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101. 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 25, 2008 - 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…

102. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
     October 03, 2007 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Citation Text: Needham DM, Sinopoli DJ, Thompson DA, et al. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. Crit Care Med. 2005;33(8):1701-1707. …

103. 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
     November 10, 2010 - 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…

104. Reality check for checklists. | PSNet
     psnet.ahrq.gov/issue/reality-check-checklists
     August 03, 2011 - Commentary Classic Reality check for checklists. Citation Text: Bosk CL, Dixon-Woods M, Goeschel CA, et al. Reality check for checklists. Lancet. 2009;374(9688):444-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

105. Effects of work hour reduction on residents' lives: a systematic review. | PSNet
     psnet.ahrq.gov/issue/effects-work-hour-reduction-residents-lives-systematic-review
     September 28, 2005 - Review Effects of work hour reduction on residents' lives: a systematic review. Citation Text: Fletcher KE, Underwood W, Davis SQ, et al. Effects of Work Hour Reduction on Residents’ Lives. JAMA. 2005;294(9):1088. doi:10.1001/jama.294.9.1088. Copy Citation Format: DOI Goo…

106. Systematic review: effects of resident work hours on patient safety. | PSNet
     psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
     September 28, 2005 - 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…

107. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. | PSNet
     psnet.ahrq.gov/issue/graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection
     September 28, 2005 - Commentary Classic Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Citation Text: Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…

108. Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. | PSNet
     psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
     August 31, 2005 - Study Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. Citation Text: Flanders S, Kaufman SR, Saint S, et al. Hospitalists as emerging leaders in patient safety: lessons learned and future directions. J Patient Saf. 2009;5(1):3-8. doi:10.1097/P…

109. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. | PSNet
     psnet.ahrq.gov/issue/work-hour-rules-and-contributors-patient-care-mistakes-focus-group-study-internal-medicine
     June 04, 2008 - Study Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. Citation Text: Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine resid…

110. What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. | PSNet
     psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
     May 08, 2019 - Study What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. Citation Text: Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common…

111. Updates in the Management of High-Risk Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/updates-management-high-risk-pulmonary-embolism
     November 08, 2023 - Updates in the Management of High-Risk Pulmonary Embolism Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Emily L. Aaronson, MD, MPH, and Christopher Kabrhel, MD, MPH | May 1, 2019 View more articles from the same authors. …

112. Medication safety in the neonatal intensive care unit: big measures for our smallest patients. | PSNet
     psnet.ahrq.gov/issue/medication-safety-neonatal-intensive-care-unit-big-measures-our-smallest-patients
     July 20, 2022 - Commentary Medication safety in the neonatal intensive care unit: big measures for our smallest patients. Citation Text: Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.00…

113. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
     August 16, 2023 - Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Gary Raff, MD, and Brian Goudy, MD | January 26, 2…

114. Preventing catheter/tubing misconnections: much needed help is on the way. | PSNet
     psnet.ahrq.gov/issue/preventing-cathetertubing-misconnections-much-needed-help-way
     July 14, 2010 - Newspaper/Magazine Article Preventing catheter/tubing misconnections: much needed help is on the way. Citation Text: ISMP Medication Safety Alert! Acute care edition! July 15, 2010;15:1-2. Copy Citation Save Save to your library Print Share Faceboo…

115. Using the opportunity estimator tool to improve engagement in a quality and safety intervention. | PSNet
     psnet.ahrq.gov/issue/using-opportunity-estimator-tool-improve-engagement-quality-and-safety-intervention
     August 25, 2010 - Commentary Using the opportunity estimator tool to improve engagement in a quality and safety intervention. Citation Text: Duval-Arnould J, Mathews SC, Weeks K, et al. Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention. Jt Comm J Qual Patien…

116. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet
     psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
     May 27, 2020 - Hyponatremia Secondary to Home Parenteral Nutrition Error Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Kelly Haas, MD, and Andrew Lee, PharmD | May 26, 2021 View more articles from the same authors. The Case A 4-ye…

117. Surprise Wire | PSNet
     psnet.ahrq.gov/web-mm/surprise-wire
     August 01, 2009 - Surprise Wire Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Jeffrey M. Pearl, MD; Nancy E. Donaldson RN, DNSc | August 21, 2005 View more articles from the same authors. The Case A 39-year-old man with a history of …

118. The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet
     psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection
     April 13, 2011 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, Forman J, Hofer TP, Saint S. The influence of organizational context on quali…

119. Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. | PSNet
     psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
     August 29, 2018 - Review Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. Citation Text: Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi…

120. Not-So-Therapeutic Tap | PSNet
     psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
     December 01, 2014 - SPOTLIGHT CASE Not-So-Therapeutic Tap PPT Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Jeffrey H. Barsuk, MD, MS | July 1, 2012 View more articles from the same authors. Case Objectives Describe curr…