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9821. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pptx
      January 01, 2014 - Outcomes: Reduced risk factors, including body mass index, percentage of children with waist circumference … Outcomes: Significantly reduced asthma-related emergency department visits, hospitalizations, missed

9822. Southern Illinois Practice Research Organization | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/communities/pbrn/registry/southern-illinois-practice-research-organization.html
      January 01, 2012 - Southern Illinois Practice Research Organization Status: Inactive Registered Date: January 1, 2012 PBRN Acronym: SIPRO PBRN Type: Mixed Network (a combination of family medicine, internal medicine, pediatrics, nursing and/or other specialties) Other PBRN Type Other: Non-a…

9823. Event Investigation and Analysis Guide: Appendix H | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix H Hierarchy of Solutions Do solutions meet the following criteria: Address the root cause/contributing factor. Are specific and concrete. Can be understood and implemented by a reader unfamiliar with the situation. Will be tested or simulated prior to…

9824. Tips for Implementing Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/tips.html
      March 01, 2017 - Tips for Implementing Interventions These tips are to help educators prepare for a live training session and facilitate an interactive experience. Reinforce that the session focuses on ways the team can work together to improve resident safety and reduce catheter-associated urinary tract infections (CAUTIs)…

9825. Conclusion | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-older-adults4.html
      September 01, 2024 - State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Conclusion Previous Page Next Page Table of Contents State of the Science and Future Directions To Improve Diagnostic Safety in Older Adults Introduction Unique Challenges in Approaching Diagnostic Safety in …

9826. 77. For the Patient Who Has Recently Quit (Continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide77.html
      October 01, 2014 - 77. For the Patient Who Has Recently Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Addressing problems encountered by former smokers (Continued) Weight gain Recommend starting or increasing physical activity. Reassure the patient that…

9827. NICU Toolkit, Appendix A, Gastrostomy Tube (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_gtube.pdf
      June 02, 2025 - NICU Toolkit, Appendix A, Gastrostomy Tube Gastrostomy Tube (G Tube or Button) Giving medicines and feeding if your baby has a gastrostomy tube: ■ Clear the G tube or button as your health care provider showed you. ■ Check for placement of the G tube or button. ■ Slowly push in liquid medicine or feeding with…

9828. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxchecklists-1.html
      September 01, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Previous Page Next Page Table of Contents Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction Introduction Rationale for Use Content-Specific Versus Process-Focused Checklis…

9829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47798/psn-pdf
      February 20, 2019 - Simulation safety first: an imperative. February 20, 2019 Raemer D, Hannenberg A, Mullen A. Simulation Safety First: An Imperative. Simul Healthc. 2018;13(6):373-375. doi:10.1097/SIH.0000000000000341. https://psnet.ahrq.gov/issue/simulation-safety-first-imperative Although simulation training heightens the learnin…

9830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50453/psn-pdf
      October 09, 2019 - Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness October 9, 2019 Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children Post Critical Illness. J Pediatr Nurs. 2019…

9831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72778/psn-pdf
      February 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. February 24, 2021 Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260. h…

9832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72763/psn-pdf
      February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings. February 17, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.    https://psnet.ahrq.gov/issue/apotex-corp-issues…

9833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73522/psn-pdf
      July 21, 2021 - Federal speech rulings may embolden health care workers to call out safety issues. July 21, 2021 Meyer H. Kaiser Health News. July 9, 2021. https://psnet.ahrq.gov/issue/federal-speech-rulings-may-embolden-health-care-workers-call-out-safety- issues Whistleblower protections are a key component to raising awarenes…

9834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44791/psn-pdf
      January 13, 2016 - FDA Drug Safety Communication: FDA cautions about dosing errors when switching between different oral formulations of antifungal Noxafil (posaconazole); label changes approved. January 13, 2016 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/fda-drug-safety-communication-fda-cautions-about-dosi…

9835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46813/psn-pdf
      March 14, 2018 - Our other prescription drug problem. March 14, 2018 Lembke A, Papac J, Humphreys K. Our Other Prescription Drug Problem. N Engl J Med. 2018;378(8):693- 695. doi:10.1056/NEJMp1715050. https://psnet.ahrq.gov/issue/our-other-prescription-drug-problem Unintended consequences can emerge when targeted strategies divert …

9836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34724/psn-pdf
      May 27, 2011 - From patients to politicians: a cognitive engineering view of patient safety. May 27, 2011 Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety V…

9837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45403/psn-pdf
      September 21, 2016 - 'Superbug' scourge spreads as U.S. fails to track rising human toll. September 21, 2016 McNeill R, Nelson DJ, Abutaleb Y. Reuters Investigation. September 7, 2016. https://psnet.ahrq.gov/issue/superbug-scourge-spreads-us-fails-track-rising-human-toll Antimicrobial resistance is a pervasive threat to patient safety…

9838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47271/psn-pdf
      August 08, 2018 - NAM Action Collaborative on Countering the U.S. Opioid Epidemic. August 8, 2018 National Academy of Medicine; Aspen Institute. https://psnet.ahrq.gov/issue/nam-action-collaborative-countering-us-opioid-epidemic Despite increased awareness regarding the public health impacts of opioid misuse and overdose in the Un…

9839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35635/psn-pdf
      June 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac…

9840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61033/psn-pdf
      October 14, 2020 - L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. October 14, 2020 Dolan J, Mejia B. Los Angeles Times. September 30, 2020. https://psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die- waiting Socioeconomic conditions influence acces…