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Cases & Commentaries
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Verna C. Gibbs, MD; September 2003
A patient dies from infection and complications months after surgery; a retained sponge is found at autopsy.
Journal Article > Commentary
Pronovost PJ. JAMA. 2010;304:204-205.
This commentary discusses efforts to reduce central line blood stream infections and questions why proven improvement mechanisms have not been adopted.
Journal Article > Study
Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle.
Sacks GD, Diggs BS, Hadjizacharia P, Green D, Salim A, Malinoski DJ. Am J Surg. 2014;207:817-823.
The introduction of the Institute for Healthcare Improvement central line bundle into a surgical intensive care unit dramatically reduced the incidence of central line–associated bloodstream infections, preventing an estimated 2.5 deaths per year in this single unit.
Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016.
Checklists are a recommended method to reduce omissions in care, despite controversies regarding their impact on safety. This toolkit provides a collection of checklists that have been developed and field tested by participants in the Hospital Engagement Network to prevent harm associated with the use of central lines, adverse drug events, and falls.