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psnet.ahrq.gov/node/47745/psn-pdf
March 06, 2019 - "I am administering medication—please do not interrupt
me": red tabards preventing interruptions as perceived by
surgical patients.
March 6, 2019
Palese A, Ferro M, Pascolo M, et al. "I Am Administering Medication-Please Do Not Interrupt Me": Red
Tabards Preventing Interruptions as Perceived by Surgical Patients. …
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psnet.ahrq.gov/node/866859/psn-pdf
October 02, 2024 - Severe hypertension in pregnancy: progress made and
future directions for patient safety, quality improvement,
and implementation of a patient safety bundle.
October 2, 2024
Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directions
for patient safety, quality improv…
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psnet.ahrq.gov/node/48079/psn-pdf
June 12, 2019 - Evaluating the implementation and impact of a pharmacy
technician-supported medicines administration service
designed to reduce omitted doses in hospitals: a
qualitative study.
June 12, 2019
Seston EM, Ashcroft DM, Lamerton E, et al. Evaluating the implementation and impact of a pharmacy
technician-supported medi…
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psnet.ahrq.gov/node/855088/psn-pdf
January 01, 2024 - Impact of hospital-acquired pneumonia on the Medicare
program.
November 8, 2023
Baker DL, Giuliano KK, Desmarais M, et al. Impact of hospital-acquired pneumonia on the Medicare
program. Infect Control Hosp Epidemiol. 2024;45(3):316-321. doi:10.1017/ice.2023.221.
https://psnet.ahrq.gov/issue/impact-hospital-acquire…
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psnet.ahrq.gov/node/866684/psn-pdf
September 11, 2024 - Components of pharmacist-led medication reviews and
their relationship to outcomes: a systematic review and
narrative synthesis.
September 11, 2024
Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their
relationship to outcomes: a systematic review and narrative synthesis.…
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www.ahrq.gov/hai/tools/mvp/about.html
March 01, 2017 - About the Toolkit Development
The toolkit was developed as part of a 3-year project to help staff in intensive care units use Comprehensive Unit-based Safety Program (CUSP) principles to reduce complications from mechanical ventilation, including ventilator-associated pneumonia. It was developed through a partn…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/120-key-strategies-target-mrsa-ssi.pdf
April 01, 2025 - Four Key Strategies To Prevent MRSA & SSI
Four Key Strategies To Prevent MRSA & SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI | Surgical Services AHRQ Pub. No. 25-0029
April 2025
• Evidence-based infection prevention best
practices should be followed to prevent SSIs.
• Includes best practices …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/mupirocin-administration.docx
March 01, 2022 - Importance of Mupirocin Administration
Decolonization of
Non-ICU Patients With Devices
Section 13-4 – Staff Huddle Reminder:
Importance of Mupirocin Administration
· Staphylococcus aureus (S. aureus) lives in the nose and can spread to other areas of the body to cause infection
· The results of a large clinical …
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digital.ahrq.gov/care-setting/ambulance
January 01, 2023 - Ambulance
Digital EMS Point-of-Care Innovation to Improve Rural STEMI Outcomes
Description
This research will develop, implement, refine, and evaluate an app to support clinical decisions for ST-Elevation Myocardial Infarction care in rural areas by emergency medical services …
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psnet.ahrq.gov/node/33856/psn-pdf
April 01, 2018 - Patient Safety During Hospital Discharge
April 1, 2018
Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
Perspective
Patients are admitted to the hospital in the United States 35 million times per year.(1)…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
SAY:
In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…
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www.uspreventiveservicestaskforce.org/Home/GetFileByToken/-BbKrbuLt9RAPvf3BQrUMW
Prostate Cancer Screening Recommendation Frequently Asked Questions
1
Prostate Cancer Screening Recommendation
Frequently Asked Questions
Table of Contents
About the
2018 recommendation ...............1
How to interpret
the recommendation ..................2
The benefits and
harm…
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Auditing Your Briefings and Debriefings Process: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program for Surgery—Implementation
Auditing Your Briefings and Debriefings Process
Slide 2: Learning Objectives
Recap the briefings and debriefings process.
Adapt a briefing a…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
January 01, 2015 - incidents in primary care: a qualitative study
No Yes Moderate Evidence of contributing factors to reduced … potentially
inappropriate prescriptions and screening tool to alert
doctors to the right treatment reduced
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/mTPBWPMDqfuWvodfd5R5Ms
November 01, 2012 - negative
Low risk
High risk
Improved CD4 cell
counts and viremia
and decreased
risky behaviors
Reduced … premature
death and
disability for
women and
children and
reduced
mother-to-child
transmission … antiretroviral therapy evaluated
in randomized trials were not as effective as full-course
regimens, but they reduced
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psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-science-and-future-directions
August 16, 2023 - Book/Report
Pediatric Diagnostic Safety: State of the Science and Future Directions.
Citation Text:
Pediatric Diagnostic Safety: State of the Science and Future Directions. Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 20…
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psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer
April 12, 2014 - Commentary
How can we make diagnosis safer?
Citation Text:
Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138. doi:10.1097/ACM.0b013e31823f711c.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/identifying-causes-adverse-events-detected-automated-trigger-tool-through-depth-analysis
October 05, 2011 - Study
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Citation Text:
Muething SE, Conway PH, Kloppenborg E, et al. Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. Qual Saf Health…
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psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
April 28, 2010 - Study
An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history.
Citation Text:
Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…
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psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
March 31, 2021 - Commentary
Bending the patient safety curve: how much can AI help?
Citation Text:
Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5.
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Format:
DOI Google Schola…