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261. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. | PSNet
     psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
     October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…

262. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet
     psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
     June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49686/psn-pdf
     May 01, 2013 - Don't Use That Port: Insert a PICC May 1, 2013 Ilan R. Don't Use That Port: Insert a PICC. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/dont-use-port-insert-picc The Case A 48-year-old woman receiving neoadjuvant therapy for breast cancer was admitted to the hospital with fever and abdominal pain. A comp…

264. How safe is my intensive care unit? Methods for monitoring and measurement. | PSNet
     psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-methods-monitoring-and-measurement
     February 01, 2013 - Review How safe is my intensive care unit? Methods for monitoring and measurement. Citation Text: Berenholtz SM, Pustavoitau A, Schwartz SJ, et al. How safe is my intensive care unit? Methods for monitoring and measurement. Curr Opin Crit Care. 2007;13(6):703-8. Copy Citation For…

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37875/psn-pdf
     July 08, 2008 - Impact of adverse events on outcomes in intensive care unit patients. July 8, 2008 Orgeas MG, Timsit JF, Soufir L, et al. Impact of adverse events on outcomes in intensive care unit patients. Crit Care Med. 2008;36(7):2041-2047. doi:10.1097/CCM.0b013e31817b879c. https://psnet.ahrq.gov/issue/impact-adverse-events-o…

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38572/psn-pdf
     April 22, 2009 - Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. April 22, 2009 de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:10.1136/qshc.2008.027524. https://p…

267. Tacit Handover, Overt Mishap | PSNet
     psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
     August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74251/psn-pdf
     January 26, 2022 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest January 26, 2022 Raff G, Goudy B. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest. PSNet [internet]. 2022. https…

269. Don't Use That Port: Insert a PICC | PSNet
     psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
     December 22, 2018 - Don't Use That Port: Insert a PICC Citation Text: Ilan R. Don't Use That Port: Insert a PICC. 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 7 XML…

270. Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. | PSNet
     psnet.ahrq.gov/issue/characteristics-healthcare-organisations-struggling-improve-quality-results-systematic-review
     August 14, 2019 - Review Classic Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. Citation Text: Vaughn VM, Saint S, Krein SL, et al. Characteristics of healthcare organisations struggling to impro…

271. Health care-associated infections among critically ill children in the US, 2013-2018. | PSNet
     psnet.ahrq.gov/issue/health-care-associated-infections-among-critically-ill-children-us-2013-2018
     May 18, 2022 - Study Health care-associated infections among critically ill children in the US, 2013-2018. Citation Text: Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US, 2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatri…

272. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. | PSNet
     psnet.ahrq.gov/issue/decreasing-misdiagnoses-urinary-tract-infections-pediatric-emergency-department
     October 26, 2022 - Study Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Citation Text: Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/pe…

273. Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet
     psnet.ahrq.gov/issue/association-diagnostic-stewardship-blood-cultures-critically-ill-children-culture-rates
     October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. Citation Text: Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…

274. Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet
     psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
     July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation project. Citation Text: Cosgrove SE, Ahn R, Dullabh P, et al. Lessons learned from a national hospital antibiotic stewardship implementation project. Jt Comm J Qual Patient Saf. 2024;50(6):435-441. doi:1…

275. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? | PSNet
     psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
     May 08, 2019 - Study How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? Citation Text: Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…

276. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study
     November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

277. Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. | PSNet
     psnet.ahrq.gov/issue/infection-control-measure-performance-long-term-care-hospitals-and-their-relationship-joint
     June 07, 2023 - Study Infection control measure performance in long-term care hospitals and their relationship to Joint Commission accreditation. Citation Text: Schmaltz SP, Longo BA, Williams SC. Infection control measure performance in long-term care hospitals and their relationship to Joint Commissio…

278. Value of human factors to medication and patient safety in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
     December 01, 2010 - Study Value of human factors to medication and patient safety in the intensive care unit. Citation Text: Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2. Copy Citation …

279. Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. | PSNet
     psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
     January 15, 2014 - Study Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. Citation Text: Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…

280. Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. | PSNet
     psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
     September 25, 2013 - Clinical Guideline Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. Citation Text: Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med.…