U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Chou DTS, Achan P, Ramachandran M. J Bone Joint Surg Br. 2012;94:441-445.
Chou DTS ; Achan P ; Ramachandran M.The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012; 94: 441-445
Examining the World Health Organization's hand hygiene program, this commentary identifies weaknesses in the program's ability to reduce health care–associated infections.
Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection Control Practices Advisory Committee.
Talbot TR, Bratzler DW, Carrico RM, et al; Healthcare Infection Control Practices Advisory Committee. Ann Intern Med. 2013;159:631-635.
How active resisters and organizational constipators affect health care–acquired infection prevention efforts.
Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Jt Comm J Qual Patient Saf. 2009;35:239-246.
Adverse Events in Hospitals: Overview of Key Issues.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections.
Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08-283.
Towards international consensus on patient harm: perspectives on pressure injury policy.
Jackson D, Hutchinson M, Barnason S, et al. J Nurs Manag. 2016;24:902-914.
Strategies to prevent healthcare-associated infections through hand hygiene.
Ellingson K, Haas JP, Aiello AE, et al. Infect Control Hosp Epidemiol. 2014;35:937-960.
Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice.
Cortes-Penfield N. Am J Public Health. 2014;104:2060-2065.
Eliminating Catheter-Associated Urinary Tract Infections.
Chicago, IL: Health Research & Educational Trust; July 2013.
Practices to prevent venous thromboembolism: a brief review.
Lau BD, Haut ER. BMJ Qual Saf. 2014;23:187-195.
Toward the modelling of safety violations in healthcare systems.
Catchpole K. BMJ Qual Saf. 2013;22:705-709.
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.
Impact of participation in the California Healthcare-Associated Infection Prevention Initiative on adoption and implementation of evidence-based practices for patient safety and health care–associated infection rates in a cohort of acute care general hospitals.
Halpin HA, McMenamin SB, Simon LP, et al. Am J Infect Control. 2013;41:307-311.
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement.
Salt Lake City, UT: Utah Department of Health, HealthInsight, Utah Hospital Association; 2012.
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.
Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Sharek PJ, McClead RE Jr, Taketomo C, et al. Pediatrics. 2008;122:e861-e866.
Global Patient Safety Challenge NewsAlert.
World Health Organization.
Coding for Success: Simple Technology for Safer Patient Care.
Healthcare Quality Directorate, Department of Health. London, England: Crown Publishing; February 16, 2007.
Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.
Lankshear AJ, Sheldon TA, Lowson KV, Watt IS, Wright J. Qual Saf Health Care. 2005;14:196-201.
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Lennes IT, Bohlen N, Park ER, Mort E, Burke D, Ryan DP. J Oncol Pract. 2016;12:e495-e501.
Nursing strategies to increase medication safety in inpatient settings.
Bravo K, Cochran G, Barrett R. J Nurs Care Qual. 2016;31:335-341.
Alarm management: first things first: using reliable data to eliminate unnecessary alarms.
Vanderveen T. Patient Saf Qual Healthc. November/December 2014;11:38-40,42-45.
An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting.
Rousseau MP, Beauchesne MF, Naud AS, et al. Can J Diabetes. 2014;38:85-89.
Standardization in patient safety: the WHO High 5s project.
Leotsakos A, Zheng H, Croteau R, et al. Int J Qual Health Care. 2014;26:109-116.
Still outside the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.
ISMP Medication Safety Alert! Acute Care Edition. March 27, 2014;19:1-5.
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.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364