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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-o.docx
June 02, 2025 - Appendix O. CAUTI Event Report Template
When a catheter-associated urinary tract infection (CAUTI) occurs on your unit, teams can use this tool, adapted from a report developed by the North Carolina Quality Center, to identify root causes.
Patient
Medical Record Number
Admit Date
Diagnosis
Did the patien…
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module4-speaker-notes.html
February 01, 2023 - Preventing CAUTI in the ICU Setting
Module 4: Summary and Next Steps Facilitator Notes
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You’ve now seen three modules on how to stop catheter-associated urinary tract infections, or CAUTI, in your intensive care unit, or ICU. In Module 1, you learned th…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/perioperative-hand-hygiene.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
Hand Hygiene in the Perioperative Setting
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Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MR…
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/clinical-topics.html
October 01, 2024 - MRSA Prevention Toolkit: ICUs & Non-ICUs
Index of Clinical Topics
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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
Tools & Reso…
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www.ahrq.gov/ncepcr/reports/grants-transform/conclusions-and-implications.html
March 01, 2017 - Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Conclusions and Implications
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Table of Contents
Findings From the AHRQ Transforming Primary Care Grant Initiative: A Synthesis Report
Executive Summary
Introduction
Methods
Overview o…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role3.html
September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
Impact of Disparities and Lack of Equity on Patient Engagement
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Table of Contents
The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design
…
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psnet.ahrq.gov/issue/2005-quest-quality-prize
June 17, 2014 - Award Recipient
2005 Quest for Quality Prize.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hosp Health Netw. 2005;79(7):65-66.
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psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
October 28, 2020 - Review
The spectrum of medical errors: when patients sue.
Citation Text:
Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257.
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DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…
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psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
July 26, 2017 - Commentary
ACOG Committee Opinion #730: fatigue and patient safety.
Citation Text:
ACOG Committee Opinion #730: fatigue and patient safety. ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-e81.
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digital.ahrq.gov/principal-investigator/mazur-lukasz
January 25, 2018 - Mazur, Lukasz
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review proc…
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psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
September 29, 2017 - Multi-use Website
Safe Practices for Better Healthcare–2009 Update.
Citation Text:
Safe Practices for Better Healthcare–2009 Update. National Quality Forum. Washington, DC: National Quality Forum; 2009.
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psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
February 03, 2021 - Commentary
Beyond FMEA: the structured what-if technique (SWIFT).
Citation Text:
Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101.
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psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
July 15, 2015 - Review
The incidence of diagnostic error in medicine.
Citation Text:
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615.
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psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-work-environments-been-transformed
April 04, 2018 - Book/Report
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed?
Citation Text:
Ten Years After Keeping Patients Safe: Have Nurses' Work Environments Been Transformed? Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington Un…
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digital.ahrq.gov/program-overview/research-stories/safer-inter-hospital-transfers-improving-access-health
January 01, 2023 - Safer Inter-Hospital Transfers by Improving Access to Health Information
Theme:
Supporting Health Systems in Advancing Care Delivery
Subtheme:
Using Digital Healthcare Tools to Improve Patient Safety
An enhanced health information exchange platform that improves workflow, interoperability,…
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psnet.ahrq.gov/issue/error-reduction-health-care-systems-approach-improving-patient-safety-2nd-edition
May 06, 2016 - Book/Report
Classic
Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition.
Citation Text:
Error Reduction in Health Care: A Systems Approach to Improving Patient Safety, Second edition. Spath PL, ed. San Francisco, CA: Jo…
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digital.ahrq.gov/ahrq-funded-projects/opportunistic-decision-making-information-needs-and-workflow-emergency-care/annual-summary/2012
January 01, 2012 - Opportunistic Decision Making Information Needs and Workflow in Emergency Care - 2012
Project Name
Opportunistic Decision Making Information Needs and Workflow in Emergency Care
Principal Investigator
Zhang, Jiajie
Organization
University of Texas Health Science Center - Hous…
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psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
May 22, 2019 - Commentary
ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.
Citation Text:
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…
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psnet.ahrq.gov/issue/acog-committee-opinion-546-tracking-and-reminder-systems
May 22, 2019 - Commentary
ACOG Committee Opinion #546: tracking and reminder systems.
Citation Text:
Improvement AC of O and GC on PS and Q. Committee Opinion No.546: Tracking and reminder systems. Obstet Gynecol. 2012;120(6):1535-7. doi:10.1097/01.AOG.0000423820.92906.d0.
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psnet.ahrq.gov/issue/acog-committee-opinion-no-447-patient-safety-obstetrics-and-gynecology
July 19, 2017 - Commentary
ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.
Citation Text:
Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90…