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psnet.ahrq.gov/node/40744/psn-pdf
October 16, 2012 - The business case for quality: economic analysis of the
Michigan Keystone Patient Safety Program in ICUs.
October 16, 2012
Waters HR, Korn R, Colantuoni E, et al. The business case for quality: economic analysis of the Michigan
Keystone Patient Safety Program in ICUs. Am J Med Qual. 2011;26(5):333-339.
doi:10.1177…
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psnet.ahrq.gov/node/40325/psn-pdf
December 18, 2014 - Statewide NICU central-line–associated bloodstream
infection rates decline after bundles and checklists.
December 18, 2014
Schulman J, Stricof R, Stevens TP, et al. Statewide NICU central-line-associated bloodstream infection
rates decline after bundles and checklists. Pediatrics. 2011;127(3):436-444. doi:10.1542/p…
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psnet.ahrq.gov/node/41777/psn-pdf
April 05, 2013 - Effect of nonpayment for preventable infections in U.S.
hospitals.
April 5, 2013
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals.
N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419.
https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…
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psnet.ahrq.gov/node/40649/psn-pdf
April 21, 2015 - Explaining Michigan: developing an ex post theory of a
quality improvement program.
April 21, 2015
Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality
improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/37856/psn-pdf
June 16, 2011 - Improving patient safety in intensive care units in
Michigan.
June 16, 2011
Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in
Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09.002.
https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-…
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psnet.ahrq.gov/node/49861/psn-pdf
May 01, 2019 - Updates in the Management of High-Risk Pulmonary
Embolism
May 1, 2019
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
Case Objectives
Review common risk factors, typical present…
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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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psnet.ahrq.gov/node/40010/psn-pdf
December 21, 2014 - The effect of hospital-acquired Clostridium difficile
infection on in-hospital mortality.
December 21, 2014
Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on
in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:10.1001/archinternmed.2010.405.
…
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psnet.ahrq.gov/node/42509/psn-pdf
August 21, 2013 - Explaining Matching Michigan: an ethnographic study of
a patient safety program.
August 21, 2013
Dixon-Woods M, Leslie M, Tarrant C, et al. Explaining Matching Michigan: an ethnographic study of a
patient safety program. Implement Sci. 2013;8:70. doi:10.1186/1748-5908-8-70.
https://psnet.ahrq.gov/issue/explaining-…
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psnet.ahrq.gov/issue/influence-hospital-leadership-support-burnout-psychological-safety-and-safety-climate-us
June 21, 2023 - Study
The influence of hospital leadership support on burnout, psychological safety, and safety climate for US infection preventionists during the coronavirus disease 2019 (COVID-19) pandemic.
Citation Text:
Gilmartin HM, Saint S, Ratz D, et al. The influence of hospital leadership suppo…
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - Departure From Central Line Ritual
Citation Text:
Ballard DW, Vinson DR, Mark DG. Departure From Central Line Ritual. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
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psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
September 02, 2015 - Review
Preventing complications of central venous catheterization.
Citation Text:
McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33.
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Format:
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psnet.ahrq.gov/node/38429/psn-pdf
February 03, 2011 - Methicillin-resistant Staphylococcus aureus central
line–associated bloodstream infections in US intensive
care units, 1997-2007.
February 3, 2011
Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphylococcus aureus central line-
associated bloodstream infections in US intensive care units, 1997-200…
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psnet.ahrq.gov/node/43711/psn-pdf
November 26, 2014 - The impact of hospital-acquired conditions on Medicare
program payments.
November 26, 2014
Kandilov AMG, Coomer NM, Dalton K. The impact of hospital-acquired conditions on Medicare program
payments. Medicare Medicaid Res Rev. 2014;4(4). doi:10.5600/mmrr.004.04.a01.
https://psnet.ahrq.gov/issue/impact-hospital-acqu…
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psnet.ahrq.gov/node/41619/psn-pdf
November 27, 2012 - A multicenter, phased, cluster-randomized controlled trial
to reduce central line–associated bloodstream infections
in intensive care units.
November 27, 2012
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce
central line-associated bloodstream infections…
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psnet.ahrq.gov/node/43547/psn-pdf
July 03, 2016 - Health care-associated infections among critically ill
children in the US, 2007-2012.
July 3, 2016
Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in
the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014-0613.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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psnet.ahrq.gov/issue/prompting-rounding-teams-address-daily-best-practice-checklist-pediatric-intensive-care-unit
June 30, 2021 - Study
Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.
Citation Text:
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient …
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psnet.ahrq.gov/issue/building-culture-safety-health-care
April 15, 2021 - Book/Report
Building a Culture of Safety in Health Care.
Citation Text:
Building a Culture of Safety in Health Care. Chicago, IL: American Hospital Association: May 2023.
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psnet.ahrq.gov/issue/improving-reliability-clinical-care-practices-ventilated-patients-context-patient-safety
November 07, 2011 - Study
Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.
Citation Text:
Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…