V…

  7. Conclusion | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence7.html
    April 01, 2025 - Four Pillars for Sustainable Centers of Excellence Conclusion Previous Page Next Page Table of Contents Four Pillars for Sustainable Centers of Excellence Introduction Center of Excellence Operations Alignment Integration Leadership Support Windows of Opportunity Conclusion Acknowled…

  8. Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs | Agency for Healthcare Research and Quality

    www.ahrq.gov/policymakers/chipra/overview/background/next-steps2.html
    December 01, 2009 - preschool children older than 6 months of age whose primary water source is deficient in fluoride. 43 The recommendation

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49871/psn-pdf
    August 10, 2019 - Screening for prostate cancer: US Preventive Services Task Force recommendation statement.

  10. Evidence-based Practice Center Systematic Review Protocol (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/preterm-birth-terbutaline-pump_disposition-comments.pdf
    September 01, 2011 - refinement discussion, we agreed with the Key Informants that cost-effectiveness analysis may be a future recommendation … RCT is the best design and for interventions must always be a recommendation even when it may cost

  11. Disposition of Comments Report for Interventions for Feeding and Nutrition in Cerebral Palsy (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/cerebral-palsy-feeding_disposition-comments.pdf
    March 20, 2013 - Peer reviewer#7 General Recommendation: The term allied health professionals is outdated. … My recommendation is to indicate the systematic review process but in less detail.

  12. In Conversation with...Geri Amori, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
    December 01, 2010 - I follow [health care reporter] Larry Tye's recommendation: know who your local media are and let them … Spear, DBA, MS, MS August 1, 2009 Council recommendation on patient safety

  13. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
    July 01, 2018 - AT9 does not offer any formal recommendation for VTE risk assessment, although it states a preference … The AT9 guidelines have a low-level (2C) recommendation against it, preferring that mechanical prophylaxis

  14. Final Progress Report: Assessing Barriers to ADA Guideline Adherence (pdf file)

    www.ahrq.gov/sites/default/files/2024-03/kaminski-report.pdf
    January 01, 2024 - other process and outcome variable: HbA1c values per patient, percentage of patients meeting ADA recommendation … performance on process measures (testing HbA1c, LDL, and urine microalbumin levels at the ADA minimum recommendation

  15. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
    July 01, 2018 - AT9 does not offer any formal recommendation for VTE risk assessment, although it states a preference … The AT9 guidelines have a low-level (2C) recommendation against it, preferring that mechanical prophylaxis

  16. Having a breast biopsy. A review of the research for women and thier families (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/breast-biopsy-update_consumer.pdf
    May 01, 2016 - Having a breast biopsy. A review of the research for women and thier families Having a Breast Biopsy A Review of the Research for Women and Their Families e Is This Information Right For Me? This information is right for you if: � You are a woman. The information in this summary is from research on women. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49822/psn-pdf
    March 01, 2018 - To date, the only universal recommendation for IVC filters is for acute treatment of proximal DVT and

  18. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - Medication Waste Workflow A common recommendation to help reduce the risk of medication errors is to

  19. Diagnostic Safety Resource List (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - aspx (both pages require free account setup and login) The SBAR (Situation-Background-Assessment-Recommendation

  20. Appendix F. Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/reports/engage/appf.html
    March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix F. Interventions Previous Page   Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introduction Limitations of …
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