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psnet.ahrq.gov/issue/computer-viruses-are-rampant-medical-devices-hospitals
February 21, 2024 - Newspaper/Magazine Article
Computer viruses are "rampant" on medical devices in hospitals.
Citation Text:
Computer viruses are "rampant" on medical devices in hospitals. Talbot D. MIT Technology Review. October 17, 2012.
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psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope
March 29, 2023 - Newspaper/Magazine Article
Hospital ‘black boxes’ put surgical practices under the microscope.
Citation Text:
Hospital ‘black boxes’ put surgical practices under the microscope. Sadick B. Wall Street Journal. March 19, 2023.
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psnet.ahrq.gov/issue/state-science-safe-medication-administration
June 22, 2009 - Special or Theme Issue
The State of the Science on Safe Medication Administration.
Citation Text:
The State of the Science on Safe Medication Administration. Am J Nurs. 2005;105;(supp 5):2-55.
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psnet.ahrq.gov/issue/farewell-cancer-never-was
April 12, 2011 - Commentary
Farewell to a cancer that never was.
Citation Text:
Lyon J. Farewell to a Cancer That Never Was. JAMA. 2017;317(18):1824-1825. doi:10.1001/jama.2017.3969.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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psnet.ahrq.gov/issue/investigation-management-venous-thromboembolism-risk-patients-following-thrombolysis-acute
November 13, 2019 - Book/Report
Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke.
Citation Text:
Investigation into Management of Venous Thromboembolism Risk in Patients Following Thrombolysis for an Acute Stroke. Farnborough, UK; Healthcare…
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psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
September 26, 2017 - Commentary
Unlabeled containers lead to patient's death.
Citation Text:
Cohen MR, Smetzer JL. Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.
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psnet.ahrq.gov/issue/quest-six-sigma
January 04, 2010 - Commentary
On the quest for Six Sigma.
Citation Text:
Moorman D. On the quest for Six Sigma. Am J Surg. 2005;189(3):253-8.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-2.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 3.2. Grand Hospital Center
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Central Hospital…
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www.ahrq.gov/hai/clabsi-tools/appendix-7.html
March 01, 2018 - Appendix 7. Central Venous Catheter-Associated Laboratory-Confirmed Blood Stream Infection Event Report Template for Defect Analysis
Tools for Reducing Central Line-Associated Blood Stream Infections
These tools will help your unit implement evidence-based practices and eliminate central line-associated blood…
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psnet.ahrq.gov/issue/ismp-medication-safety-intensive
February 05, 2025 - International Meeting/Conference
ISMP Medication Safety Intensive.
Citation Text:
ISMP Medication Safety Intensive. Institute for Safe Medication Practices. December 5-6 2024, 7:30 AM - 4:30 PM (eastern).
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/key-drivers.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Key Driver Diagram
Previous Page Next Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
Successful quality impr…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/sat-sbt-factsheet.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Did You Know?
· Spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT) reduce the length of mechanical ventilation, thereby reducing the risk for developing ventilator-associated pneumonia (VAP).
· In 2012, Luetz’s review article focusing on 14 stu…
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/asthma-ed-kdd.pdf
March 10, 2021 - PQMP Asthma ED Visit Quality Metric Key Driver Diagram
PQMP Asthma ED Visit Quality Metric Key Driver Diagram
Authors: Keith Robinson, MD, FAAP; Christine Pellegrino, MS; Judy Shaw, EdD, MPH, RN, FAAP Updated 3/10/2021
SMART Aim:
Key Drivers Secondary Drivers Examples of Interventions
Reduce the # of ED
visits/…
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psnet.ahrq.gov/issue/patient-safety-nursing-practice-0
June 23, 2009 - Commentary
Patient safety in nursing practice.
Citation Text:
Farquhar M, Sharp BAC, Clancy CM. Patient safety in nursing practice. AORN J. 2007;86(3):455-7.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/bath-basin-faqs.docx
March 01, 2017 - BLADDER SCAN – POLICY #2202 12/11/06
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
AHRQ Safety Program for Reducing CAUTI in Hospitals
Frequently Asked Questions (FAQ) on
Bath Basin Use in Long-Term Care Facilities
Disclaimer: FAQ answers are based on a combination of scientific evidence and clinical experience …
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/engage/leader.html
March 01, 2017 - Resident And Family Engagement: What is my role as a leader?
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
What is resident and family engagement?
Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners…
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psnet.ahrq.gov/issue/cognitive-bias-clinical-practice-nurturing-healthy-skepticism-among-medical-students
August 07, 2024 - Commentary
Cognitive bias in clinical practice—nurturing healthy skepticism among medical students.
Citation Text:
Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558.
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psnet.ahrq.gov/issue/necessity-good-surgical-history-detection-gossypiboma
September 07, 2016 - Commentary
Necessity of a good surgical history: detection of a gossypiboma.
Citation Text:
Coleman JA, Wolfgang CL. Necessity of a Good Surgical History: Detection of a Gossypiboma. The Journal for Nurse Practitioners. 2013;9(5). doi:10.1016/j.nurpra.2013.02.021.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/qi-knowledge-survey.pdf
June 02, 2025 - Quality Improvement Assessment
1
Quality Improvement Assessment
Your name: _________________________________ Practice: _____________________________
We would like to know more about your quality improvement (QI) training and experiences. This information
will be used to tailor our QI training for…
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psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors
November 01, 2023 - Newspaper/Magazine Article
Unreadable barcodes and multiple barcodes on packages can lead to errors.
Citation Text:
Unreadable barcodes and multiple barcodes on packages can lead to errors. ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3.
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