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psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022
June 22, 2022 - Special or Theme Issue
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022.
Citation Text:
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2022. Infect Control Hosp Epidemiol. 2022-2023.
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October 30, 2019 - In Conversation With… Vineet Chopra, MD, MSc
October 30, 2019
In Conversation With… Vineet Chopra, MD, MSc. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
Editor's note: Dr. Chopra is Chief of the Division of Hospital Medicine and Associate Professor of
Medicine at the…
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psnet.ahrq.gov/issue/use-simulation-based-education-reduce-catheter-related-bloodstream-infections
June 27, 2018 - Study
Use of simulation-based education to reduce catheter-related bloodstream infections.
Citation Text:
Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archin…
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - Around the Block
March 1, 2005
Minichiello T. Around the Block. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/around-block
The Case
A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee
replacement. The orthopedic surgeon, recognizing the risk of deep vein th…
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psnet.ahrq.gov/node/49487/psn-pdf
August 21, 2005 - Surprise Wire
August 21, 2005
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/surprise-wire
The Case
A 39-year-old man with a history of liver disease presented to the emergency department (ED) with
gastrointestinal bleeding and altered mental status. Due to his clinic…
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psnet.ahrq.gov/web-mm/surprise-wire
July 15, 2020 - Surprise Wire
Citation Text:
Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/issue/deadly-infections-hospitals-can-lower-risk-many-fail-act
May 19, 2010 - Newspaper/Magazine Article
Deadly infections: hospitals can lower the risk, but many fail to act.
Citation Text:
Deadly infections. Hospitals can lower the risks, but many fail to act. Consumer reports. 2010;75(3):16-21.
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psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients
December 09, 2015 - Study
The effect of universal glove and gown use on adverse events in intensive care unit patients.
Citation Text:
Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:…
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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psnet.ahrq.gov/issue/diagnostic-errors-inserted-tubes-lines-and-catheters-children
September 11, 2019 - Study
Diagnostic errors with inserted tubes, lines and catheters in children.
Citation Text:
Fuentealba I, Taylor GA. Diagnostic errors with inserted tubes, lines and catheters in children. Pediatr Radiol. 2012;42(11):1305-15. doi:10.1007/s00247-012-2462-7.
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psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
May 23, 2013 - Study
Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills.
Citation Text:
Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…
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psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
November 11, 2015 - Study
A hybrid methodology for modeling risk of adverse events in complex health-care settings.
Citation Text:
Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702.
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psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
January 27, 2021 - Newspaper/Magazine Article
Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs.
Citation Text:
Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …
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psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
July 02, 2009 - Special or Theme Issue
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014.
Citation Text:
Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801.
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - Study
Intensive care units, communication between nurses and physicians, and patients' outcomes.
Citation Text:
Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…
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psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
May 04, 2014 - Commentary
Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.
Citation Text:
Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…
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psnet.ahrq.gov/node/37820/psn-pdf
February 18, 2011 - Stop orders to reduce inappropriate urinary
catheterization in hospitalized patients: a randomized
controlled trial.
February 18, 2011
Loeb M, Hunt D, O'Halloran K, et al. Stop orders to reduce inappropriate urinary catheterization in
hospitalized patients: a randomized controlled trial. J Gen Intern Med. 2008;23(…
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psnet.ahrq.gov/node/45681/psn-pdf
January 25, 2017 - Economic evaluation of quality improvement
interventions for bloodstream infections related to central
catheters: a systematic review.
January 25, 2017
Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for
Bloodstream Infections Related to Central Catheters: A Systema…
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Around the Block
Citation Text:
Minichiello T. Around the Block. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
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psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - Multimethod study of a large-scale programme to improve
patient safety using a harm-free care approach.
November 2, 2016
Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient
safety using a harm-free care approach. BMJ Open. 2016;6(9):e011886. doi:10.1136/bmjopen-2016-…