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psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work
February 04, 2009 - Study
Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems.
Citation Text:
Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…
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psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context
November 24, 2021 - Study
Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.
Citation Text:
Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …
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psnet.ahrq.gov/issue/economic-evaluations-interventions-prevent-and-control-health-care-associated-infections
May 18, 2022 - Review
Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic review.
Citation Text:
Rice S, Carr K, Sobiesuo P, et al. Economic evaluations of interventions to prevent and control health-care-associated infections: a systematic revie…
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psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
December 09, 2020 - Study
Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.
Citation Text:
Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…
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psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system
January 19, 2022 - Study
Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system.
Citation Text:
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…
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psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review
April 20, 2022 - Study
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery.
Citation Text:
Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…
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psnet.ahrq.gov/issue/intravenous-smart-pump-drug-library-compliance-descriptive-study-44-hospitals
July 31, 2019 - Study
Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals.
Citation Text:
Giuliano KK, Su W-T, Degnan DD, et al. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018;14(4):e76-e82. doi:10.1097/PTS.0000000…
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psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
July 03, 2014 - Study
Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.
Citation Text:
Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…
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www.ahrq.gov/research/findings/final-reports/stpra/stpra1.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Chapter 1. Introduction
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Introduction
Chapter 2. ST-PRA De…
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-o.html
October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Appendix O. CAUTI Event Report Template
Previous Page Next Page
Table of Contents
Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide
Over…
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psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian
March 18, 2020 - Study
COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study.
Citation Text:
Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian ob…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - Management Practices for Sustainability - Module 1: Overview
Slide 1: Management Practices for Sustainability Module 1: Overview
Slide 2: Ensuring Safety in Ambulatory Surgery
Surgery volume in ambulatory surgery centers (ASCs) has increased rapidly 1
The complexity of procedures continues to increa…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
Low tidal volume ventilation (LTVV) is one of the interventions specifically designed to prevent ventilator-associated conditions (VAC).
For patients without acute respiratory distress syndrome (ARDS), target the recommended tidal volume of 6–8 mL/kg …
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-p.html
May 01, 2017 - Appendix P. Evaluating and Selecting Hand Hygiene Products - Implementation Guide
Slide 1: Appendix P. Evaluating and Selecting Hand Hygiene Products
Timothy Landers, Ph.D., R.N., CNP, CIC
Assistant Professor, The Ohio State University College of Nursing
Slide 2: Disclosures
Dr. Landers receives sala…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/indwelling-urinary-catheteruse/catheter-care/catheter-care-quiz-key.docx
March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Catheter Care and Maintenance Quiz Key
1. During catheter care, gloves only need to be worn if you are emptying the urine drainage bag.
☐ True ☒ False
ANSWER: False. Gloves should always be worn when handling an indwelling urinary catheter, accessing the drainage syst…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/quiz-key.html
March 01, 2017 - Catheter Care and Maintenance Quiz Key
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
1. During catheter care, gloves only need to be worn if you are emptying the urine drainage bag.
☐ True ☒ False
ANSWER: False. Gloves should always be worn when handling an indwelling urinary ca…
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psnet.ahrq.gov/issue/risk-factors-wrong-site-surgery-study-1166-reports-informed-consent-and-schedule-errors
January 20, 2021 - Study
Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors.
Citation Text:
Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.…
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psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
May 20, 2020 - Study
Emerging Classic
Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.
Citation Text:
Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…
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digital.ahrq.gov/technology/data-warehouse
January 01, 2023 - Data Warehouse
Registry-Assisted Dissemination of Mobile Pain Management for Youth With Arthritis - Final Report
Citation
Connelly, M. Registry-Assisted Dissemination of Mobile Pain Management for Youth With Arthritis - Final Report. (Prepared by the Children's Mercy Kansas Ci…
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integrationacademy.ahrq.gov/news-and-events/news/deaths-excessive-alcohol-use-increase-significantly-ahrq-initiative-can-help
March 13, 2024 - An official website of the Department of Health & Human Services
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