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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847534/psn-pdf
    April 12, 2023 - Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 Auerbach AD, Astik GJ, O’Leary KJ, et al. Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. J Gen Intern Med. 2023;38(8):1902-1910. doi:10.1007/s11…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866904/psn-pdf
    October 09, 2024 - Crying wolf, alarm safety and management in paediatrics: a scoping review. October 9, 2024 Cole R, Roderick G, Cheema O, et al. Crying wolf, alarm safety and management in paediatrics: a scoping review. J Adv Nurs. 2024;Epub Sep 25. doi:10.1111/jan.16398. https://psnet.ahrq.gov/issue/crying-wolf-alarm-safety-and-m…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862154/psn-pdf
    June 18, 2020 - Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. June 18, 2020 Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862615/psn-pdf
    August 12, 2019 - Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. August 12, 2019 Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48109/psn-pdf
    January 01, 2020 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. July 24, 2019 Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation of a State-Wide Pediatric Drug Dos…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47907/psn-pdf
    July 19, 2019 - Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. July 19, 2019 Smaggus A. Safety-I, Safety-II and burnout: how complexity science can help clinician wellness. BMJ Qual Saf. 2019;28(8):667-671. doi:10.1136/bmjqs-2018-009147. https://psnet.ahrq.gov/issue/safety-i-safety-ii-and-bur…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854380/psn-pdf
    October 11, 2023 - Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. October 11, 2023 Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841787/psn-pdf
    December 21, 2022 - Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme. December 21, 2022 Sheikh A, Coleman JJ, Chuter A, et al. Electronic prescribing systems in hospitals to improve medication safety: a multimethods research programme. Programme Grants Appl Res. 2022;10(7):1-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867381/psn-pdf
    December 18, 2024 - Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. December 18, 2024 Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge: guiding principles for a medication discharge plan. Br J Clin Pharm…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74719/psn-pdf
    February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
    June 01, 2021 - Identifying Delirium IDENTIFYING DELIRIUM ABCs OF IDENTIFICATION Acute/subacute • Altered mental status with change in attention Behavioral disturbance • (Restless, agitated, combative) Changes in consciousness • (Jittery, drowsy, difficult to arouse) COMMON CAUSES OF DELIRIUM COMMON…
  12. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T2-Sample_Procedures_Phase_3.pdf
    May 01, 2014 - Sample Vignettes Advancing Excellence in Health Care www.ahrq.gov Agency for Healthcare Research and Quality HAIs Healthcare- Associated Infections PREVENT Comprehensive Antibiogram Toolkit: Phase 3 Sample Procedures1 [NURSING HOME NAME] [DATE] Purpose and Scope This procedure covers the use of an antibio…
  13. www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P3T1-Sample_Policy_Phase_3.doc
    May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 3 Sample Policy [NAME OF NURSING HOME] RE: Antibiogram Program [DATE] Antibiotics are among the most commonly prescribed pharmaceuticals in long-term care settings, yet reports indicate that a high proportion of antibiotic prescriptions are inappropriate. The adverse consequ…
  14. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/skills-test.html
    March 01, 2017 - Training Module 1—Skills Questions AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The How-To's of Hand Hygiene How long should you rub your hands with soap when you are hand washing? At least 5 seconds At least 15 seconds At least 30 seconds At least 60 seconds  How long …
  15. pso.ahrq.gov/resources
    October 01, 2024 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Resources for Artificial Intelligence (AI) in …
  16. www.ahrq.gov/ncepcr/research/disseminating-evidence/index.html
    April 01, 2025 - Disseminating Evidence into Practice AHRQ disseminates the most up-to-date evidence and tools into practices so that they can implement evidence-based practices to improve the care of their patients. AHRQ synthesizes the evidence and disseminates it through programs such as its Evidence-Based Practice Centers, …
  17. www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide73.html
    October 01, 2014 - 73. For the Patient Unwilling To Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. The "5 Rs" Rewards The clinician should ask the patient to identify potential benefits of stopping tobacco use. The clinician may suggest and highlight those tha…
  18. www.ahrq.gov/hai/tools/mvp/modules.html
    January 01, 2017 - Toolkit Modules The toolkit consists of four modules and other resources that will help ICUs uncover local defects, implement interventions to prevent ventilator-associated events, and build a sustainable safety culture. Module on How To Apply CUSP for Mechanically Ventilated Patients The Comprehensive Unit…
  19. www.ahrq.gov/hai/cauti-tools/ena-slides/index.html
    February 01, 2023 - The Emergency Nurses Association Presents CAUTI Slides and Transcript Next Page Table of Contents The Emergency Nurses Association Presents CAUTI Slides and Transcript Opening Materials: Attribution, Objectives, Introduction, and Main Menu Part One: Traditional Practice and Recommendations for Cha…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
    June 02, 2025 - AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix I. Catheter Care Pocket Card Interventions To Prevent CAUTI in Patients Who Have a Documented Medical Need for Indwelling Urinary Catheter Prevention strategies must focus on clear indications for the insertion of a urinary catheter and prompt removal w…