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psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
May 19, 2021 - Study
Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.
Citation Text:
Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…
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psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient
February 17, 2021 - Review
Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research.
Citation Text:
Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…
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hcup-us.ahrq.gov/toolssoftware/ccs_svcsproc/ccssvcproc.jsp
July 01, 2025 - The Clinical Classifications Software for Services and Procedures (CCS-Services and Procedures) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP) , a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality. …
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psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international
September 18, 2024 - Review
Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence.
Citation Text:
Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international resea…
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www.ahrq.gov/news/blog/ahrqviews/long-covid-care-network.html
March 01, 2024 - AHRQ Views: Blog posts from AHRQ leaders
AHRQ’s Unique Effort to Advance Care for People Living with Long COVID
MAR
15
2024
By
Robert Otto Valdez, Ph.D., M.H.S.A., and
Poonam Pardasaney, DPT, M.S., Sc.D.
Long COVID is a generation-defining health challenge. According to the …
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hcup-us.ahrq.gov/tech_assist/centdist/StatementIntendedUse.pdf
February 20, 2024 - Statement of Intended Use of HCUP State Databases and Description of Project Activities
HCUP 1-23-2024 1 Statement of Intended Use
for HCUP State Data
Statement of Intended Use of HCUP State Databases and
Description of Project Activities
A Statement of Intended Use is required if you are requesting SID,…
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integrationacademy.ahrq.gov/sites/default/files/2020-07/PHQ-9.pdf
January 01, 2020 - Patient Health Questionnaire (PHQ-9)
PATIENT HEALTH QUESTIONNAIRE (PHQ-9)
NAME: DATE:
Over the last 2 weeks, how often have you been
bothered by any of the following problems?
(use "ⁿ" to indicate your answer) Not at all Several
days
More than
half the
days
Nearly
every day
1. Little interest…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/057-patient-instructions-mupirocin.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Patient Instructions: Preoperative Nasal Decolonization With Mupirocin
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
What Is Nasal Decolonization?
Some bacteria can live inside your nostrils for long periods of time. N…
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
December 15, 2021 - Organizational Policy/Guidelines
National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event.
Citation Text:
Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pdf
March 01, 2022 - Nursing Protocol Training_Nasal Mupirocin
AHRQ Pub. No. 20(22)-0036
March 2022
Decolonization of
Non-ICU Patients With Devices
Section 11-7
Nursing Protocol Training
Nasal Mupirocin
Decolonization of Non-ICU Patients With Devices
Targeted Decolonization Introduction
Our hospital is adopting a targeted decol…
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psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - Study
Body mass index category and adverse events in hospitalized children.
Citation Text:
Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004.
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…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-event-checklist.pdf
April 01, 2016 - Purpose: To provide a checklist for the required actions that need to be taken following an event.
Who should use this tool? The Communication and Optimal Resolution Toolkit (CANDOR) Response Team or
designee, unless otherwise indicated.
How to use this tool: Use the checklist to ensure that appropriate action is t…
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psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit
July 22, 2020 - Commentary
Battling alarm fatigue in the pediatric intensive care unit.
Citation Text:
Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003.
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Format:
DOI …
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
August 01, 2022 - CANDOR Event Checklist
AHRQ Communication and Optimal Resolution Toolkit
Purpose: To provide a checklist for the required actions that need to be taken following an event.
Who should use this tool? The Communication and Optimal Resolution (CANDOR) Response Team or designee, unless otherwise indicated.
…
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psnet.ahrq.gov/issue/impact-health-information-management-professionals-patient-safety-systematic-review
August 25, 2021 - Review
The impact of health information management professionals on patient safety: a systematic review.
Citation Text:
Kemp T, Butler‐Henderson K, Allen P, et al. The impact of health information management professionals on patient safety: a systematic review. Health Info Libr J. 2021;3…
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psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read
November 10, 2021 - Study
Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies.
Citation Text:
Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read…
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psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
March 14, 2022 - Study
Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery?
Citation Text:
Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/best_practices-slides/Best-Practices-How-Successful-Units-Engaged-Their-Senior-Exec-Leaders-Oct-18-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
CLABSI Supplemental Call Series
Best Practices: How Successful Units Engaged Their Senior Executive Leaders
October 18, 2011
Presenters:
Jonathan Kling, BSN, BHA, RN, CCRN
Scott Raynes, MA, MBA
Joan Chatham, MSN, RN
Melissa Allen, MS, RN
Slide *
CLABSI Supplemental Call Series
Jonatha…
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psnet.ahrq.gov/issue/double-checking-second-look
August 28, 2017 - Study
Double checking: a second look.
Citation Text:
Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468.
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Format:
DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-ai-wave5.html
July 01, 2025 - Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Human-AI Interaction
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Table of Contents
Understanding the AI Wave: Foundational Knowledge for Improving Diagnosis and Beyond
Introduction
Understanding the AI Wave—What Is AI?
Understand…