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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - Stewardship in the ICU Setting” is part of the Agency for Healthcare Research and Quality’s Safety Program … patient in the ICU who has previously been afebrile and in whom the source of fever is not initially … length of time the catheter has been in because of the buildup of bacteria biofilm on the catheter itself … members of the Society for Healthcare Epidemiology of America research network to examine acute care … National Healthcare Safety Network CAUTI definitions state that fever is a nonspecific symptom of infection
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psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
January 18, 2023 - narratives about the causes of a healthcare failure. … September 14, 2022
Learning from complaints in healthcare: a realist review of academic … November 18, 2016
Patient-centered insights: using health care complaints to reveal hot … May 20, 2020
Patient complaints in healthcare systems: a systematic review and coding … December 4, 2016
'Even now it makes me angry': health care students' professionalism
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Sabin, MD Director, Ethics Program, Harvard Pilgrim Health Care Clinical Professor, Departments of Population … health care. … Topic
Hospitals
Health Care Providers
Health Care Executives and Administrators
Policy
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digital.ahrq.gov/sites/default/files/docs/publication/action-qi-cds-training.pdf
June 16, 2021 - • Patient Falls and Patient Falls with Injury are two of the four “nurse
sensitive” indicators of … • “Reducing Risk of Harm resulting from Falls” has been one of the
National Safety Goals recommended … by TJC (Goal 9 - 09.02.01 in the past … *Agency for Healthcare Research & Quality (AHRQ) ACTION Project TO# HHSA290200600016l
How Will A … care givers, and
tracking the impact of improvement efforts.
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Qual Health Care. 1995;4:80-89. [go to PubMed] 3. Reason JT. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … June 1, 2011
View More
See More About The Topic
Operating Room
Health
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psnet.ahrq.gov/node/49535/psn-pdf
May 01, 2007 - Production Pressures in Health Care
Research has shown that various categories of health care workers … Very often, changes in workload occur in health care in an unpredictable manner. … of the culture of health
care.
5. … This would be far trickier to do in health care. … They can affect health care providers in the form of stress and burnout,
and the safety of care provided
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www.ahrq.gov/hai/tools/mvp/modules/technical/subglottic-fac-guide.html
January 01, 2017 - Tubes
Say:
In this module, you will learn about the benefits of subglottic secretion drainage … However, 17.6 percent of patients in the nonsuction group—32 of those 182 patients—developed VAP. … The daily use of antibiotics also significantly decreased for patients in the first group by 269 days … reduction of VAP prevalence as well as a decrease in the need for antibiotic use. … of four important leaders in the VAP field.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
January 01, 2008 - increasing appropriate use and removal of indwelling urinary catheters.
· Verbalizes the importance … for the efforts and contributions of others
· Able to wait patiently and recognizes the importance … Governance for Healthcare Leaders: The Call to Leadership. … He or she works with the health care organization to provide feedback to other physicians about their … Local opinion leaders: Effects on professional practice and health care outcomes.
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psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
June 15, 2024 - AHRQ is an amazing organization in terms of its focus on doing research on the health care delivery system … RW : One dominant theme in the last 5 years is that the health care system has essentially gone from … It now needs to be part of the workflow, and our health care system has not figured out quite yet how … the health care delivery system. … in the health care system from the point of view of their health needs, their health care costs, and
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - care.1 The Institute of Medicine has long
recognized problems with health care quality in the United … Most published evaluations of the impact of CDS on health care quality have been conducted
in inpatient … care quality has been the
effect of CDS on health care costs, with an emphasis on lowering costs by … the numbers of
EMR vendors and in the purchase of these systems by health care providers.7,9 In addition … Institute of Medicine
National Roundtable on Health Care Quality.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - Statements in the report should not
be construed as endorsement by the Agency for Healthcare Research … Utilize the EHRS/data warehouse to facilitate continuous improvement of health care
quality and safety … and
health care resources. … facilitate continuous
improvement of health care quality and safety and develop its function as a patient … basis for standards of
care
• Include all health care services delivered by the Centers, including
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cdsic.ahrq.gov/sites/default/files/2025-07/CDSiC%20Topic%20Highlight_PC%20CDS%20and%20SDM_508_0.pdf
January 01, 2025 - decision support (PC CDS),
and how these two concepts can work together to help clinicians deliver patient-centered … care. … to help clinicians and patients consider the tradeoffs of various options in the
context of patient … resource
describes how shared decision making and PC CDS can work together to help clinicians deliver
patient-centered … care.
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-emergency-department-visits-and-patient-safety-united-states
July 14, 2021 - The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States … Patient education efforts should focus on the importance of prompt medical intervention for acute conditions … The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States … health care: a battle to be heard, believed, and protected. … Health Care Providers
Emergency Medicine
Public Health
Infectious Diseases
View More
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psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
July 03, 2016 - Same Author(s)
Health care-associated infections among critically ill children in the … August 3, 2022
Health care-associated invasive MRSA infections, 2005-2008. … May 13, 2021
Health care-associated infections: a meta-analysis of costs and financial … impact on the US health care system. … November 26, 2014
Variation in Patient Safety Outcomes and the Importance of Being Informed
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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … This project was funded under contract number 75Q80119C00004 from the Agency for Healthcare Research … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Topic
Outpatient Surgery
Hospitals
Health Care Executives and Administrators
Policy Makers
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psnet.ahrq.gov/issue/people-are-more-error-prone-after-committing-error
June 29, 2011 - This article explores the concept of post-error slowing. … on the prevention of prescription errors. … February 11, 2015
Seroprevalence of SARS-CoV-2 among frontline health care personnel … January 7, 2019
ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging … September 11, 2024
An exploratory analysis of the association between healthcare associated
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-0090-fullreport.pdf
July 25, 2016 - is a
corresponding $13.2 million reduction in health care costs (accrued over the lifetime of
adolescents … The
purpose of the EPSDT program is to ensure the provision of comprehensive health care services
for … Special Health Care Needs
In the absence of a standardized definition for ‘special health care needs … Individual health care provider (if yes, specify which type of
health care provider)
i. … care system.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - The clinicians failed to appreciate the importance of physiologic insulin replacement in patients with … of insulin in the United States. 2
Even if the patient in this case did not have DKA, the order … Diabetes Care in the Hospital: Standards of Medical Care in Diabetes-2019 . … Survey of Healthcare Professionals: Inpatient Diabetes Care and Glycemic Management. … November 29, 2023
Development and usability testing of the Agency for Healthcare Research
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psnet.ahrq.gov/issue/adequacy-information-transferred-resident-sign-out-hospital-handover-care-prospective-survey
April 30, 2008 - Qual Saf Health Care. 2008;17(1):6-10. doi:10.1136/qshc.2006.019273. … Qual Saf Health Care . 2008; 17 (1) :6-10 .
View more articles from the same authors. … Qual Saf Health Care. 2008;17(1):6-10. doi:10.1136/qshc.2006.019273. … March 18, 2009
Enabling a learning healthcare system with automated computer protocols … to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery
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psnet.ahrq.gov/issue/engaging-ethnic-minority-consumers-improve-safety-cancer-services-national-stakeholder
September 15, 2021 - September 15, 2021
The safety of health care for ethnic minority patients: a systematic … November 17, 2021
Allergy safety events in healthcare: development and application of … June 15, 2022
The effectiveness of interruptive prescribing alerts in ambulatory CPOE … April 5, 2023
The aspects of healthcare quality that are important to health professionals … December 15, 2021
Development and usability testing of the Agency for Healthcare Research