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psnet.ahrq.gov/issue/key-vulnerabilities-surgical-environment-container-mix-ups-and-syringe-swaps
June 10, 2018 - Newspaper/Magazine Article
Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps.
Citation Text:
Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.…
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www.ahrq.gov/news/newsroom/press-releases/nac-meeting-nov16.html
November 01, 2023 - National Advisory Council for the Agency for Healthcare Research and Quality to Hold Hybrid Meeting on November 16, 2023
Press Release Date: November 8, 2023
The National Advisory Council (NAC) for the Agency for Healthcare Research and Quality (AHRQ) will hold a hybrid meeting on November 16, 2023, from 10:45 a.…
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psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
March 27, 2018 - Government Resource
Delivering the right diet to the right patient every time.
Citation Text:
Delivering the right diet to the right patient every time. Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70.
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psnet.ahrq.gov/issue/teamstepps-core-curriculum
August 01, 2012 - Course Material/Curriculum
TeamSTEPPS Core Curriculum.
Citation Text:
TeamSTEPPS Core Curriculum. Rockville, MD: Agency for Healthcare Research and Quality; July 2023.
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psnet.ahrq.gov/issue/improving-diagnostic-accuracy-project-2016-2017
September 29, 2017 - Multi-use Website
Improving Diagnostic Accuracy Project 2016–2017.
Citation Text:
Improving Diagnostic Accuracy Project 2016–2017. Washington, DC: National Quality Forum; October 2016.
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www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-iii-uspstf-litwatch-process
April 01, 2019 - Procedure Manual Appendix III. USPSTF LitWatch Process
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The USPSTF LitWatch is a regular audit of information sources to locate newly published research and/or guidelines that…
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www.ahrq.gov/funding/grantee-profiles/grtprofile-desalvo.html
October 01, 2016 - Improving Health Outcomes
"The AHRQ award allowed me to develop the expertise I needed to serve the New Orleans community when it was most critical."
Karen B. DeSalvo, M.D., M.P.H., M.Sc., Acting Assistant Secretary for Health in the U.S. Department of Health and Human Services, is a phy…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/key-strategies.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
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Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI …
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - Newspaper/Magazine Article
Developing resilience to combat nurse burnout.
Citation Text:
Developing resilience to combat nurse burnout. Quick Safety. July 15, 2019;(50):1-4.
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psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
September 22, 2021 - Toolkit
Improving Diagnosis and Treatment of Maternal Sepsis.
Citation Text:
Improving Diagnosis and Treatment of Maternal Sepsis. Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
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psnet.ahrq.gov/issue/focus-patient-safety
January 23, 2008 - Book/Report
Focus on Patient Safety.
Citation Text:
Focus on Patient Safety. Annu Rev Nurs Res. 2006;24:1-331.
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psnet.ahrq.gov/issue/ways-avert-potential-patient-care-disasters
March 01, 2007 - Newspaper/Magazine Article
Ways to avert potential patient care disasters.
Citation Text:
Spath P. Ways to avert potential patient care disasters. Hospital peer review. 2006;31(9):128-30.
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psnet.ahrq.gov/issue/maintain-accountability-patient-safety-efforts
March 01, 2007 - Newspaper/Magazine Article
Maintain accountability in patient safety efforts.
Citation Text:
Spath P. Maintain accountability in patient safety efforts. Hospital peer review. 2005;30(9):129-32.
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psnet.ahrq.gov/issue/patient-safety-7
November 16, 2015 - Book/Report
Patient Safety.
Citation Text:
Patient Safety. Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery Office; July 3, 2009. Publication HC 151-I.
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psnet.ahrq.gov/issue/cardiovascular-drugs-linked-many-errors
June 07, 2006 - Newspaper/Magazine Article
Cardiovascular drugs: linked to many errors.
Citation Text:
Cardiovascular drugs: linked to many errors. Santell JP. Drug Topics. June 20, 2005.
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psnet.ahrq.gov/issue/insulin-pens-devices
August 31, 2016 - Special or Theme Issue
Insulin Pens Devices.
Citation Text:
Insulin Pens Devices. Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47.
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psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings
January 30, 2013 - Book/Report
Non-technical Skills and the Future of Teamwork in Healthcare Settings.
Citation Text:
Non-technical Skills and the Future of Teamwork in Healthcare Settings. Sevdalis N. London, UK: The Health Foundation; June 2013.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022586-lacson-final-report-2017.pdf
January 01, 2017 - follow-up
recommendations to ambulatory primary care physicians (PCP) on timely implementation of
recommended … documented communication of critical results between
caregivers, a deficit remained in adherence to recommended … Specific Aim 2: Evaluate the impact of the system on timely implementation of recommended
follow-up … an explicit radiologist recommendation was a significant predictor
(p<0.05) for completion of the recommended … A secondary outcome is
the rate of completion of the recommended follow-up exam.
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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.