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psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
May 04, 2022 - Study
Simulation-based education enhances patient safety behaviors during central venous catheter placement.
Citation Text:
Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors during central venous catheter placement. J Patient Saf. 2021;…
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psnet.ahrq.gov/node/38164/psn-pdf
July 02, 2009 - A Compendium of Strategies to Prevent Healthcare-
Associated Infections in Acute Care Hospitals.
July 2, 2009
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-
hospi…
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psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
June 21, 2023 - Study
Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013.
Citation Text:
Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
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psnet.ahrq.gov/issue/economic-evaluation-quality-improvement-interventions-bloodstream-infections-related-central
March 30, 2022 - Review
Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review.
Citation Text:
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related…
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psnet.ahrq.gov/node/74034/psn-pdf
November 03, 2021 - Adaptation and implementation of the WHO Safe
Childbirth Checklist around the world.
November 3, 2021
Molina RL, Benski A-C, Bobanski L, et al. Adaptation and implementation of the WHO Safe Childbirth
Checklist around the world. Implement Sci Commun. 2021;2(1):76. doi:10.1186/s43058-021-00176-z.
https://psnet.ahrq…
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psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals
September 01, 2014 - Special or Theme Issue
Classic
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Citation Text:
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. Yokoe DS, Mermel LA,…
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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - Study
Explaining Matching Michigan: an ethnographic study of a patient safety program.
Citation Text:
Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70.
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psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
October 17, 2017 - Study
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Citation Text:
Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…
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psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - Study
Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers.
Citation Text:
Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…
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psnet.ahrq.gov/node/49653/psn-pdf
May 01, 2012 - The Forgotten Line
May 1, 2012
Render ML. The Forgotten Line. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/forgotten-line
The Case
An 81-year-old man with a history of coronary artery disease, hypertension, cerebrovascular accidents, and
chronic kidney disease was transferred to a referral hospital for p…
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psnet.ahrq.gov/node/48078/psn-pdf
August 14, 2019 - Prompting rounding teams to address a daily best
practice checklist in a pediatric intensive care unit.
August 14, 2019
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a
pediatric intensive care unit. Jt Comm J Qual Patient Saf. 2019;45(8):543-551.
doi:10.…
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psnet.ahrq.gov/node/40216/psn-pdf
February 16, 2011 - Impact of a statewide intensive care unit quality
improvement initiative on hospital mortality and length of
stay: retrospective comparative analysis.
February 16, 2011
Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality
improvement initiative on hospital mortalit…
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psnet.ahrq.gov/issue/strategies-prevent-central-line-associated-bloodstream-infections-acute-care-hospitals-2022
February 07, 2022 - Organizational Policy/Guidelines
Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.
Citation Text:
Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …
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psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
September 15, 2021 - Study
Central venous catheter guidewire retention: lessons from England's never event database.
Citation Text:
Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…
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psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention
August 25, 2010 - Commentary
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Citation Text:
Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…
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psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
December 07, 2016 - Review
Complication rates of central venous catheters: a systematic review and meta-analysis.
Citation Text:
Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS)
Finds Infectious Diseases (ID) Physician Approval for
Placement of Peripherally Inserted Central Catheters
(PICCs) Prevents Unnecessary PICC Use and Reduces
Complications
February 23, 2022
https://psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-co…
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - CVC Placement: Speak Now or Do Not Use the Line
Citation Text:
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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psnet.ahrq.gov/issue/using-logic-model-design-and-evaluate-quality-and-patient-safety-improvement-programs
November 10, 2010 - Commentary
Using a logic model to design and evaluate quality and patient safety improvement programs.
Citation Text:
Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …
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psnet.ahrq.gov/issue/management-arterial-lines-and-blood-sampling-intensive-care-threat-patient-safety
November 12, 2014 - Study
Management of arterial lines and blood sampling in intensive care: a threat to patient safety.
Citation Text:
Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety. Anaesthesia. 2013;68(11). doi:10.1111…