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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/096-ss-glycemic-control-one-pager.docx
    April 01, 2025 - Glycemic Control Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Why is glycemic control important?1,2 Surgical patients, even without diabetes, are at risk for hyperglycemia Hyperglycemia is associated with increased risk for surgical site infections (SSIs), mortality, and h…
  2. psnet.ahrq.gov/issue/six-ways-lower-errors-and-unnecessary-surgeries-radiology-exams
    February 10, 2021 - Newspaper/Magazine Article Six ways to lower errors—and unnecessary surgeries—in radiology exams. Citation Text: Six ways to lower errors—and unnecessary surgeries—in radiology exams. Panner M. Forbes. August 12, 2019. Copy Citation Save Save to your library …
  3. psnet.ahrq.gov/issue/interdisciplinary-approach-safer-blood-transfusion
    June 01, 2016 - Newspaper/Magazine Article An interdisciplinary approach to safer blood transfusion. Citation Text: An interdisciplinary approach to safer blood transfusion. LaRocco M, Brient K. Patient Saf Qual Healthc. March April 2008. Copy Citation Save Save to your libra…
  4. psnet.ahrq.gov/issue/2019-ama-prior-authorization-pa-physician-survey
    October 18, 2023 - Book/Report AMA Prior Authorization (PA) Physician Survey. Citation Text: AMA Prior Authorization (PA) Physician Survey. Chicago, IL: American Medical Association; March 2023.  Copy Citation Save Save to your library Print Download PDF Sha…
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-p.xls
    June 02, 2025 - Sheet1 AHRQ Safety Program for Reducing CAUTI in Hospitals Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix P. Interpreting CAUTI Data Trends Use these tables to evaluate your data submission rates and outcome data results by comparing your rates to …
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/structuralasst-tool.docx
    January 01, 2017 - Tool: Structural Assessment Date _____________ Hospital ________________________Unit________________________ This assessment is typically performed every 6 months. Please answer the following questions regarding your intensive care unit (ICU). 1. For patients who are intubated/have a tracheostomy, how often do you…
  7. psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
    March 14, 2023 - Newspaper/Magazine Article Pump up the volume—tips for increasing error reporting. Citation Text: Pump up the volume—tips for increasing error reporting. ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4. Copy Citation Save Save to your l…
  8. psnet.ahrq.gov/issue/medwatch
    April 08, 2020 - Multi-use Website MedWatch: The FDA Safety Information and Adverse Event Reporting Program. Citation Text: MedWatch: The FDA Safety Information and Adverse Event Reporting Program. US Food and Drug Administration Copy Citation Save Save to your library Print…
  9. psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
    November 13, 2018 - Newspaper/Magazine Article Promethazine conundrum: IV can hurt more than IM injection! Citation Text: Promethazine conundrum: IV can hurt more than IM injection! ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3. Copy Citation Save Save to …
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool8_cop_handout.docx
    November 01, 2015 - Tool 8: Conditions of Participation Handout Tool 8: Conditions of Participation Handout Purpose In November 2015, the Centers for Medicare & Medicaid Services (CMS) issued a proposed revision to the Conditions of Participation (COPs). CMS specified new and unique elements that are particularly germane to reducing M…
  11. psnet.ahrq.gov/issue/international-comparisons-focus-quality-care
    December 04, 2019 - Book/Report International Comparisons: A Focus on Quality of Care. Citation Text: International Comparisons: A Focus on Quality of Care. Ottawa, ON: Canadian Institute for Health Information; January 23, 2014. Copy Citation Save Save to your library Pr…
  12. psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help
    July 20, 2016 - Newspaper/Magazine Article Why doctors still offer treatments that may not help. Citation Text: Why doctors still offer treatments that may not help. Frakt A. New York Times. August 26, 2019. Copy Citation Save Save to your library Print Download PDF …
  13. www.ahrq.gov/news/newsroom/case-studies/201521.html
    July 01, 2015 - North Shore-LIJ Health System Implements TeamSTEPPS® to Improve Patient Safety Search All Impact Case Studies July 2015 New York's largest health care system, North Shore-LIJ Health System, has used AHRQ's TeamSTEPPS® patient safety training program, along with the Agency's Hospital Survey on Patient Saf…
  14. www.ahrq.gov/research/findings/nhqrdr/chartbooks/careaffordability/measures.html
    June 01, 2018 - Chartbook on Care Affordability Care Affordability Trends and Measures Previous Page Next Page Table of Contents Chartbook on Care Affordability Acknowledgments Care Affordability Care Affordability Trends and Measures Measures of Access Problems Due to Health Care Costs Measures of Inef…
  15. psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
    August 06, 2014 - Newspaper/Magazine Article Johns Hopkins receives $10 million to open patient safety institute. Citation Text: Johns Hopkins receives $10 million to open patient safety institute. Cohn M. Baltimore Sun. May 27, 2011:A1.  Copy Citation Save Save to your …
  16. psnet.ahrq.gov/issue/addressing-global-shortages-medicines-and-safety-and-accessibility-childrens-medication
    July 14, 2021 - Book/Report Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. Citation Text: Addressing the Global Shortages of Medicines, and the Safety and Accessibility of Children's Medication. Geneva, Switzerland: World Health Organization; 201…
  17. psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
    August 24, 2016 - Newspaper/Magazine Article Patient alarms often unheard, unheeded. Citation Text: Patient alarms often unheard, unheeded. Kowalczyk L. Boston Globe. February 13–14, 2011. Copy Citation Save Save to your library Print Download PDF Share …
  18. psnet.ahrq.gov/issue/using-workforce-practices-drive-quality-improvement-guide-hospitals
    March 22, 2017 - Book/Report Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals. Citation Text: Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals. McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Tr…
  19. psnet.ahrq.gov/issue/leadership-guide-patient-safety-resources-and-tools-establishing-and-maintaining-patient
    November 18, 2011 - Book/Report Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Citation Text: Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. Botwinick L, Bisognano M, Haraden C. Cambr…
  20. www.ahrq.gov/news/newsroom/case-studies/201501.html
    March 01, 2015 - AHRQ’s RED Toolkit Inspires Improved Patient Discharge at Nacogdoches Memorial Hospital Search All Impact Case Studies March 2015 Nacogdoches Memorial Hospital, a 216-bed Level III trauma center in Nacogdoches, Texas, saw 30-day all-cause readmissions drop from 18.6 percent to 16.6 percent in the six-month …