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Indwelling Tubes and Catheters
PATIENT SAFETY PRIMERS
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Indwelling Tubes and Catheters
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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.
COMMENTARY
Central Line Clot.
Randolph AG. AHRQ WebM&M [serial online]. May 2003.
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.
REVIEW
Can we make airway management (even) safer?—lessons from national audit.
Woodall N, Frerk C, Cook TM. Anaesthesia. 2011;66(suppl 2):27-33.
GRANT RECIPIENT
Improving Patient Safety Through Simulation Research.
Rockville, MD: Agency for Healthcare Research and Quality; June 2008.
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.
PRESS RELEASE/ANNOUNCEMENT
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
COMMENTARY
Breakage of a PICC Line
Dimov V. AHRQ WebM&M [serial online]. April 2009.
MULTI-USE WEBSITE
Tubing and Luer Misconnections: Preventing Dangerous Medical Errors.
US Food and Drug Administration.
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.
STUDY
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.
NEWSPAPER/MAGAZINE ARTICLE
U.S. inaction lets look-alike tubes kill patients.
Harris G. New York Times. August 21, 2010:A1.
NEWSPAPER/MAGAZINE ARTICLE
Health for life. Keys to safer hospitals.
Berwick DM. Newsweek. December 12, 2005;46:75-78.
NEWSPAPER/MAGAZINE ARTICLE
Safety shortcomings spotted in Sunrise catheter case.
Harasim P. Las Vegas Review-Journal. November 21, 2010;News:1B.
STUDY
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.
PRESS RELEASE/ANNOUNCEMENT
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.
NEWSPAPER/MAGAZINE ARTICLE
Woman who died at Alta Bates may be victim of medical error not medication mistake.
Woodall A. Oakland Tribune. September 27, 2011.
MEASUREMENT TOOL/INDICATOR
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
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