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ISMP Medication Safety Alert! Acute Care Edition. September 20, 2012;17:1,3-4.
This article describes how multiple-dose containers of intravenous radiological contrast media can spread infection and makes recommendations to address this risk.
Infection prevention in the operating room anesthesia work area.
Munoz-Price LS, Bowdle A, Johnston BL, et al. Infect Control Hosp Epidemiol. 2019;40:1-17.
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Vokes RA, Bearman G, Bazzoli GJ. Curr Infect Dis Rep. 2018;20:35.
Antibiotic Stewardship in Acute Care: A Practical Playbook.
National Quality Partners. Washington, DC: National Quality Forum; 2016.
Understanding and managing IV container overfill.
ISMP Medication Safety Alert! Acute Care Edition. November 14, 2013;18:1-4.
Toolkit for Reduction of Clostridium difficile Infections Through Antimicrobial Stewardship.
Boston University School of Public Health. Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 120082EF.
Making health care safer: stopping C. difficile infections.
CDC Vital Signs. March 2012:1-4.
Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care.
Atlanta, GA: Centers for Disease Control and Prevention; 2011.
Common cause analysis.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
Save Lives: Clean Your Hands.
World Health Organization
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events.
van Gaal BG, Schoonhoven L, Hulscher ME, et al. BMC Health Serv Res. 2009;9:58.
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2007;12:1-2.
Association for Professionals in Infection Control and Epidemiology.
1275 K St, NW, Suite 1000, Washington, DC 20005.
Could CDC guidelines be driving some opioid patients to suicide?
Dickson EJ. Rolling Stone. March 9, 2019.
SIS Patient Safety Committee. Spine Intervention Society.
Guidance for the Safe Use of Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2019.
Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy.
Fried TR, Mecca MC. J Am Geriatr Soc. 2019 Jan 30; [Epub ahead of print].
ASH Clinical Practice Guidelines on Venous Thromboembolism.
Washington, DC: American Society of Hematology; 2018.
ASHP guidelines on preventing medication errors in hospitals.
Billstein-Leber M, Carrillo CJD, Cassano AT, Moline K, Robertson JJ. Am J Health Syst Pharm. 2018;75:1493-1517.
ASHP guidelines on managing drug product shortages.
Fox ER, McLaughlin MM. Am J Health Syst Pharm. 2018;75:1742-1750.
ISMP Survey on High-Alert Medications in Acute Care Settings.
Horsham, PA: Institute for Safe Medication Practices; 2018.
World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.
Gelb AW, Morriss WW, Johnson W, et al; International Standards for a Safe Practice of Anesthesia Workgroup. Anesth Analg. 2018;126:2047-2055.
ACOG Committee Opinion #730: fatigue and patient safety.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131:e78-e81.
2018–2019 Targeted Medication Safety Best Practices for Hospitals.
Horsham, PA: Institute for Safe Medication Practices; 2017.
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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