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Kliff S, Pinkerton B, Weinberger J, Drozdowska A. Vox. October 23, 2017.
This audio segment discusses two incidents involving pediatric patient harm associated with central line use and highlights successful reduction of central line infections after investigation, standardization, and checklist use in many hospitals.
Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.
Smith SN, Greene MT, Mody L, Banaszak-Holl J, Petersen LD, Meddings J. BMJ Qual Saf. 2017 Sep 26; [Epub ahead of print].
A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents.
Mody L, Greene MT, Meddings J, et al. JAMA Intern Med. 2017;177:1154-1162.
Engaging Seriously Ill Older Patients in Advance Care Planning
Daren K. Heyland, MD, MSc
Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes.
Mody L, Greene MT, Saint S, et al. Infect Control Hosp Epidemiol. 2017;38:287-293.
A hybrid methodology for modeling risk of adverse events in complex health-care settings.
Kazemi R, Mosleh A, Dierks M. Risk Anal. 2017;37:421-440.
Management of a patient with a latex allergy.
Minami CA, Barnard C, Bilimoria KY. JAMA. 2017;317:309-310.
Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review.
Nuckols TK, Keeler E, Morton SC, et al. JAMA Intern Med. 2016;176:1843-1854.
Zero tolerance for deadly hospital-acquired infections.
Levine H. Consum Rep. 2017 Jan;82:32-40.
Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers.
Mort E, Bruckel J, Donelan K, et al; Peer-to-Peer Study Team. Am J Med Qual. 2017;32:472-479.
Can residents detect errors in technique while observing central line insertions?
Pei K, Merola J, Davis KA, Longo WE. Am J Surg. 2017;213:1166-1170.e1.
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.
Performing the wrong procedure.
Minnier T, Phrampus P, Waddell L. JAMA. 2016;316:1207-1208.
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. 2016 Aug 15; [Epub ahead of print].
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review.
Becerra MB, Shirley D, Safdar N. Am J Infect Control. 2016;44:e167-e172.
A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes.
Manojlovich M, Lee S, Lauseng D. J Patient Saf. 2016;12:173-179.
Toolkit for Reducing CAUTI in Hospitals.
Rockville, MD: Agency for Healthcare Research and Quality; October 2015.
Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.
Gardner AK, Abdelfattah K, Wiersch J, Ahmed RA, Willis RE. J Surg Educ. 2015;72:e158-e162.
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.
Managing risk during transition to new ISO tubing connector standards.
Sentinel Event Alert. August 20, 2014;(53):1-6.
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.
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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