AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (190)

•Diagnostic Errors (191)

•Identification Errors (126)

•Discontinuities, Gaps, and Hand-Off Problems (477)

•Fatigue and Sleep Deprivation (109)

•Medication Safety (1213)

•Medical Complications (539)

•Nonsurgical Procedural Complications (104)

•Surgical Complications (436)

•Transfusion Complications (24)

•Psychological and Social Complications (151)

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United States of America

•United States Federal Government (282)

•State Governments and Agencies (48)

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•Clinical Guideline (9)

•Journal Article (2952)

•Legislation/Regulation (68)

•Meeting/Conference (37)

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•Press Release/Announcement (36)

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Error Types

•Epidemiology of Errors and Adverse Events (1049)

•Active Errors (562)

•Latent Errors (251)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (1149)

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•Error Reporting and Analysis (1239)

•Communication Improvement (963)

•Human Factors Engineering (516)

•Teamwork (321)

•Specialization of Care (300)

•Logistical Approaches (343)

•Culture of Safety (588)

•Technologic Approaches (751)

•Education and Training (805)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (3046)

•Health Care Executives and Administrators (3312)

•Non-Health Care Professionals (1552)

•Patients (406)

Setting of Care

•Hospitals (2795)

•Psychiatric Facilities (13)

•Residential Facilities (81)

•Ambulatory Care (391)

•Outpatient Surgery (54)

•Patient Transport (25)

1 - 20 of 4309

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STUDY

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.

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.

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.

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.

COMMENTARY

Case study: preventing surgical complications at Baystate Medical Center.

Fitzgerald J, Kanter G, Benjamin E. Jt Comm J Qual Patient Saf. 2007;33:666-671.

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

Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.

Lin MY, Hota B, Khan YM, et al; CDC Prevention Epicenter Program. JAMA. 2010;304:2035-2041.

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

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.

STUDY

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.

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.

MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

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.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.

BOOK/REPORT

2011 National and State Healthcare–Associated Infections Standardized Infection Ratio Report.

Malpiedi PJ, Peterson KD, Soe MM, et al. Atlanta, GA: Centers for Disease Control and Prevention; February 11, 2013.

STUDY

The interrelationship of isolation precautions and adverse events in an acute care facility.

Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Infection control hazards and near misses reported by nursing students.

Geller NF, Bakken S, Currie LM, Schnall R, Larson EL. Am J Infect Control. 2010;38:811-816.

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