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Health Research & Educational Trust, MHA Keystone Center.
This Web site provides resources for two comprehensive unit-based safety programs (CUSP) designed to reduce central line–associated bloodstream infections and catheter-associated urinary tract infections.
Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement.
Calderwood MS, Kawai AT, Jin R, Lee GM. Infect Control Hosp Epidemiol. 2018;39:897-901.
Financial incentives to reduce hospital-acquired infections under alternative payment arrangements.
Cohen CC, Liu J, Cohen B, Larson EL, Glied S. Infect Control Hosp Epidemiol. 2018;39:509-515
Specimen Almost Lost
Yael K. Heher, MD, MPH
Zero tolerance for deadly hospital-acquired infections.
Levine H. Consum Rep. 2017 Jan;82:32-40.
Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals.
Hauck KD, Wang S, Vincent C, Smith PC. Med Care. 2017;55:125-130.
Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize
central line-associated bloodstream infections.
Richter JP, McAlearney AS. Health Care Manage Rev. 2018;43:42-49.
Toolkit for Reducing CAUTI in Hospitals.
Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated infections.
Rinke ML, Bundy DG, Abdullah F, Colantuoni E, Zhang Y, Miller MR. J Patient Saf. 2015;11:123-134.
Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project.
Hsu YJ, Marsteller JA. Am J Med Qual. 2016;31:349-357.
Sustaining reductions in central line–associated bloodstream infections in Michigan intensive care units: a 10-year analysis.
Pronovost PJ, Watson SR, Goeschel CA, Hyzy RC, Berenholtz SM. Am J Med Qual. 2016;31:197-202.
Do clinicians know which of their patients have central venous catheters?: A multicenter observational study.
Chopra V, Govindan S, Kuhn L, et al. Ann Intern Med. 2014;161:562-567.
Health care–associated infections among critically ill children in the US, 2007–2012.
Patrick SW, Kawai AT, Kleinman K, et al. Pediatrics. 2014;134:705-712.
Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies.
Fakih MG, George C, Edson BS, Goeschel CA, Saint S. Infect Control Hosp Epidemiol. 2013;34:1048-1054.
Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.
Chandonnet CJ, Kahlon PS, Rachh P, et al. Pediatrics. 2013;131:e1961-e1969.
Doing well by doing good: assessing the cost savings of an intervention to reduce central line-associated bloodstream infections in a Hawaii hospital.
Hsu E, Lin D, Evans SJ, et al. Am J Med Qual. 2014;29:13-19.
Drug shortage-associated increase in catheter-related blood stream infection in children.
Ralls MW, Blackwood RA, Arnold MA, Partipilo ML, Dimond J, Teitelbaum DH. Pediatrics. 2012;130:e1369-e1373.
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent.
Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.
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.
Using a logic model to design and evaluate quality and patient safety improvement programs.
Goeschel CA, Weiss WM, Pronovost PJ. Int J Qual Health Care. 2012;24:330-337.
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Duval-Arnould J, Mathews SC, Weeks K, et al. Jt Comm J Qual Patient Saf. 2012;38:41-47.
Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.
Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.
Eliminating CLABSI: A National Patient Safety Imperative.
Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.
New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Oakbrook Terrace, IL: Joint Commission; May 17, 2011.
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.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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