AHRQ Patient Safety Network

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PATIENT SAFETY PRIMERS
Health Care-Associated Infections

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Nosocomial Infections

Origin/Sponsor

•Africa (2)

•Asia (2)

•Australia and New Zealand (4)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (172)

•Legislation/Regulation (4)

•Meeting/Conference (1)

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•Newspaper/Magazine Article (39)

•Press Release/Announcement (7)

•Special or Theme Issue (11)

•Tools/Toolkit (6)

•Web Resource (17)

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Error Types

•Epidemiology of Errors and Adverse Events (79)

•Active Errors (35)

•Latent Errors (17)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (137)

•Legal and Policy Approaches (55)

•Error Reporting and Analysis (85)

•Communication Improvement (43)

•Human Factors Engineering (56)

•Teamwork (18)

•Specialization of Care (14)

•Logistical Approaches (21)

•Culture of Safety (61)

•Technologic Approaches (30)

•Education and Training (51)

Clinical Areas

Target Audience

•Health Care Providers (183)

•Health Care Executives and Administrators (244)

•Non-Health Care Professionals (90)

•Patients (44)

Setting of Care

•Hospitals (231)

•Psychiatric Facilities (1)

•Residential Facilities (8)

•Ambulatory Care (18)

•Outpatient Surgery (8)

1 - 20 of 299

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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

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

Quantification of anesthesia providers' hand hygiene in a busy metropolitan operating room: what would Semmelweis think?

Biddle C, Shah J. Am J Infect Control. 2012;40:756-759.

STUDY

The ability of intensive care units to maintain zero central line–associated bloodstream infections.

Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. Arch Intern Med. 2011;171:856-858.

STUDY

Patient characteristics and the occurrence of never events.

Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.

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.

COMMENTARY classic

Reality check for checklists.

Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Lancet. 2009;374:444-445.

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.

COMMENTARY

Infection preventionist checklist to improve culture and reduce central line–associated bloodstream infections.

Goeschel CA, Holzmueller CG, Cosgrove SE, Ristaino P, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010;36:571-575.

REVIEW

Patient safety in dermatology: a review of the literature.

Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.

COMMENTARY

Preventing catheter-related bloodstream infections: thinking outside the checklist.

Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.

COMMENTARY

Did We Forget Something?

Gibbs VC. AHRQ WebM&M [serial online]. September 2003.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

STUDY

Utilizing improvement science methods to improve physician compliance with proper hand hygiene.

White CM, Statile AM, Conway PH, et al. Pediatrics. 2012;129:e1042-e1050.

STUDY

Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.

Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; VA ICU Clinical Advisory Group. BMJ Qual Saf. 2011;20:725-732.

STUDY

Infection control assessment of ambulatory surgical centers.

Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

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

STUDY

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.

STUDY

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

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