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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…
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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…
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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…
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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, …
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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.
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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.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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.
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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.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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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 …
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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.
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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…
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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.
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…