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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/guide.html
March 01, 2017 - Guide to Implementing a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Contents
Executive Summary
Overview
How To Use This Guide
Program Elements
Long-Term Care Safety Toolkit Modules
T.E.A…
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www.ahrq.gov/news/newsroom/case-studies/202402.html
July 01, 2024 - Sierra Vista Hospital Uses AHRQ Toolkit To Slash Catheter Use and Eliminate Infections
Search All Impact Case Studies
July 2024
Sierra Vista Hospital, an 11-bed critical access hospital in Truth or Consequences, New Mexico, implemented practices from AHRQ’s Toolkit for Reducing Catheter-Associated Urinary …
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psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
August 30, 2017 - Special or Theme Issue
Themed Issue on Innovations in Medication Safety.
Citation Text:
Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2…
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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - Commentary
Independent double-checks for high-alert medications: essential practice.
Citation Text:
Baldwin K, Walsh V. Independent double-checks for high-alert medications: essential practice. Nursing (Brux). 2014;44(4):65-7. doi:10.1097/01.NURSE.0000444547.64972.dc.
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psnet.ahrq.gov/issue/human-factors-anaesthetic-practice-insights-task-analysis
April 18, 2011 - Study
Human factors in anaesthetic practice: insights from a task analysis.
Citation Text:
Phipps D, Meakin GH, Beatty PCW, et al. Human factors in anaesthetic practice: insights from a task analysis. Br J Anaesth. 2008;100(3):333-43. doi:10.1093/bja/aem392.
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digital.ahrq.gov/ahrq-funded-projects/development-and-assessment-artificial-intelligence-ai-enhanced-pretreatment
April 01, 2024 - Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Project Description
Implementing an artificial intelligence (AI)-driven pretreatment peer-review process for radiation therapy (R…
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digital.ahrq.gov/principal-investigator/dorsch-michael
January 01, 2025 - Dorsch, Michael
A web-based tool to perform a values clarification for stroke prevention in patients with atrial fibrillation: Design and preliminary testing study.
Citation
Dorsch MP, Flynn AJ, Greer KM, Ganai S, Barnes GD, Zikmund-Fisher B. A web-based tool to perform a valu…
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digital.ahrq.gov/ahrq-funded-projects/guiding-safe-and-effective-integration-ambient-digital-scribes-primary-care
September 29, 2025 - Guiding the Safe and Effective Integration of Ambient Digital Scribes into Primary Care
Project Description
Developing a guide to assist healthcare organizations safely and effectively adopt ambient digital scribes (ADSs), powered by artificial intelligence (AI), may help impro…
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digital.ahrq.gov/location/usa-il-chicago
January 01, 2023 - USA, IL, Chicago
A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment and Prevention Among Hospitalized Patients
Description
This research will develop, train, test, and evaluate a machine learning classifier to identify risk for HIV acquis…
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digital.ahrq.gov/health-care-theme/care-planning
January 01, 2023 - Care Planning
Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity
Description
This research evaluated Cloud Care, a cloud-based longitudinal multidisciplinary care plan for children with medical complexity and found that perceived eas…
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psnet.ahrq.gov/issue/communicating-medication-changes-community-pharmacy-post-discharge-good-bad-and-improvements
June 11, 2014 - Study
Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements.
Citation Text:
Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Int J…
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psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
September 20, 2011 - Study
Assessing and improving safety climate in a large cohort of intensive care units.
Citation Text:
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…
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psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
April 13, 2011 - Study
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Citation Text:
Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…
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psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric
April 08, 2018 - Study
The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care.
Citation Text:
Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric…
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psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
July 11, 2018 - Book/Report
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up.
Citation Text:
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…
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psnet.ahrq.gov/issue/improved-outcomes-fewer-cesarean-deliveries-and-reduced-litigation-results-new-paradigm
November 27, 2012 - Commentary
Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.
Citation Text:
Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…
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psnet.ahrq.gov/issue/better-understanding-downsides-low-value-healthcare-could-reduce-harm
August 11, 2021 - Commentary
Better understanding the downsides of low value healthcare could reduce harm.
Citation Text:
Brownlee SM, Korenstein D. Better understanding the downsides of low value healthcare could reduce harm. BMJ. 2021;372:n117. doi:10.1136/bmj.n117.
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psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
December 12, 2012 - Study
Nurses' behaviors and visual scanning patterns may reduce patient identification errors.
Citation Text:
Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…
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psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
May 20, 2009 - Commentary
Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.
Citation Text:
Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…
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psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry
April 01, 2019 - Organizational Policy/Guidelines
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.
Citation Text:
Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…