PATIENT SAFETY PRIMERS
Health Care-Associated Infections
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Creating high reliability in health care organizations.
Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.
A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.
Marsteller JA, Sexton JB, Hsu YJ, et al. Crit Care Med. 2012;40:2933-2939.
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.
Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.
Johnson JR, Kuskowski MA, Wilt TJ. Ann Intern Med. 2006;144:116-126.
Safety of patients isolated for infection control.
Stelfox HT, Bates DW, Redelmeier DA. JAMA. 2003;290:1899-1905.
Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port.
Maragakis LL, Bradley KL, Song X, et al. Infect Control Hosp Epidemiol. 2006;27:67-70.
Leveraging technical and managerial changes to improve safety.
Pronovost P, Heifetz RA. Hosp Health Netw. March 27, 2007.
An intervention to decrease catheter-related bloodstream infections in the ICU.
Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.
Inflammation and the Host Response to Injury, a Large-Scale Collaborative Project: patient-oriented research core—standard operating procedures for clinical care. II. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient.
Minei JP, Nathens AB, West M, et al. J Trauma. 2006;60:1106-1113.
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.
Nonpayment for harms resulting from medical care: catheter-associated urinary tract infections.
Wald HL, Kramer AM. JAMA. 2007;298:2782-2784.
Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.
OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.
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.
Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.
Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Qual Saf Health Care. 2008;17:25-30.
Preventing infections: how Portland hospitals compare.
Rojas-Burke J. The Oregonian. May 8, 2010.
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.
Dubner SJ, Levitt SD. New York Times Magazine. September 24, 2006:22.
Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study.
Pronovost PJ, Goeschel CA, Colantuoni E, et al. BMJ. 2010;340:c309.
Top of the list: Researcher fights epidemic of medical errors with checklist.
MacMillan C. Republican-American. March 29, 2009;local:1A.
Deadly infections: hospitals can lower the risk, but many fail to act.
Consumer Reports. March 2010;75:16-21.
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