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  1. 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.…
  2. 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. Copy Citation Format: …
  3. 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…
  4. 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. Copy Citation Format: DOI Google Scholar PubMed Bi…
  5. 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. Copy Citation Format: …
  6. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  7. Psn-Pdf (pdf file)

    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
  8. 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, …
  9. 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…
  10. 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. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …
  11. 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:…
  12. 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. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 1, 2010 View more articles from the same aut…
  13. Psn-Pdf (pdf file)

    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…
  14. 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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
  15. Psn-Pdf (pdf file)

    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…
  16. 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. Copy Citation Format: Google Sc…
  17. 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…
  18. 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…
  19. 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…
  20. 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. Copy Citation For…

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