Indwelling Tubes and Catheters
PATIENT SAFETY PRIMERS
Indwelling Tubes and Catheters
North America (66)
Clinical Guideline (1)
Journal Article (49)
Newspaper/Magazine Article (9)
Press Release/Announcement (3)
Web Resource (3)
Epidemiology of Errors and Adverse Events (26)
Active Errors (12)
Latent Errors (4)
Approach to Improving Safety
Quality Improvement Strategies (33)
Legal and Policy Approaches (8)
Error Reporting and Analysis (19)
Communication Improvement (4)
Human Factors Engineering (28)
Specialization of Care (1)
Logistical Approaches (3)
Culture of Safety (16)
Technologic Approaches (3)
Education and Training (15)
Allied Health Services (2)
Health Care Providers (61)
Health Care Executives and Administrators (62)
Non-Health Care Professionals (16)
Setting of Care
Patient Transport (1)
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2009 National Healthcare Quality Report.
Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.
Rounding to influence.
Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.
Central Line Clot.
Randolph AG. AHRQ WebM&M [serial online]. May 2003.
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.
Can we make airway management (even) safer?—lessons from national audit.
Woodall N, Frerk C, Cook TM. Anaesthesia. 2011;66(suppl 2):27-33.
Improving Patient Safety Through Simulation Research.
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
Eliminating CLABSI: A National Patient Safety Imperative.
Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
Breakage of a PICC Line
Dimov V. AHRQ WebM&M [serial online]. April 2009.
Tubing and Luer Misconnections: Preventing Dangerous Medical Errors.
US Food and Drug Administration.
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Oakbrook Terrace, IL: Joint Commission; May 17, 2011.
Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007.
Burton DC, Edwards JR, Horan TC, Jernigan JA, Fridkin SK. JAMA. 2009;301:727-736.
U.S. inaction lets look-alike tubes kill patients.
Harris G. New York Times. August 21, 2010:A1.
Health for life. Keys to safer hospitals.
Berwick DM. Newsweek. December 12, 2005;46:75-78.
Safety shortcomings spotted in Sunrise catheter case.
Harasim P. Las Vegas Review-Journal. November 21, 2010;News:1B.
Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].
Baxter AD, Allan J, Bedard J, et al. Can J Anaesth. 2005;52:535-541.
10-State project to study methods to reduce central line-associated bloodstream infections in hospital ICUs.
Rockville, MD: Agency for Healthcare Research and Quality; February 19, 2009.
Woman who died at Alta Bates may be victim of medical error not medication mistake.
Woodall A. Oakland Tribune. September 27, 2011.
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
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