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psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review
July 14, 2010 - Study
Classic
Prevention of ventilator-associated pneumonia: an evidence-based systematic review.
Citation Text:
Collard HR, Saint S, Matthay MA. Prevention of ventilator-associated pneumonia: an evidence-based systematic review. Ann Intern Med. 2003;138(6):49…
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psnet.ahrq.gov/issue/effect-contact-precautions-frequency-hospital-adverse-events
September 30, 2015 - Study
The effect of contact precautions on frequency of hospital adverse events.
Citation Text:
Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192.
C…
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psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated
January 02, 2017 - Study
A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.
Citation Text:
Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…
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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/node/37791/psn-pdf
September 29, 2017 - Controversy and quality improvement: lingering
questions about ethics, oversight, and patient safety
research.
September 29, 2017
Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about
ethics, oversight, and patient safety research. Jt Comm J Qual Patient Saf. 2008;3…
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psnet.ahrq.gov/node/39641/psn-pdf
September 20, 2011 - Adherence to Surgical Care Improvement Project
measures and the association with postoperative
infections.
September 20, 2011
Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures
and the association with postoperative infections. JAMA. 2010;303(24):2479-85.
doi:10.1…
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psnet.ahrq.gov/node/37613/psn-pdf
March 12, 2008 - Implementing patient safety interventions in your
hospital: what to try and what to avoid.
March 12, 2008
Ranji SR, Shojania KG. Implementing patient safety interventions in your hospital: what to try and what to
avoid. Med Clin North Am. 2008;92(2):275-93, vii-viii. doi:10.1016/j.mcna.2007.10.007.
https://psnet.a…
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psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
October 01, 2024 - Toolkit
Toolkit for Reducing Central Line-Associated Blood Stream Infections.
Citation Text:
Agency for Healthcare Research and Quality. Toolkit for Reducing Central Line-Associated Blood Stream Infections. March 2023.
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - CVC Removal: A Procedure Like Any Other
June 1, 2014
Feil M. CVC Removal: A Procedure Like Any Other. PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
The Case
A 27-year-old man with a history of Behçet disease and recurrent liver abscesses was admitted to the
hospital for a p…
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psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
December 02, 2020 - Updates in the Management of High-Risk Pulmonary Embolism
Citation Text:
Kabrhel C, Aaronson E. Updates in the Management of High-Risk Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/node/60543/psn-pdf
May 27, 2020 - Wrong Catheter in the Right Patient
May 27, 2020
Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
The Case
A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had
two?peripheral…
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psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-summit
February 17, 2015 - Special or Theme Issue
ASPEN Parenteral Nutrition Safety Summit.
Citation Text:
ASPEN Parenteral Nutrition Safety Summit. Andris DA, Mirtallo JM, Guenter P, eds. JPEN J Parenter Enteral Nutr. 2012;36(2 Suppl):1S-62S.
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psnet.ahrq.gov/issue/nurse-accidentally-kills-premature-son-swine-flu-victim-spain
July 17, 2013 - Newspaper/Magazine Article
Nurse accidentally kills premature son of swine flu victim in Spain.
Citation Text:
Nurse accidentally kills premature son of swine flu victim in Spain. Tremlett G. Guardian.co.uk; July 13, 2009.
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psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - The wisdom and justice of not paying for "preventable
complications."
April 27, 2010
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable
complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197.
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…
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psnet.ahrq.gov/node/38359/psn-pdf
May 27, 2010 - A surgical safety checklist to reduce morbidity and
mortality in a global population.
May 27, 2010
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a
global population. N Engl J Med. 2009;360(5):491-9. doi:10.1056/NEJMsa0810119.
https://psnet.ahrq.gov/issue/su…
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - Implementation of the Centers for Medicare & Medicaid
Services' nonpayment policy for preventable hospital-
acquired conditions in rural and nonrural US hospitals.
October 14, 2015
Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy
for Preventable Hospital-Acquired…
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psnet.ahrq.gov/node/44846/psn-pdf
August 31, 2016 - Making health care safer: protect patients from antibiotic
resistance.
August 31, 2016
CDC; Centers for Disease Control and Prevention.
https://psnet.ahrq.gov/issue/making-health-care-safer-protect-patients-antibiotic-resistance
Health care–associated infections (HAI) are a worldwide patient safety problem. This a…
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psnet.ahrq.gov/issue/save-lives-clean-your-hands
July 14, 2021 - Multi-use Website
World Hand Hygiene Day.
Citation Text:
World Hand Hygiene Day. World Health Organization
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psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
March 21, 2012 - Study
Eliminating central line-associated bloodstream infections: a national patient safety imperative.
Citation Text:
Berenholtz SM, Lubomski LH, Weeks K, et al. Eliminating central line-associated bloodstream infections: a national patient safety imperative. Infect Control Hosp Epidem…
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psnet.ahrq.gov/issue/enteral-feeding-misconnections-update
January 06, 2017 - Review
Enteral feeding misconnections: an update.
Citation Text:
Guenter P, Hicks RW, Simmons D. Enteral feeding misconnections: an update. Nutr Clin Pract. 2009;24(3):325-34. doi:10.1177/0884533609335174.
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