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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - Use of simulation-based education to reduce catheter-related bloodstream infections. … Cost savings from reduced catheter-related bloodstream infection after simulation-based education for … June 1, 2011
Use of simulation-based education to reduce catheter-related bloodstream infections
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psnet.ahrq.gov/curated-library/patient-team-member-clinical-care
March 15, 2025 - provider hand hygiene rates have escalated in the setting of increased attention to health care–associated infections … provider hand hygiene rates have escalated in the setting of increased attention to health care–associated infections
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psnet.ahrq.gov/classics
August 01, 2023 - Interruptions and distractions
(5)
Medical Complications
(93)
Nosocomial Infections … Surgery
(4)
Postoperative Surgical Complications
(18)
Surgical Site Infections
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psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
August 10, 2025 - multimodal interventions, the data-driven processes, and the reframing of catheter-related blood stream infections … remarkable successes achieved by this project include near-elimination of catheter-related bloodstream infections
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psnet.ahrq.gov/node/840256/psn-pdf
November 16, 2022 - What are you doing with infection prevention? … We’ve also
done a lot of work in infection prevention. … adults come to the emergency department from a
skilled nursing facility with a suspected urinary tract infection
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psnet.ahrq.gov/issue/safety-manchester-triage-system-detect-critically-ill-children-emergency-department
October 18, 2023 - February 21, 2024
Validating a decision tree for serious infection: diagnostic accuracy
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psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
September 21, 2005 - Newspaper/Magazine Article
"Near injury" alters procedures at Virginia Mason.
Citation Text:
"Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005.
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psnet.ahrq.gov/issue/raising-and-acting-concerns-about-patient-safety
July 17, 2019 - Organizational Policy/Guidelines
Raising and Acting on Concerns about Patient Safety.
Citation Text:
Raising and Acting on Concerns about Patient Safety. Manchester, UK: General Medical Council; January 2012. ISBN: 9780901458568.
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psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
March 06, 2005 - Newspaper/Magazine Article
Entire UPMC transplant team missed hepatitis alert.
Citation Text:
Entire UPMC transplant team missed hepatitis alert. Hamill SD.
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psnet.ahrq.gov/issue/intravenous-acetaminophen-united-states-iatrogenic-dosing-errors
December 20, 2006 - Study
Intravenous acetaminophen in the United States: iatrogenic dosing errors.
Citation Text:
Intravenous acetaminophen in the United States: iatrogenic dosing errors. Dart RC; Rumack BH.
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psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
July 31, 2023 - As such, the patient’s condition progressed while at a SNF until he developed fever and overt infection
-
psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - safety, alarm safety,
facilitating clinician communication, as well as preventing hospital-associated infections
-
psnet.ahrq.gov/node/33852/psn-pdf
January 01, 2017 - safety
experiences had no impact on a global measure of safety including outcomes like urinary tract infections
-
psnet.ahrq.gov/node/33798/psn-pdf
January 01, 2015 - For example, failing to perform hand hygiene
demonstrably leads to health care–associated infections
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.434_slideshow.ppt
February 01, 2018 - successes involved implementing a bundle of interventions
Key example: Catheter-related bloodstream infections
-
psnet.ahrq.gov/primer/diagnostic-errors
June 15, 2024 - safety has chiefly addressed quantifiable problems such as medication errors, health care–associated infections
-
psnet.ahrq.gov/node/49703/psn-pdf
March 01, 2014 - The symptoms
developed a few days following an upper respiratory infection. … Ultimately, the physician spoke with the
patient's mother, confirmed that his diagnosis of a herpetic viral infection
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - Even though no clear source of infection was found, each time she was diagnosed with sepsis, improved … No clear source of infection had been discovered; recurrent sepsis without a source is highly unlikely
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.308_slideshow.ppt
October 01, 2013 - Patient Safety Concerns: Health Risks
Transgender populations among groups at highest risk for HIV infection … In 2009, rate of newly identified HIV infection was 2.6% among transgender persons, compared with 0.9%
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psnet.ahrq.gov/issue/arv-medication-errors-experience-community-based-hiv-specialty-clinic-and-review-literature
March 29, 2010 - Study
ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature.
Citation Text:
ARV medication errors: experience of a community-based HIV specialty clinic and review of the literature. Cocohoba J; Dong BJ.
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