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481. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. | PSNet
     psnet.ahrq.gov/issue/using-behavioral-insights-strengthen-strategies-change-practical-applications-quality
     April 06, 2022 - Commentary Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in healthcare. Citation Text: Johansen RLR, Tulloch S. Using behavioral insights to strengthen strategies for change. Practical applications for quality improvement in…

482. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49850/psn-pdf
     January 01, 2019 - Critical Order Set Change and Critical Limb Ischemia January 1, 2019 Clay B. Critical Order Set Change and Critical Limb Ischemia. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia The Case A 72-year-old woman with a history of severe peripheral vascular dis…

483. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49423/psn-pdf
     November 01, 2003 - The Missing Suction Tip November 1, 2003 Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/missing-suction-tip Case Objectives Identify the risk factors for retained foreign bodies. Understand methods used to prevent and identify retained foreign bodies. Apprecia…

484. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42971/psn-pdf
     February 26, 2014 - Reducing central line–associated bloodstream infections in North Carolina NICUs. February 26, 2014 Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. https://psnet.ahrq.gov/issue/red…

485. Benefits vs. Risks of Intraosseous Vascular Access | PSNet
     psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
     September 01, 2005 - Benefits vs. Risks of Intraosseous Vascular Access Citation Text: Fowler RL, Lippmann MJ. Benefits vs. Risks of Intraosseous Vascular Access. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Go…

486. Performing the wrong procedure. | PSNet
     psnet.ahrq.gov/issue/performing-wrong-procedure
     April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

487. A biased test kept thousands of Black people from getting a kidney transplant. | PSNet
     psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
     September 02, 2016 - Newspaper/Magazine Article A biased test kept thousands of Black people from getting a kidney transplant. Citation Text: A biased test kept thousands of Black people from getting a kidney transplant. Neergaard L. Associated Press. April 1, 2024. Copy Citation Save …

488. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40235/psn-pdf
     May 11, 2011 - Assessing and improving safety climate in a large cohort of intensive care units. May 11, 2011 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.0b013e318206d26c. https://psnet.ahrq.gov/iss…

489. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47412/psn-pdf
     October 31, 2018 - The systems approach at the sharp end. October 31, 2018 Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. https://psnet.ahrq.gov/issue/systems-approach-sharp-end Systems solutions are often focused on creating improvements at the organizational o…

490. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44274/psn-pdf
     February 18, 2019 - Concepts for the development of a customizable checklist for use by patients. February 18, 2019 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203. https://psnet.ahrq.gov/issue…

491. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40011/psn-pdf
     November 17, 2010 - Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. November 17, 2010 Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637. https://p…

492. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46977/psn-pdf
     April 04, 2018 - Latex: a lingering and lurking safety risk. April 4, 2018 Liberatore K. PA-PSRS Patient Saf Advis. 2018 March;15. https://psnet.ahrq.gov/issue/latex-lingering-and-lurking-safety-risk Latex products are widely available in hospitals and represent a persistent threat to patients with latex allergies. Drawing from 61…

493. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42303/psn-pdf
     December 18, 2013 - A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. December 18, 2013 Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital- acquired bloodstream infections. Arch Dis Child Fetal Neonatal Ed. 2013;98(6):F518-23. doi…

494. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40472/psn-pdf
     May 25, 2011 - The ability of intensive care units to maintain zero central line–associated bloodstream infections. May 25, 2011 Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/archinternmed.2011.161. https://psnet.…

495. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35174/psn-pdf
     June 23, 2009 - Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. June 23, 2009 Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures to Detect the Foreign Body on Chest Radiog…

496. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46887/psn-pdf
     May 03, 2018 - Financial incentives to reduce hospital-acquired infections under alternative payment arrangements. May 3, 2018 Cohen CC, Liu J, Cohen B, et al. Financial Incentives to Reduce Hospital-Acquired Infections Under Alternative Payment Arrangements. Infect Control Hosp Epidemiol. 2018;39(5):509-515. doi:10.1017/ice.201…

497. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40343/psn-pdf
     December 21, 2014 - Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit. December 21, 2014 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:10.1001/archsurg.2011.9. http…

498. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45711/psn-pdf
     March 27, 2017 - Management of a patient with a latex allergy. March 27, 2017 Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA. 2017;317(3):309-310. doi:10.1001/jama.2016.20034. https://psnet.ahrq.gov/issue/management-patient-latex-allergy This case analysis discusses the use of a latex cathet…

499. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37547/psn-pdf
     February 20, 2008 - Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. February 20, 2008 Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-30. doi:10.1136/qshc.2006.021949. h…

500. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853072/psn-pdf
     September 01, 2014 - Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. September 1, 2014 Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801. https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014 Preventing healthcare-acquired infections (HAIs) remains a p…