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psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill
June 10, 2018 - Newspaper/Magazine Article
Understanding and managing IV container overfill.
Citation Text:
Understanding and managing IV container overfill. ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips94.html
October 01, 2014 - Michigan Providers Improve Medication Reconciliation Process With AHRQ Toolkit
Search All Impact Case Studies
April 2012
After participating in AHRQ-sponsored learning sessions and provider support calls, MPRO, the Michigan Quality Improvement Organization (QIO), worked with providers in the State to improv…
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - Multi-use Website
National Patient Safety Board Advocacy Coalition.
Citation Text:
National Patient Safety Board Advocacy Coalition. EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
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psnet.ahrq.gov/issue/best-practices-safe-medication-administration-during-anesthesia-care
July 05, 2016 - Award Announcement
Best Practices for Safe Medication Administration During Anesthesia Care.
Citation Text:
Best Practices for Safe Medication Administration During Anesthesia Care. APSF Committee on Technology. Anesthesia Patient Safety Foundation.
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psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
May 07, 2018 - Newspaper/Magazine Article
Heed this warning! Don't miss important computer alerts.
Citation Text:
Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
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psnet.ahrq.gov/issue/patient-centered-care-what-does-it-take
March 16, 2016 - Book/Report
Patient-Centered Care: What Does It Take?
Citation Text:
Patient-Centered Care: What Does It Take? Shaller D. The Commonwealth Fund. October 2007.
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psnet.ahrq.gov/issue/preventing-infection-misuse-vials
September 11, 2023 - Sentinel Event Alerts
Preventing infection from the misuse of vials.
Citation Text:
Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6.
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psnet.ahrq.gov/issue/getting-beyond-blame-your-practice
March 17, 2021 - Newspaper/Magazine Article
Getting beyond blame in your practice.
Citation Text:
Pawar M. Getting beyond blame in your practice. Family Practice Management. 2007;14(5):30-34.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh25.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 25. Number of procedures per data site and year
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh26.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 26. Number of SSIs per procedure and data site
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh27.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 27. Summary of missing data
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Adminis…
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh15.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 15. Accuracy of adjudicated algorithm at each participating hospital
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh14.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 14. Schematic showing the sampling process for chart review and the assignment of true and false positives and negatives
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psnet.ahrq.gov/issue/apsf-20-year-anniversary-first-patient-safety-organization-past-present-future
October 26, 2022 - Newspaper/Magazine Article
The APSF: 20-year anniversary of the first patient safety organization: past, present & future.
Citation Text:
The APSF: 20-year anniversary of the first patient safety organization: past, present & future. Cooper JB. APSF Newsletter. 2007;22(1):1,3.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study-key.html
March 01, 2017 - Antibiotic Stewardship: Case Study Facilitator Key
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Instructions:
Divide into small groups of two to three people.
Ask each group to work through each part of the case scenario, pausing for discussion before moving to the next section.
Us…
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psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
November 14, 2012 - Newspaper/Magazine Article
At surgery clinic, rush to save Joan Rivers's life.
Citation Text:
At surgery clinic, rush to save Joan Rivers's life. Hartocollis A, Goodman JD. New York Times. September 9, 2014.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh19.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibit 19. HCUP estimates of the total number of target procedures
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Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Execut…
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psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
September 20, 2006 - Book/Report
Hospital Reporting of Deaths Related to Restraint and Seclusion.
Citation Text:
Hospital Reporting of Deaths Related to Restraint and Seclusion. Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350
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cds.ahrq.gov/sites/default/files/cds/artifact/396/cap_3_DecidExecut.html
January 01, 1970 - recommendation; Reason: Logic: Conditional: Direct admission to an ICU or high-level monitoring unit is recommended … Cost: Recommendation Recommended diagnostic tests for etiology.
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cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax_Post_Exposure_Prophylaxis_CDS_Validation_Report.pdf
October 17, 2018 - Logic encoded into the CDS determines the patient-
specific recommended treatment and can also provide … Either there is an indication that the recommended dosing
sequence was not followed (i.e., there is … OrderSet PlanDefinition
(STU3)
The order set containing the recommended treatment for
Anthrax PEP … It references the ActionList and the
ContainedResourcesList, which contain the recommended
treatments … If treatment is not recommended, then
this resource will be empty.