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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication The Case A 65-year-old woman co…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849661/psn-pdf
    June 28, 2023 - Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery June 28, 2023 Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery. PSNet [internet]. 2023. https://psnet.ahrq.gov/web…
  3. www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/blood-culture.html
    October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs Blood Culture Practices and Stewardship Previous Page Next Page Table of Contents MRSA Prevention Toolkit: ICUs & Non-ICUs The Four Key Strategies of MRSA Prevention The Importance of MRSA Prevention Decolonization Tools & Resources for Decolonization…
  4. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Preface.pdf
    February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…
  5. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Preface.pdf
    February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…
  6. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Preface.pdf
    February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…
  7. Preface (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Preface.pdf
    February 01, 2005 - Preface Preface It has been nearly 10 years since the Institute of Medicine (IOM) published its 1999 landmark report, To Err Is Human: Building a Safer Health System. Although we have made improvements in the safety of the health care system since that time, there is much more work to be done. In February 2…
  8. www.uspreventiveservicestaskforce.org/home/getfilebytoken/h-FnuqpAKFeMyTDcr_m9tS
    Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Clinical Summary Figure. Aspirin Use for the Primary Prevention of Cardiovascular Disease and Colorectal Cancer: Clinical Summary Population Adults aged 50 to 59 y with a ≥10% 10-y CVD risk Adults aged 60 to 69 y with a …
  9. www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-k.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix K. Infographic Poster on CAUTI Prevention Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…
  10. www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap-apc.html
    July 01, 2013 - Clinical-Community Relationships Evaluation Roadmap Appendix C: Examples of Current State of Practice Previous Page Next Page Table of Contents Clinical-Community Relationships Evaluation Roadmap Executive Summary 1. Introduction and Purpose 2. Priority Questions and Recommendations 3. Concl…
  11. www.ahrq.gov/ncepcr/tools/cultural-competence/index.html
    August 01, 2019 - Oral, Linguistic, and Culturally Competent Services Guides for Managed Care Plans To address shifting demographic trends in health care, two guides offer approaches to defining cultural needs in managed care and developing appropriate services for them. The Centers for Medicare & Medicaid Services (CMS)…
  12. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh50.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 50. Model for continuous quality improvement in reducing surgical site infections Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outc…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/053-sample-script-iodophor.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Teaching Patients How To Decolonize With Iodophor: Key Points & Sample Script Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Properly teaching patients the importance of preoperative decolonization and how to perform it …
  14. www.ahrq.gov/hai/tools/mvp/modules/cusp/structuralasst-tool.html
    January 01, 2017 - Structural Assessment AHRQ Safety Program for Mechanically Ventilated Patients Date _____________ Hospital ________________________Unit________________________   This assessment is typically performed every 6 months. Please answer the following questions regarding your intensive care unit (ICU…
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
    June 02, 2025 - Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Algorithm for observing patient after discontinuing urinary catheter Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal Below is an example of a nurse-driven protocol to evaluate and discontinue unnecessary urinary catheters and to …
  16. www.ahrq.gov/ncepcr/research/disseminating-evidence/pcph.html
    September 01, 2024 - Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Clinical preventive services (CPS), such as vaccinations and screening tests, can help individuals live longer, healthier lives. But many people, especially people with low incomes or from ethnic or racial minority…
  17. digital.ahrq.gov/2018-year-review/research-spotlights/improving-ehr-design-increases-patient-safety-especially-children
    January 01, 2018 - Improving EHR Design Increases Patient Safety—Especially for Children Poor EHR design can harm patients. Dr. Raj Ratwani and his research team identified pervasive problems with EHR systems that regularly lead to patient safety errors and other issues, regardless of vendor. “If we don’t focus on EHR technolog…
  18. digital.ahrq.gov/2018-year-review/research-summary/decreasing-tobacco-related-healthcare-costs-using-interactive
    January 01, 2018 - Decreasing Tobacco Related Healthcare Costs Using Interactive Voice Response Technology Key Finding and Impact Automated, opt-out inpatient tobacco cessation services delivered by interactive voice response decreases readmissions and healthcare charges. Tobacco use and its related morbidity and mortality …
  19. digital.ahrq.gov/ahrq-funded-projects/real-time-symptom-monitoring-using-epros-prevent-adverse-events-during-care-transitions
    January 01, 2023 - Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions Project Description Using real-time patient-reported outcomes of hospitalized patients has the potential to reduce adverse events during care transitions by improving the identification o…
  20. digital.ahrq.gov/organization/medical-university-south-carolina
    January 01, 2023 - Medical University of South Carolina Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach Description This research aims to examine a health system…