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psnet.ahrq.gov/node/38917/psn-pdf
September 06, 2013 - Health Care–Associated Infections.
September 6, 2013
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/health-care-associated-infections
For health care providers and consumers, this Web site features information, tools, and resources on
health care–associated infections (HAIs). AHRQ-funded …
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psnet.ahrq.gov/node/43088/psn-pdf
February 25, 2019 - ImproveDX.
February 25, 2019
Society to Improve Diagnosis in Medicine.
https://psnet.ahrq.gov/issue/improvedx
Diagnostic errors have been termed the next frontier in patient safety. To raise awareness of this issue, this
occasional newsletter features articles for a multidisciplinary audience that discuss barriers…
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psnet.ahrq.gov/node/42940/psn-pdf
February 12, 2014 - Medical disrespect.
February 12, 2014
Yurkiewicz I. Aeon Magazine. January 29, 2014.
https://psnet.ahrq.gov/issue/medical-disrespect
Disruptive behavior is a well-known and pervasive issue in health care. Describing disrespectful behaviors
that clinicians face, such as sarcasm and intimidation, this magazine artic…
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psnet.ahrq.gov/node/41919/psn-pdf
December 12, 2012 - The best medicine for fixing the modern hospital.
December 12, 2012
https://psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
This news article highlights how hospital design can help reduce infection rates, shorten length of stay, and
improve patient safety.
https://psnet.ahrq.gov/issue/best-medicine-fixi…
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psnet.ahrq.gov/node/38971/psn-pdf
June 10, 2018 - How has the current economy affected patient safety?
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
https://psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
This piece describes how reduced resources could affect patient safety and quality work in hosp…
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psnet.ahrq.gov/node/40077/psn-pdf
July 10, 2012 - Improvement Cymru.
July 10, 2012
NHS Wales.
https://psnet.ahrq.gov/issue/improvement-cymru
This national program draws from other large collaborative efforts to engage health care organizations
across Wales in reducing preventable harm. It was rebranded from the 1000 Lives campaign in 2018.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/39762/psn-pdf
October 01, 2010 - Dennis Quaid's quest.
August 18, 2010
Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.
https://psnet.ahrq.gov/issue/dennis-quaids-quest
This article highlights how a medication error inspired Dennis Quaid to promote patient safety and
chronicles his efforts to reduce harm in health care.
https:/…
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psnet.ahrq.gov/node/40481/psn-pdf
June 20, 2011 - Medication errors—new approaches to prevention.
June 20, 2011
Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth.
2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x.
https://psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
This review discusses evidence-bas…
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effectivehealthcare.ahrq.gov/sites/default/files/07_diabetes_potential_high_impact_2012-12-10.pdf
January 01, 2012 - Laser photocoagulation reduces the risk of moderate
9
visual loss, but some patients experience … This prevention reduces the likelihood
of vascular leakage and neovascularization; thus, vision loss … Laser photocoagulation reduces the risk of
moderate visual loss, but some patients experience permanent
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/public-reporting/report-1-public-reporting.pdf
June 01, 2010 - Here, the “Best Value” label reflects the rater’s evaluation of multiple factors and reduces the
burden
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0129-fullreport.pdf
December 31, 2015 - Pediatric All-Condition Readmission Measure
Pediatric All-Condition Readmission Measure
Section 1. Basic Measure Information
1.A. Measure Name
Pediatric All-Condition Readmission Measure
1.B. Measure Number
0129
1.C. Measure Description
Please provide a non-technical description of the measure that conveys…
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www.ahrq.gov/topics/clostridium-difficile-infections.html
Topic: Clostridium difficile Infections
AHRQ has research, tools, and resources for preventing or reducing Clostridium difficile , a healthcare-associated infection. Healthcare-associated infections are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time.
…
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www.ahrq.gov/topics/provider-pharmacist.html
Topic: Provider: Pharmacist
List of AHRQ content related to pharmacists and other pharmacy providers.
Advancing Pharmacy Health Literacy Practices Through Quality Improvement
AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients
…
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psnet.ahrq.gov/node/40491/psn-pdf
June 08, 2011 - Medical error reduction: the effect of employee
satisfaction with organizational support.
June 8, 2011
Lee D; Lee SM; Schniederjans MJ.
https://psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support
This survey conducted at four South Korean hospitals found that employees'…
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www.ahrq.gov/nursing-home/resources/cohorting-residents.html
July 01, 2021 - Cohorting Residents to Prevent the Spread of COVID-19
Resource: Cohorting Residents to Prevent the Spread of COVID-19 (PDF, 121 KB)
This document provides guidance on cohorting (separating residents with COVID-19 from other residents) to reduce the exposure of residents without COVID-19.
Source:…
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www.ahrq.gov/teamstepps-program/resources/additional/labor.html
July 01, 2023 - TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS
YouTube embedded video: https://www.youtube-nocookie.com/embed/4XEmZzvejz0
Labor and Delivery: Successful Outcome Using TeamSTEPPS (5:03)
Effective communication can prepare health care team members to respond quickly t…
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psnet.ahrq.gov/node/40552/psn-pdf
June 22, 2011 - Don't come back, hospitals say.
June 22, 2011
Landro L.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
This newspaper article describes government-funded and hospital-based efforts to improve discharge and
reduce preventable readmissions.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
https:…
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psnet.ahrq.gov/node/40298/psn-pdf
May 13, 2019 - Improving patient safety in radiation oncology.
May 13, 2019
Hendee WR, Herman MG. Improving patient safety in radiation oncology.
https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology
This commentary discusses radiation safety issues and describes recommendations developed at a
conference to re…
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psnet.ahrq.gov/node/35137/psn-pdf
May 27, 2011 - Drug errors show need for tech aid.
May 27, 2011
Landro L.
https://psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid
The article discusses the importance of using computerized physician order entry systems that provide
more sophisticated alerts, such as drug dosages and strategies for monitoring patients, to red…
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psnet.ahrq.gov/node/40616/psn-pdf
July 13, 2011 - Clinical decision support and malpractice risk.
July 13, 2011
Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1).
doi:10.1001/jama.2011.929.
https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk
This commentary discusses liabilities associated with cli…