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Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after

August 18, 2021 - Study Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. Citation Text: Wagner TH, Taylor T, Cowgill E, et al. Intended and unintended effects of large-scale adverse event disclosure: a controlled…
Economic Analysis of an Information Technology-Assisted Population-Based Cancer Screening Program - 2012 | Digital Healthcare Research

digital.ahrq.gov/ahrq-funded-projects/economic-analysis-it-assisted-population-based-cancer-screening-program/annual-summary/2012

January 01, 2012 - Economic Analysis of an Information Technology-Assisted Population-Based Cancer Screening Program - 2012 Project Name Economic Analysis of an Information Technology-Assisted Population-Based Cancer Screening Program Principal Investigator Levy, Douglas Organization Massachuse…
Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and

March 11, 2020 - Study Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. Citation Text: Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healt…
Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond | PSO

pso.ahrq.gov/about/webinar-nov5

November 01, 2020 - SHARE: More topics in this section About About Organizations and Relationships Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond Summary This webinar will…
Topic 0451 Celiac Disease NSD FINAL (pdf file)

effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-533_05-24-2013.pdf

January 01, 2013 - Topic 0451 Celiac Disease NSD FINAL …
PowerPoint Presentation

www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/51-regional-analgesia-arthroplasty.pptx

June 01, 2023 - PowerPoint Presentation Regional Analgesia for Total Hip Arthroplasty and Total Knee Arthroplasty AHRQ Safety Program for Improving Surgical Care and Recovery AHRQ Pub. No. 23-0052 June 2023 AHRQ Safety Program for Improving Surgical Care and Recovery 1 Why Use Regional Analgesia? Regional analgesia Optimize p…
Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. | PSNet

psnet.ahrq.gov/issue/medication-errors-associated-code-situations-us-hospitals-direct-and-collateral-damage

June 29, 2011 - Study Medication errors associated with code situations in U.S. hospitals: direct and collateral damage. Citation Text: Lipshutz AKM, Morlock LL, Shore AD, et al. Medication Errors Associated with Code Situations in U.S. Hospitals: Direct and Collateral Damage. Jt Comm J Qual Patient Saf…
Toolkit 1. Start an Antimicrobial Stewardship Program | Agency for Healthcare Research and Quality

www.ahrq.gov/nhguide/toolkits/implement-monitor-sustain-program/toolkit1-start-program.html

November 01, 2024 - Toolkit 1. Start an Antimicrobial Stewardship Program Overview of the Toolkit Why Should a Nursing Home Use This Toolkit? This toolkit provides nursing homes with a simple, step-by-step approach to starting an antimicrobial stewardship program. An antimicrobial stewardship program uses collaborative and evidenc…
Getting Started | Agency for Healthcare Research and Quality

www.ahrq.gov/takeheart/training/getting-started/index.html

April 01, 2023 - Getting Started This focus area will walk you through the necessary first steps for launching a quality improvement initiative aimed at increasing cardiac rehabilitation (CR) participation. CR has been proven to greatly improve patient outcomes and reduce healthcare costs, yet patient participation in CR r…
Appendix L. Intensive Care Unit Infographic Poster | Agency for Healthcare Research and Quality

www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html

October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix L. Intensive Care Unit Infographic Poster Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation G…
Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. | PSNet

psnet.ahrq.gov/issue/primary-care-physicians-willingness-disclose-oncology-errors-involving-multiple-providers

July 28, 2014 - Study Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. Citation Text: Mazor KM, Roblin DW, Greene SM, et al. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. BMJ Qual Saf. …
Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and

December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
Step 4: Communicating and Reporting | Agency for Healthcare Research and Quality

www.ahrq.gov/funding/training-grants/hsrguide/hsrguide4.html

October 01, 2014 - An Organizational Guide to Building Health Services Research Capacity Step 4: Communicating and Reporting Previous Page Next Page Table of Contents An Organizational Guide to Building Health Services Research Capacity Introduction Step 1: Assessing Your Organization's Needs and Capabilities St…
AHRQ Safety Program for MRSA Prevention

www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/107-cusp-psychological-safety.pptx

October 01, 2024 - AHRQ Safety Program for MRSA Prevention AHRQ Safety Program for MRSA Prevention CUSP Program: Psychological Safety ICU & Non-ICU AHRQ Pub. No. 25-0007 October 2024 AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU CUSP Psychological Safety 1 Educational Objectives Define psychological safety Explain the impo…
150-Cusp-Tip-Sheet-Celebrating-Success (doc file)

www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx

October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Celebrating Success and Spreading MRSA Prevention Beyond the Unit ICU & Non-ICU Purpose Recognizing success, large and small, both early on and long term is important to sustainability. Communicating success can help frontline personnel have the courage to speak …
139-Nv-Hap-Prevention-Essential-One-Pager (doc file)

www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx

October 01, 2024 - NV-HAP Prevention Essential Practices1-4 Practice routine oral care.4,5-8 Staphylococcus aureus is a common pathogen in dental plaque. Conduct an individualized assessment and plan for each patient considering their ability to perform self-care independently. At minimum, the oral care regimen should include: toothbrus…
152-Cusp-Tip-Sheet-Engaging-Physicians (doc file)

www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx

October 01, 2024 - AHRQ Safety Program for MRSA Prevention CUSP Tip Sheet: Engaging Physicians in MRSA Prevention ICU & Non-ICU Issue1-5 Physicians play crucial roles in quality and safety, as leaders, champions, committee members, and participants in planning and executing change. Each role is vital in the success of any undertaking to…
051-Top-10-Successful-Decolonization (doc file)

www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/051-top-10-successful-decolonization.docx

October 01, 2024 - Chlorhexidine gluconate (CHG) is the bath, not a top coat.1,2 CHG is the bath itself. Do not bathe the patient with regular soap and water and then follow up with CHG. CHG is better than regular soap and water and binds to skin proteins, killing germs for 24 hours. Ensure cleaning of the face and hair.3 CHG is safe to…
Evaluation Issues | Agency for Healthcare Research and Quality

www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/issues.html

August 01, 2022 - Demonstration Grants Final Evaluation Report Evaluation Issues Previous Page Next Page Table of Contents Demonstration Grants Final Evaluation Report Executive Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons Learned From Implement…
Nursing Home Resources | Agency for Healthcare Research and Quality

www.ahrq.gov/nursing-home/resources/search.html?page=13

January 01, 2022 - COVID-19 Resources Catalog for Nursing Homes AHRQ provided free training and mentorship to nursing homes across the country through the National Nursing Home COVID-19 Action Network . The Network supported the implementation of evidence-based prevention and safety practices within nursing homes to protect residents…