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psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - Study
Utilizing improvement science methods to improve physician compliance with proper hand hygiene.
Citation Text:
White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50.…
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psnet.ahrq.gov/issue/framework-patient-safety-research-and-improvement
May 20, 2009 - Commentary
Framework for patient safety research and improvement.
Citation Text:
Pronovost P, Goeschel CA, Marsteller JA, et al. Framework for patient safety research and improvement. Circulation. 2009;119(2):330-7. doi:10.1161/CIRCULATIONAHA.107.729848.
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psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
May 06, 2015 - Special or Theme Issue
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons.
Citation Text:
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Am J Infect Control. 2014;42(su…
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psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
June 16, 2011 - Commentary
Event reporting: the value of a nonpunitive approach.
Citation Text:
Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05.
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psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphylococcus-aureus-mrsa-infections
January 03, 2018 - Commentary
Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.
Citation Text:
Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31.
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - SPOTLIGHT CASE
Hidden Heparins: HIT Happens
Citation Text:
Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Google Scholar BibTeX EndNote X3…
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psnet.ahrq.gov/node/41367/psn-pdf
May 09, 2012 - Harm Free Care.
May 9, 2012
National Health Service.
https://psnet.ahrq.gov/issue/harm-free-care
This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-
associated urinary tract infections, and vascular thrombotic events.
https://psnet.ahrq.gov/issue/harm-free-care
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.ppt
December 01, 2005 - Spotlight Case [MONTH] 2003
Spotlight Case December 2005
Low on the Totem Pole
Source and Credits
This presentation is based on the Dec. 2005
Spotlight Case in Surgery/Anesthesia
See the full article at http://webmm.ahrq.gov
CME credit is available through the Web site
Commentary by: Robert Wachter, MD, …
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psnet.ahrq.gov/issue/exploratory-analysis-association-between-healthcare-associated-infections-hospital-financial
June 12, 2024 - Study
An exploratory analysis of the association between healthcare associated infections & hospital financial performance.
Citation Text:
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between healthcare associated infections & hospital financial p…
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psnet.ahrq.gov/issue/implementation-and-outcomes-rapid-response-team
January 09, 2019 - Commentary
Implementation and outcomes of a rapid response team.
Citation Text:
McFarlan SJ, Hensley S. Implementation and outcomes of a rapid response team. J Nurs Care Qual. 2007;22(4):307-13, quiz 14-5.
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psnet.ahrq.gov/issue/trends-central-line-associated-bloodstream-infections-trauma-surgical-intensive-care-unit
September 13, 2023 - Study
Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.
Citation Text:
Ong A, Dysert K, Herbert C, et al. Trends in central line-associated bloodstream infections in a trauma-surgical intensive care unit. Arch Surg. 2011;146(3):302-7. doi:…
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psnet.ahrq.gov/issue/us-inaction-lets-look-alike-tubes-kill-patients
September 01, 2008 - Newspaper/Magazine Article
U.S. inaction lets look-alike tubes kill patients.
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September 1, 2010
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psnet.ahrq.gov/node/74253/psn-pdf
January 12, 2022 - Patient Safety Events and the Role of Patient Safety
Organizations During the COVID-19 Pandemic
January 12, 2022
Dickman R, Sharma P, Higgins D, et al. Patient Safety Events and the Role of Patient Safety Organizations
During the COVID-19 Pandemic. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/patient…
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - Ebola: Are We Ready?
Citation Text:
Barsuk JH, Barnard C. Ebola: Are We Ready?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - Hidden Heparins: HIT Happens
December 1, 2006
Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
Case Objectives
Review the presentation of heparin-induced thrombocytopenia (HIT) and its primary complication,
thrombosis.
Discuss the managem…
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psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
February 03, 2011 - Review
Systematic review: effects of resident work hours on patient safety.
Citation Text:
Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857.
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psnet.ahrq.gov/issue/assessing-and-improving-safety-climate-large-cohort-intensive-care-units
September 20, 2011 - Study
Assessing and improving safety climate in a large cohort of intensive care units.
Citation Text:
Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…
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psnet.ahrq.gov/issue/adherence-simple-and-effective-measures-reduces-incidence-ventilator-associated-pneumonia
November 16, 2011 - Study
Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].
Citation Text:
Baxter AD, Allan J, Bedard J, et al. Adherence to…
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psnet.ahrq.gov/issue/executivesenior-leader-checklist-improve-culture-and-reduce-central-line-associated
August 25, 2010 - Commentary
Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections.
Citation Text:
Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream…
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psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
December 19, 2012 - Commentary
As she lay dying: how I fought to stop medical errors from killing my mom.
Citation Text:
Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833.
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