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Device-related Complications

•Indwelling Tubes and Catheters (70)

•Infusion Pumps (27)

•Restraints (4)

Origin/Sponsor

•Australia and New Zealand (2)

•North America (201)

Resource Types

•Audiovisual (6)

•Book/Report (9)

•Clinical Guideline (1)

•Journal Article (133)

•Legislation/Regulation (7)

•Meeting/Conference (1)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (9)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (52)

•Active Errors (49)

•Latent Errors (33)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (81)

•Legal and Policy Approaches (25)

•Error Reporting and Analysis (63)

•Communication Improvement (27)

•Human Factors Engineering (108)

•Teamwork (8)

•Specialization of Care (5)

•Logistical Approaches (7)

•Culture of Safety (31)

•Technologic Approaches (34)

•Education and Training (51)

Clinical Areas

•Allied Health Services (2)

•Medicine (174)

•Nursing (16)

•Pharmacy (23)

Target Audience

•Health Care Providers (154)

•Health Care Executives and Administrators (177)

•Non-Health Care Professionals (67)

•Patients (36)

Setting of Care

•Hospitals (179)

•Residential Facilities (1)

•Ambulatory Care (10)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 230

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COMMENTARY

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.

Goeschel CA, Holzmueller CG, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010;36:525-528.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

STUDY

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.

Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.

BOOK/REPORT

Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.

The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.

PRESS RELEASE/ANNOUNCEMENT

New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).

Oakbrook Terrace, IL: Joint Commission; May 17, 2011.

BOOK/REPORT

Eliminating CLABSI: A National Patient Safety Imperative.

Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

NEWSPAPER/MAGAZINE ARTICLE

MRI safety 10 years later.

Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29.

COMMENTARY

Using a logic model to design and evaluate quality and patient safety improvement programs.

Goeschel CA, Weiss WM, Pronovost PJ. Int J Qual Health Care. 2012;24:330-337.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

FACT SHEET/FAQS

FDA Guidance Document: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment.

ASHE Regulatory Advisory. Chicago, IL: American Society for Healthcare Engineering and the American Society for Healthcare Environmental Services; May 2006.

COMMENTARY

Leading a highly visible hospital through a serious reportable event.

Erickson JI. J Nurs Adm. 2012;42:131-133.

MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.

Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.

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