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  1. psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
    February 29, 2012 - Study Classic Intervention to reduce transmission of resistant bacteria in intensive care. Citation Text: Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18…
  2. psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-central-line-associated-bloodstream-infections-us
    April 05, 2013 - Study Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007. Citation Text: Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in U…
  3. psnet.ahrq.gov/issue/influence-comprehensive-unit-based-safety-program-icus-evidence-keystone-icu-project
    January 22, 2016 - Study Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. Citation Text: Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-3…
  4. psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
    July 03, 2016 - Study Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. Citation Text: Calderwood MS, Kawai AT, …
  5. psnet.ahrq.gov/web-mm/new-oral-anticoagulants
    July 01, 2011 - SPOTLIGHT CASE New Oral Anticoagulants Citation Text: Fang MC. New Oral Anticoagulants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …
  6. psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
    September 22, 2010 - Inappropriate Antibiotic Use Citation Text: Babcock HM, Fraser VJ. Inappropriate Antibiotic Use. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43121/psn-pdf
    April 16, 2014 - Implementing the Safety Thermometer tool in one NHS trust. April 16, 2014 Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. https://psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust This commentary details a National…
  8. psnet.ahrq.gov/taxonomy/term/3437
    Adverse Event Any injury caused by medical care. Examples: pneumothorax from central venous catheter placement anaphylaxis to penicillin postoperative wound infection hospital-acquired delirium (or "sundowning") in elderly patients Identifying something as an adverse event does not imply "error," "negligence," or po…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40929/psn-pdf
    March 21, 2012 - Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. March 21, 2012 Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/1062860611414299. https://psnet.ahrq.gov/iss…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49794/psn-pdf
    May 01, 2017 - Communication Error in a Closed ICU May 1, 2017 Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/communication-error-closed-icu The Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney transplant), co…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49696/psn-pdf
    December 01, 2013 - New Oral Anticoagulants December 1, 2013 Fang MC. New Oral Anticoagulants. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/new-oral-anticoagulants Case Objectives Review properties of newer target-specific oral anticoagulants (TSOACs) such as dabigatran, rivaroxaban, and apixaban. State key perioperative c…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47618/psn-pdf
    January 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867702/psn-pdf
    September 01, 2021 - Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 1, 2021 Agency for Healthcare Research and Quality. Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities. September 2021. https://psnet.ahrq.gov/issue/toolkit-reduce-cauti-and-other-hais-long-term-care-facilities Cathete…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60846/psn-pdf
    January 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go…
  15. psnet.ahrq.gov/web-mm/central-not-epidural
    August 28, 2024 - Central, not Epidural Citation Text: Simmons D. Central, not Epidural. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
  16. psnet.ahrq.gov/issue/nurses-role-medication-safety-0
    September 18, 2019 - Commentary The nurse's role in medication safety. Citation Text: Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4). doi:10.1097/01.NURSE.0000461850.24153.8b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44629/psn-pdf
    December 09, 2015 - Toolkit for Reducing CAUTI in Hospitals. December 9, 2015 Rockville, MD: Agency for Healthcare Research and Quality; October 2015. https://psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals Catheter–associated urinary tract infections (CAUTIs) are common complications in hospitalized patients. This toolkit was …
  18. psnet.ahrq.gov/issue/zero-tolerance-deadly-hospital-acquired-infections
    March 11, 2020 - Newspaper/Magazine Article Zero tolerance for deadly hospital-acquired infections. Citation Text: Levine H. Zero Tolerance for Deadly Hospital-Acquired Infections. Consum Rep. 2017;82(1):32-40. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42645/psn-pdf
    October 09, 2013 - Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. October 9, 2013 Rockville, MD: Agency for Healthcare Research and Quality; July 2013. AHRQ Publication No. 13-0071- EF. https://psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative This report pr…
  20. psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
    May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Citation Text: Haas K, Lee A. Hyponatremia Secondary to Home Parenteral Nutrition Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: …

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