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Chicago, IL: Health Research & Educational Trust; July 2013.
This toolkit reveals how to apply strategies from the Comprehensive Unit-based Safety Program to drive reductions in catheter–associated urinary tract infections.
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
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.
Educational opportunities with postevent debriefing.
Mullan PC, Kessler DO, Cheng A. JAMA. 2014;312:2333-2334.
Antimicrobial stewardship: another focus for patient safety?
Tamma PD, Holmes A, Ashley ED. Curr Opin Infect Dis. 2014;27:348-355.
Infection prevention in the emergency department.
Liang SY, Theodoro DL, Schuur JD, Marschall J. Ann Emerg Med. 2014;64:299-313.
Practices to prevent venous thromboembolism: a brief review.
Lau BD, Haut ER. BMJ Qual Saf. 2014;23:187-195.
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.
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.
Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.
The preventable proportion of healthcare-associated infections 2005–2016: systematic review and meta-analysis.
Schreiber PW, Sax H, Wolfensberger A, Clack L, Kuster SP; Swissnoso. Infect Control Hosp Epidemiol. 2018;39:1277-1295.
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.
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk.
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5.
Preventing infection from the misuse of vials.
Sentinel Event Alert. June 16, 2014;(52):1-6.
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Am J Obstet Gynecol. 2014;211:208-214.e1.
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.
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.
Will medicine ever become safer?
Lundberg GD. Medscape Internal Medicine. November 26, 2013.
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.
Stay Connected: FAQs about Small-Bore Connectors and Tubing Misconnections.
Arlington, VA: Association for the Advancement of Medical Instrumentation; October 2013.
Sepsis: recognizing the next event.
Kilburn FL, Bailey P, Price D. Nursing. 2013;43:14-16.
Patient safety: threats and solutions.
McCaughan D, Kaufman G. Nurs Stand. 2013;27:48-55.
Independent double checks: undervalued and misused.
ISMP Medication Safety Alert! Acute Care Edition. June 13, 2013;18:1-4.
Reducing the risk of adverse drug events in older adults.
Pretorius RW, Gataric G, Swedlund SK, Miller JR. Am Fam Physician. 2013;87:331-336.
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Crit Care Med. 2013;41:580-637.
Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice.
Staveski S, Leong K, Graham K, Pu L, Roth S. AACN Adv Crit Care. 2012;23:133-141.
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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