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441. Tackling tube misconnections. | PSNet
     psnet.ahrq.gov/issue/tackling-tube-misconnections
     August 17, 2016 - Newspaper/Magazine Article Tackling tube misconnections. Citation Text: Tackling tube misconnections. Landro L. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

442. Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. | PSNet
     psnet.ahrq.gov/issue/community-healthcare-and-hospital-acquired-severe-sepsis-hospitalizations-university
     October 10, 2012 - Study Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. Citation Text: Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consor…

443. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. | PSNet
     psnet.ahrq.gov/issue/preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
     July 03, 2014 - Study Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009. Citation Text: Krein SL, Kowalski CP, Hofer TP, et al. Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and…

444. The impact of hospital-acquired conditions on Medicare program payments. | PSNet
     psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-medicare-program-payments
     November 18, 2016 - Study The impact of hospital-acquired conditions on Medicare program payments. Citation Text: 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. Copy Citation …

445. Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. | PSNet
     psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
     June 16, 2011 - Study Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis. Citation Text: Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…

446. Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet
     psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
     January 15, 2014 - Study Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. Citation Text: Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…

447. Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
     November 03, 2015 - Study Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. Citation Text: Austin M, D'Andrea G, Birkmeyer JD, et al. Safety in numbers: the development of Leapfrog's composite patient safety score for U.S. hospitals. J Patient Saf. 2014;10(1):…

448. Impact of adverse events on outcomes in intensive care unit patients. | PSNet
     psnet.ahrq.gov/issue/impact-adverse-events-outcomes-intensive-care-unit-patients
     April 18, 2012 - Study Impact of adverse events on outcomes in intensive care unit patients. Citation Text: 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. Copy Citation…

449. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? | PSNet
     psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and
     January 23, 2019 - Review A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? Citation Text: Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about team…

450. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. | PSNet
     psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care
     July 31, 2013 - Study Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. Citation Text: Zimlichman E, Henderson D, Tamir O, et al. Health care-associated infections: a meta-analysis of costs and financial impact on the US health care system. JA…

451. How will we know patients are safer? An organization-wide approach to measuring and improving safety. | PSNet
     psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
     May 20, 2009 - Study How will we know patients are safer? An organization-wide approach to measuring and improving safety. Citation Text: Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization-wide approach to measuring and improving safety. Crit Care Med…

452. Vital signs: improving antibiotic use among hospitalized patients. | PSNet
     psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
     February 27, 2019 - Study Classic Vital signs: improving antibiotic use among hospitalized patients. Citation Text: Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. Copy Citation…

453. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. | PSNet
     psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
     October 16, 2012 - Study Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. Citation Text: Lipitz-Snyderman A, Steinwachs D, Needham DM, et al. Impact of a statewide intensive care unit quality improvement…

454. Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet
     psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious
     August 09, 2017 - Study Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…

455. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet
     psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
     January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

456. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. | PSNet
     psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
     January 15, 2014 - Commentary Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. Citation Text: Kass N, Pronovost P, Sugarman J, et al. Controversy and quality improvement: lingering questions about ethics, oversight, and patient safety research. …

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39738/psn-pdf
     June 10, 2018 - Preventing catheter/tubing misconnections: much needed help is on the way. June 10, 2018 ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. https://psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way This piece describes reports of tubing misconnections and discu…

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35893/psn-pdf
     May 03, 2006 - Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. May 3, 2006 Veterans Affairs; National Center for Patient Safety https://psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions This alert reports five instances of accidental infu…

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42076/psn-pdf
     November 30, 2023 - National and State Healthcare-Associated Infections Progress Report. November 30, 2023 Atlanta, GA: Centers for Disease Control and Prevention; November 2023. https://psnet.ahrq.gov/issue/national-and-state-healthcare-associated-infections-progress-report This annual analysis explores rates of health care-associat…

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39793/psn-pdf
     August 25, 2010 - Infection Control in the Intensive Care Unit. August 25, 2010 Crit Care Med. 2010;38:S265-S404.   https://psnet.ahrq.gov/issue/infection-control-intensive-care-unit Articles in this special issue describe strategies to reduce infections in the intensive care unit, including human factors design, guideline use…