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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - Reducing Health Disparities in New York City: Health Disparities in Life Expectancy
and Death.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
October 01, 2021 - Reducing Workplace Violence With TeamSTEPPS® Webinar
htts://www.ahrq.gov/teamstepps/webinars/previous-webinars … Prevention of Violence in Health Care Toolkit
Quick Safety (Issue 47): De-Escalation in Health Care
Reducing
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-workplace-safety-resources.pdf
January 01, 2023 - Reducing Workplace Violence With TeamSTEPPS® Webinar
htts://www.ahrq.gov/teamstepps/webinars/previous-webinars … Preventing the Spread of COVID-19
Preventing Workplace Violence: A Road Map for Healthcare Facilities
Reducing
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www.ahrq.gov/hai/cusp/modules/identify/alt-text.html
March 01, 2013 - Identify Defects Module Alternate Text
Slide Number and Title
Slide Content
Content for Alternative Text (Illustration)
Slide 1
Cover Slide
(CUSP Toolkit logo)
The "Identify Defects Through Sensemaking" module of the Comprehensive Unit-Based Safety Program (CUSP) Toolkit. The CUSP Toolk…
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psnet.ahrq.gov/node/33727/psn-pdf
March 01, 2012 - Can Research Help Us Improve the Medical Liability
System?
March 1, 2012
Kachalia A. Can Research Help Us Improve the Medical Liability System? PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
Perspective
The United States medical malpractice liabili…
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psnet.ahrq.gov/node/49791/psn-pdf
April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the
Preventable
April 1, 2017
Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet
[internet]. 2017.
https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
The Case
An 84-year-old wo…
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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - Failure to Reevaluate
December 1, 2010
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/failure-reevaluate
The Case
A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community
hospital developed methicillin-resistant staphylococc…
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psnet.ahrq.gov/node/49826/psn-pdf
April 01, 2018 - Air on the Side of Caution
April 1, 2018
Robertson JM, Pozner CN. Air on the Side of Caution. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/air-side-caution
The Case
A young woman with morbid obesity was scheduled for cardiac catheterization to evaluate shortness of
breath and chest pain. A decision was m…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Central Venous Catheter Insertion
Central Venous Catheter Insertion
Avoiding Improper Placement Techniques
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
AHRQ Pub. No. 17(22)-0019
April 2022
AHRQ Safety Program for Intensive Care Units: CLABSI/CAUTI
1
Disrupting the Lifecycle of a Cathet…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/018-revision-summary-contact-precautions.docx
October 01, 2024 - Summary of Evidence for Contact
Precautions To Prevent MRSA
ICU & Non-ICU
References
Methicillin-resistant Staphylococcus aureus (MRSA) is spread through direct contact, from person to person, or indirect contact, by touching something in the environment that was previously contaminated. Contact precautions, a type of …
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/7K93Ldpe86aLuGS65CPKYp
July 01, 2005 - Screening for Overweight in Children and Adolescents: Where Is the Evidence?
Screening for Overweight in Children and
Adolescents: Where Is the Evidence?
A Commentary by the Childhood Obesity Working Group of
the U.S. Preventive Services Task Force
_____________________________________________________________…
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psnet.ahrq.gov/web-mm/feeling-no-pain
August 30, 2023 - Enhancing patient safety by effectively reducing the likelihood of error necessitates that actions be
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psnet.ahrq.gov/web-mm/specimen-almost-lost
September 21, 2022 - forgotten: the search for the lost surgical specimens: application of quality improvement techniques in reducing
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psnet.ahrq.gov/primer/patient-safety-101
January 16, 2025 - years have brought a much deeper understanding of the causes of safety issues and some progress in reducing
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psnet.ahrq.gov/web-mm/febrile-neutropenia-and-almost-fatal-medication-error
February 01, 2012 - February 5, 2020
Reducing pediatric emergency department prescription errors.
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-screening-2001
April 01, 2001 - Evidence is lacking that skin examination by clinicians is effective in reducing mortality or morbidity
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cds.ahrq.gov/sites/default/files/cds/artifact/1056/2024_CDS_Connect_IG_Statin_CVD_Patient_Facing_2.pdf
January 01, 2024 - context of the recommendation, and it encourages
them to take steps toward improving their health by reducing … educational resources about the risks for developing CVD and the role that statin
therapy has in reducing … lipid levels (thus reducing their CVD risk) … want to start a program to proactively identify those at risk of developing CVD and assist
them in reducing … on patients with ESRD and those on dialysis
have revealed little to no benefit of statin therapy in reducing
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www.ahrq.gov/sites/default/files/2024-01/cohen-report.pdf
January 01, 2024 - pharmacy staffs’ and patients’
abilities to capture the error; yet the intervention was very effective in reducing … Reducing the at-risk behavior of working on more than one patient’s
medications during product verification
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Project Report - Lean Sigma
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National Content Webinar
CUSP: A Framework for Success
March 7, 2012
*
*
Today’s Speakers
Marge Cannon, Medical Officer, CMS
Minet Javellana, Health Insurance Specialist, CMS
Barb Edson, Vice President of Clinical Quality, HRET
Chris George, Director of National Projects, MHA…
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Reducing the risk of harm from medication errors in children.