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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4v
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative Sepsis
Why focus on postoperative sepsis in children?
• Postoperative s…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.4i 1
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT)
Why Focus on DVT/PE…
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psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Finding Fault With the Default Alert
October 1, 2013
Baysari M. Finding Fault With the Default Alert. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/finding-fault-default-alert
The Case
A 33-year-old man with known refractory epilepsy and developmental delay was admitted to the hospital
after experiencing …
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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - Wrong-Time Error With High-Alert Medication
September 1, 2016
Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
The Case
A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Antimicrobial Prophylaxis
Part 1
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgica…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/impact-opioid-final.pdf
November 01, 2018 - Opioids AHRQ Works: Building Bridges Between Research and Practice
Opioids
Deaths from drug overdoses have risen steadily over the
past 2 decades. The misuse of opioids, such as
prescription pain medications and heroin, has become
widespread across the United States. In response to
dramatic increa…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me
May 01, 2019 - Electrocardiogram Results: ***READ ME***
Citation Text:
Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XM…
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psnet.ahrq.gov/node/850362/psn-pdf
June 14, 2023 - Home Medications Contribute to a Unique Opportunity for
Error on Discharge from the Hospital
June 14, 2023
Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from
the Hospital. PSNet [internet]. 2023.
https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/access/elements4.html
June 01, 2018 - Chartbook on Access to Health Care
Elements of Access to Health Care: Workforce Capacity
Previous Page Next Page
Table of Contents
Chartbook on Access to Health Care
Acknowledgments
Access to Health Care
Elements of Access to Health Care
Elements of Access to Health Care: Services
Elements…
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meps.ahrq.gov/data_files/publications/st146/stat146.pdf
October 01, 2006 - Statistical Brief #146: Proportion and Medical Expenditures of Adults Being Treated for Diabetes, 1996 and 2003
Medical Expenditure Panel Survey
Agen
Res
6
October 2006
Proportion and Medical Expenditures of
Adults Being Treated for Diabetes, 1996
and 2003 Betw
the p
at le
for t…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2023.pdf
July 14, 2023 - Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
March Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested “AHRQ t…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-jul2023.pdf
November 03, 2023 - Federal Interagency Workgroup on Improving Diagnostic Safety: July Meeting Summary
Federal Interagency Workgroup:
Improving Diagnostic Safety and Quality in Healthcare
July Meeting Summary
Workgroup Goal: Established in response to Senate Report 115-150. The Senate Committee on
Appropriations requested that…
-
psnet.ahrq.gov/node/33779/psn-pdf
March 01, 2015 - Handoffs and Transitions
January 22, 2014
Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014.
https://psnet.ahrq.gov/perspective/handoffs-and-transitions
Annual Perspective 2014
Despite recent efforts to promote clinical integration, the United States health care system remains highly
fragmented. From it…
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - EvidenceNow Executive Summary - Southwest Cooperative
Southwest Cooperative
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare
Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure
to help smaller primary care pract…
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psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
March 04, 2020 - The Hidden Harms of Hand Sanitizer
Citation Text:
Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-slides.pptx
June 01, 2021 - PowerPoint Presentation
Communicating Infectious Concerns With Antibiotic Prescribers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Communicating With Prescribers
1
Objectives
Describe the components of, and when to use SBAR:
Situation
Background
Assessment …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-slides.pptx
June 01, 2021 - Discussing Infectious Concerns About Residents With Family Members and Caregivers
Discussing Infectious Concerns About Residents With Family Members and Caregivers
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Discussing Concerns With Family
1
Objectives
Review…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos
U
N
C H E A L T H C A R E S Y S T E M
U
N
C H E A L T H C A R E
Culture of Safety Improvement Project
UNC Medical Center
29
U
N
C H …
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-patient-safety-slides.pptx
June 01, 2021 - PowerPoint Presentation
Improving Antibiotic Use Is a Patient Safety Issue
Long-Term Care
AHRQ Safety Program for Improving Antibiotic Use
AHRQ Pub. No. 17(21)-0029
June 2021
Patient Safety
1
Objectives
Discuss the potential harms associated with antibiotic use
Recognize that patient harm is largely preventable
R…