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Medical Complications
PATIENT SAFETY PRIMERS
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COMMENTARY
Central Line Clot.
Randolph AG. AHRQ WebM&M [serial online]. May 2003.
COMMENTARY
Breakage of a PICC Line
Dimov V. AHRQ WebM&M [serial online]. April 2009.
COMMENTARY
The Forgotten Drip
Josephson SA. AHRQ WebM&M [serial online]. January 2008.
STUDY
Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.
Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.
COMMENTARY
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
STUDY
Competence and certification of registered nurses and safety of patients in intensive care units.
Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.
COMMENTARY
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
STUDY
Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.
SPECIAL OR THEME ISSUE
Safety.
Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.
STUDY
Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.
Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.
STUDY
Potential medical adverse events associated with death: a forensic pathology perspective.
Sakai K, Takatsu A, Shigeta A, et al. Int J Qual Health Care. 2010;22:9-15.
COMMENTARY
Did We Forget Something?
Gibbs VC. AHRQ WebM&M [serial online]. September 2003.
COMMENTARY
Novel Drug Misuse.
Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.
COMMENTARY
Failure to rescue in neonatal care.
Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.
STUDY
Prevalence of adverse events in pediatric intensive care units in the United States.
Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.
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.
GRANT ANNOUNCEMENT
Patient Safety Research During Neonatal Care.
Bethesda, MD: National Institutes of Health. PAR-11-225; PAR-11-226; PAR-11-227.
STUDY
Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.
Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.
STUDY
Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.
Fuchs MA, Sexton DJ, Thornlow DK, Champagne MT. J Nurs Care Qual. 2011;26:101-109.
STUDY
Team situation awareness and the anticipation of patient progress during ICU rounds.
Reader TW, Flin R, Mearns K, Cuthbertson BH. BMJ Qual Saf. 2011;20:1035-1042.
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