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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42971/psn-pdf
    February 26, 2014 - Reducing central line–associated bloodstream infections in North Carolina NICUs. February 26, 2014 Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. https://psnet.ahrq.gov/issue/red…

  2. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-319
    November 30, 2021 - November 24, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

  3. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/stop-orders-reduce-inappropriate-urinary-catheterization-hospitalized-patients-randomized
    February 23, 2022 - Study Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled trial. Citation Text: Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in hospitalized patients: a randomized controlled t…

  4. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. | PSNet

    psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
    March 02, 2022 - Study Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. Citation Text: Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…

  5. What is the NHS Safety Thermometer? | PSNet

    psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40011/psn-pdf
    November 17, 2010 - Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. November 17, 2010 Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637. https://p…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40235/psn-pdf
    May 11, 2011 - Assessing and improving safety climate in a large cohort of intensive care units. May 11, 2011 Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e318206d26c. https://psnet.ahrq.gov/iss…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41882/psn-pdf
    November 28, 2012 - What is the NHS Safety Thermometer? November 28, 2012 Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. https://psnet.ahrq.gov/issue/what-nhs-safety-thermometer This commentary describes the design and initial test of a large-scale initiative to track incidents inv…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40472/psn-pdf
    May 25, 2011 - The ability of intensive care units to maintain zero central line–associated bloodstream infections. May 25, 2011 Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/archinternmed.2011.161. https://psnet.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46977/psn-pdf
    April 04, 2018 - Latex: a lingering and lurking safety risk. April 4, 2018 Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15. https://psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk Latex products are widely available in hospitals and represent a persistent threat to patients with latex allergies. Drawing from 61…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42303/psn-pdf
    December 18, 2013 - A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. December 18, 2013 Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital- acquired bloodstream infections. Arch Dis Child Fetal Neonatal Ed. 2013;98(6):F518-23. doi…

  12. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet

    psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
    September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

  13. Performing the wrong procedure. | PSNet

    psnet.ahrq.gov/issue/performing-wrong-procedure
    April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853072/psn-pdf
    September 01, 2014 - Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. September 1, 2014 Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801. https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014 Preventing healthcare-acquired infections (HAIs) remains a p…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46887/psn-pdf
    May 03, 2018 - Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. May 3, 2018 Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515. doi:10.1017/ice.201…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40343/psn-pdf
    December 21, 2014 - Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit. December 21, 2014 Ong A, Dysert K, Herbert C, et al. Trends in central line-associated bloodstream infections in a trauma- surgical intensive care unit. Arch Surg. 2011;146(3):302-7. doi:10.1001/archsurg.2011.9. http…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35174/psn-pdf
    June 23, 2009 - Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. June 23, 2009 Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures to Detect the Foreign Body on Chest Radiog…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45711/psn-pdf
    March 27, 2017 - Management of a patient with a latex allergy. March 27, 2017 Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. https://psnet.ahrq.gov/issue/management-patient-latex-allergy This case analysis discusses the use of a latex cathet…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37547/psn-pdf
    February 20, 2008 - Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. February 20, 2008 Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949. h…

  20. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
    December 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case December 2006 Hidden Heparins: HIT Happens Source and Credits This presentation is based on the December 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Patrick F. Fogarty,…
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