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Tallahassee, FL: Florida Hospital Association; August 2013.
This report outlines successful state initiatives to address safety concerns in health care, including readmissions, surgical complications, and central line–associated bloodstream infections.
Tennessee Center for Patient Safety.
Oral medications inadvertently given via the intravenous route.
Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.
Palomar M, Alvarez-Lerma F, Riera A, et al. Crit Care Med. 2013;41:2364-2372.
In-facility delirium programs as a patient safety strategy: a systematic review.
Reston JT, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):375-380.
Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.
Sullivan N, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):410-416.
Infusing fun into quality and safety initiatives.
Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.
IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.
Geneva, Switzerland: World Health Organization; 2011.
Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.
Keers RN, Williams SD, Cooke J, Walsh T, Ashcroft DM. Drug Saf. 2014;37:317-332.
Status of the implementation of the World Health Organization multimodal hand hygiene strategy in United States of America health care facilities.
Allegranzi B, Conway L, Larson E, Pittet D. Am J Infect Control. 2014;42:224-230.
Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety.
Bolton-Maggs PH, Cohen H. Br J Haematol. 2013;163:303-314.
Engineering a fail-safe health system.
Sloane T. Hosp Health Networks. October 2013;87:34-38.
Does health care role and experience influence perception of safety culture related to preventing infections?
Braun BI, Harris AD, Richards CL, et al. Am J Infect Control. 2013;41:638-641.
Explaining Matching Michigan: an ethnographic study of a patient safety program.
Dixon-Woods M, Leslie M, Tarrant C, Bion J. Implement Sci. 2013;8:70.
Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011.
Didiodato G. Infect Control Hosp Epidemiol. 2013;34:605-610.
Inpatient fall prevention programs as a patient safety strategy: a systematic review.
Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.
Meeting the Joint Commission's 2013 National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.
Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.
Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.
A multifaceted program for improving quality of care in intensive care units: IATROREF study.
Garrouste-Orgeas M, Soufir L, Tabah A, et al; Outcomerea Study Group. Crit Care Med. 2012;40:468-476.
Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.
Bagian JP, King BJ, Mills PD, McKnight SD. BMJ Qual Saf. 2011;20:974-982.
Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.
Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.
Announcing 2009 Leapfrog top hospitals.
Washington, DC: Leapfrog Group; December 4, 2009.
Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007.
Burton DC, Edwards JR, Horan TC, Jernigan JA, Fridkin SK. JAMA. 2009;301:727-736.
Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.
Oakbrook Terrace, IL: The Joint Commission; November 2008.
Implementing patient safety interventions in your hospital: what to try and what to avoid.
Ranji SR, Shojania KG. Med Clin North Am. 2008;92:275-293.
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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