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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…
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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…
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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…
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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…
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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…
-
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…
-
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…
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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 …
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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…
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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…
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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)…
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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…
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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 …
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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…
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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 …
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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…
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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…
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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 …
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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…
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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…