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  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-slides.pptx
    April 01, 2022 - Using a Tiered Approach With CUSP Principles Slides Using a Tiered Approach With Comprehensive Unit-based Safety Program Principles AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 Objectives Describe the tiered approach for central line-associated bloo…
  2. www.ahrq.gov/research/findings/final-reports/stpra/stpra4.html
    April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Chapter 4. Conclusions and Next Steps Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers Executive Summary Chapter 1. Introduction Chapte…
  3. digital.ahrq.gov/ahrq-funded-projects/development-clinical-decision-support-tool-facilitating-naturalistic-decision
    January 01, 2023 - Development of a Clinical Decision Support Tool for Facilitating Naturalistic Decision Making and Improving Blood Culture Utilization Project Final Report ( PDF , 1.32 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are resp…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
    January 01, 1999 - Prologue -- Blueprints for Action 1 Prologue Blueprints for Action Mary K. Wakefield In 1999, the Institute of Medicine report To Err Is Human: Building a Safer Health System1 advanced a clear challenge to create safer environments in health care. The message of the report has resonated ever since, from t…
  5. psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - In Conversation with…Carolyn Clancy, MD September 1, 2005  Also Read an Essay Citation Text: In Conversation with…Carolyn Clancy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. …
  6. psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
    June 01, 2011 - In Conversation with… Edward Tenner, PhD June 1, 2011  Also Read an Essay Citation Text: In Conversation with… Edward Tenner, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Cop…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/rodriguez/rodriguez.pptx
    June 02, 2025 - Slide 1 Implementing Team Approaches for Improving Diabetes Care in Health Centers Hector P. Rodriguez, PhD, MPH (hrod@berkeley.edu) UC Berkeley School of Public Health iCARE (Innovative Care Approaches through Research & Education) Acknowledgements Other Research Team Members (University of California and RA…
  8. cds.ahrq.gov/sites/default/files/cds/artifact/21/2024_CDS_Connect_IG_Statin_Therapy_CVD_eCQM.pdf
    January 01, 2024 - Implementation Guide: Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CVD): An Electronic Clinical Quality Measure (eCQM)-derived CDS Implementation Guide Statin Therapy for the Prevention and Treatment of Cardiovascular Disease (CVD): An Electronic Clinical Quality Measure (eCQM)-Deriv…
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
    January 01, 2017 - Presentation: Program Overview Assess Patient Safety Culture Using the Hospital Survey on Patient Safety AHRQ Safety Program for Mechanically Ventilated Patients AHRQ Pub. No. 16(17)-0018-30-EF January 2017 Using HSOPS ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 1 Learning Objectives After t…
  10. psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform
    August 09, 2023 - Commentary An appeal for evidence-based resident duty hours reform. Citation Text: Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. Copy Citation Format: DOI Google S…
  11. psnet.ahrq.gov/issue/multiple-institution-comparison-resident-and-faculty-perceptions-burnout-and-depression
    October 19, 2022 - Study Emerging Classic Multiple-institution comparison of resident and faculty perceptions of burnout and depression during surgical training. Citation Text: Williford ML, Scarlet S, Meyers MO, et al. Multiple-Institution Comparison of Resident and Faculty Perce…
  12. psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
    March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…
  13. psnet.ahrq.gov/issue/computerized-physician-order-entry-injectable-antineoplastic-drugs-epidemiologic-study
    October 19, 2022 - Study Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors. Citation Text: Nerich V, Limat S, Demarchi M, et al. Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of pr…
  14. psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
    July 09, 2018 - Study Family-initiated dialogue about medications during family-centered rounds. Citation Text: Benjamin JM, Cox E, Trapskin PJ, et al. Family-initiated dialogue about medications during family-centered rounds. Pediatrics. 2015;135(1):94-101. doi:10.1542/peds.2013-3885. Copy Citation …
  15. psnet.ahrq.gov/issue/psychosocial-factors-and-safety-high-risk-industries-systematic-literature-review
    July 15, 2020 - Review Psychosocial factors and safety in high-risk industries: a systematic literature review. Citation Text: Derdowski LA, Mathisen GE. Psychosocial factors and safety in high-risk industries: a systematic literature review. Safety Sci. 2022;157:105948. doi:10.1016/j.ssci.2022.105948. …
  16. psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
    August 20, 2016 - Study Prevalence of polypharmacy exposure among hospitalized children in the United States. Citation Text: Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…
  17. psnet.ahrq.gov/issue/responding-unprofessional-behavior-trainees-just-culture-framework
    June 24, 2020 - Commentary Responding to unprofessional behavior by trainees - a "just culture" framework. Citation Text: Wasserman JA, Redinger M, Gibb T. Responding to Unprofessional Behavior by Trainees — A “Just Culture” Framework. New England Journal of Medicine. 2020;382(8). doi:10.1056/nejmms191…
  18. psnet.ahrq.gov/issue/whats-name-provider-perception-injured-john-doe-patients
    September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology
    August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…
  20. psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication
    July 01, 2016 - Study The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. Citation Text: Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurr…