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psnet.ahrq.gov/node/61125/psn-pdf
November 11, 2020 - The Anesthesia Patient Safety Foundation Stoelting
Conference 2019: perioperative deterioration--early
recognition, rapid intervention, and the end of failure-to-
rescue.
November 11, 2020
Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Foundation Stoelting Conference
2019: perioperative deteri…
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psnet.ahrq.gov/node/34067/psn-pdf
January 04, 2017 - Does full disclosure of medical errors affect malpractice
liability? The jury is still out.
January 4, 2017
Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability?
The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11.
https://psnet.ahrq.gov/issue/does…
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psnet.ahrq.gov/node/34952/psn-pdf
November 17, 2011 - Assessing the National Electronic Injury Surveillance
System—Cooperative Adverse Drug Event Surveillance
Project—six sites, United States, January 1–June 15,
2004.
November 17, 2011
Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance pr…
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psnet.ahrq.gov/node/853067/psn-pdf
August 30, 2023 - The Pursuing Excellence Collaborative: engaging first-
year residents and fellows in patient safety event
investigations.
August 30, 2023
Paull DE, Newton RC, Tess AV, et al. The Pursuing Excellence Collaborative: engaging first-year residents
and fellows in patient safety event investigations. J Patient Saf. 2023…
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psnet.ahrq.gov/node/43999/psn-pdf
May 19, 2018 - Label design affects medication safety in an operating
room crisis: a controlled simulation study.
May 19, 2018
Estock JL, Murray AW, Mizah MT, et al. Label Design Affects Medication Safety in an Operating Room
Crisis: A Controlled Simulation Study. J Patient Saf. 2018;14(2):101-106.
doi:10.1097/PTS.00000000000001…
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psnet.ahrq.gov/node/867014/psn-pdf
October 23, 2024 - Secondary analysis of hand-offs in internal medicine
using the I-PASS mnemonic.
October 23, 2024
Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS
mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7.
https://psnet.ahrq.gov/issue/secondary-analys…
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psnet.ahrq.gov/node/837030/psn-pdf
May 04, 2022 - Comprehensive evaluation of using computerised
provider order-entry system for hospital discharge
orders.
May 4, 2022
Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-
entry system for hospital discharge orders. Int J Med Inform. 2022;160:104703.
doi:10.1016/j.…
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psnet.ahrq.gov/node/73183/psn-pdf
April 28, 2021 - Hearing impairment and the amelioration of avoidable
medical error: a cross-sectional survey.
April 28, 2021
Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical
error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298.
h…
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psnet.ahrq.gov/node/837681/psn-pdf
September 11, 2023 - Compendium of Strategies to Prevent HAIs in Acute Care
Hospitals 2022.
September 11, 2023
Infect Control Hosp Epidemiol. 2022-2023.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022
Health care–associated infections (HAIs) affect patients both during and after hospitalizatio…
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psnet.ahrq.gov/node/45920/psn-pdf
May 05, 2017 - Examining the nature of interprofessional interventions
designed to promote patient safety: a narrative review.
May 5, 2017
Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to
promote patient safety: a narrative review. International Journal for Quality in Health…
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.doc
May 01, 2014 - Comprehensive Antibiogram Toolkit: Phase 2
Checklist for Identifying Nursing Home Specific Antibiogram Modifications
Wide variation occurs in the format of the antibiogram data provided by laboratories. The format can range from a report that is ready for use by the nursing home with only minor editing to a series of …
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www.ahrq.gov/evidencenow/projects/urinary/resources/guidance-clinical-trials.html
November 01, 2014 - Back to MUI Resources
Guidance for researchers developing and conducting clinical trials in practice-based research networks (PBRNs)
Resource
Full article on PubMed
Summary
There is increased interest nationally in multicenter clinical trials to answer questions about clinica…
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www.ahrq.gov/pqmp/measures/fecc-written-visit-summary.html
August 01, 2021 - Family Experiences with Coordination of Care (FECC) Measure: Written visit summary was useful and easy to understand
Measure Domain: Management of Chronic Conditions
Measure Sub-Domain: Care Coordination
Subcategory: Family Experiences with Coordination of Care (FECC) Measurement Set
PQMP COE: COE4CCN…
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Perinatal_Dashboard_Data_2024.xlsx
January 01, 2024 - Data Submission Dashboard
Introduction
Introduction-Perinatal
The tables in this workbook present data on Perinatal reports submitted by AHRQ-listed Patient Safety Organizations (PSOs) to the Network of Patient Safety Databases (NPSD) through December 31, 2023. They include the relative frequencies of repo…
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www.ahrq.gov/policymakers/chipra/overview/background/appendix-a9.html
December 01, 2009 - Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and CHIP Programs
Background Report on request for public comment on initial, recommended core set of Children's Healthcare Quality Measures for voluntary…
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/decolonization-evidence.html
April 01, 2025 - MRSA Prevention Toolkit: Targeting SSI
The Evidence for MRSA Decolonization
Previous Page Next Page
Table of Contents
MRSA Prevention Toolkit: Targeting SSI
The Four Key Strategies of MRSA Prevention: Targeting SSI
MRSA and SSI Prevention Phases
Importance of MRSA and SSI Prevention
MRSA Sur…
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www.ahrq.gov/hai/carb/index.html
May 01, 2022 - Combating Antibiotic-Resistant Bacteria
AHRQ works alongside Federal Agencies across the Government as part of the Task Force for Combating Antibiotic-Resistant Bacteria (CARB). The goal of this Task Force is to reduce antibiotic resistance by carrying out the actions described in the National Action Plan for C…
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psnet.ahrq.gov/issue/hospitals-bid-heal-selves-saves-thousands
February 26, 2025 - Newspaper/Magazine Article
Hospitals' bid to heal selves saves thousands.
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June 28, 2006
This article article reports on the resul…
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldata1fig1-2.html
April 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement
Figure 1-2. Williams, Lavizzo-Mourey, and Warren's framework for understanding the relationships between race, medical/health care, and health
Previous Page Next Page
Table of Contents
Race, Ethnicity, and Langua…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh2.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 2. Literature review search terms by category
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Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary
Chapter 1. Intro…