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61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40118/psn-pdf
    January 05, 2011 - with poor performance on a (now discarded) performance measure for treatment of community-acquired pneumonia … computerized-provider-order-entry https://psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure

62. Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration. | PSNet
    psnet.ahrq.gov/issue/reducing-three-infections-across-cardiac-surgery-programs-multisite-cross-unit-collaboration
    August 21, 2024 - central line–associated bloodstream infections , surgical site infections , and ventilator-associated pneumonia … They were unable to measure differences in ventilator-associated pneumonia rates due to a change in the

63. Hospital computerized provider order entry adoption and quality: an examination of the United States. | PSNet
    psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
    May 20, 2020 - with poor performance on a ( now discarded ) performance measure for treatment of community-acquired pneumonia … Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia

64. Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet
    psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and
    May 27, 2020 - adverse outcomes after patient visits for conditions sensitive to diagnostic error (e.g., stroke , pneumonia … 3, 2016 Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia

65. Trends in adverse event rates in hospitalized patients, 2010-2019. | PSNet
    psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-patients-2010-2019
    June 22, 2022 - among patients hospitalized for four common conditions – acute myocardial infarction, heart failure, pneumonia … Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852270/psn-pdf
    August 09, 2023 - covered in previous MHS reports (e.g., family/caregiver engagement, preventing non-ventilator associated pneumonia … patient-and-family-roles-safety https://psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45004/psn-pdf
    April 06, 2016 - the same period, rates of central line–associated bloodstream infections and ventilator-associated pneumonia … eliminating-clabsi-national-patient-safety-imperative https://psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review

68. Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-critical-care-big-challenge-exciting-opportunitylamelioration-de-la
    December 22, 2018 - several methods for improving safety in the context of Baxter’s 2005 study on ventilator-associated pneumonia … Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia

69. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - The Case A 56-year-old man was admitted with Coronavirus Disease 2019 (COVID-19) pneumonia and acute … fewer days in intensive care, decreased need for sedation, and decreased risk of ventilator-associated pneumonia … inadequate ventilation, necessitate early tracheostomy tube changes, and contribute to ventilator related pneumonias … The patient in this clinical scenario was noted to have COVID-19 pneumonia. … Underinflation of cuffs is also detrimental, leading to leaks around the cuff and ventilator acquired pneumonia

70. A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. | PSNet
    psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven
    September 23, 2020 - approach and model to increase prophylaxis against venous thromboembolic disease, ventilator-associated pneumonia … benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia

71. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - 4 Case Details (1) • A 56-year-old man was admitted with Coronavirus Disease 2019 (COVID- 19) pneumonia … fewer days in intensive care, decreased need for sedation, and decreased risk of ventilator-associated pneumonia … inadequate ventilation, necessitate early tracheostomy tube changes, and contribute to ventilator related pneumonias … to Improving Patient Safety (6) • The patient in this clinical scenario was noted to have COVID-19 pneumonia … pressures.15 • Underinflation of cuffs is also detrimental, leading to air leaks and ventilator acquired pneumonia

72. One Bronchoscopy, Two Errors | PSNet
    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - admitted to the intensive care unit (ICU) with hypoxic respiratory failure secondary to community-acquired pneumonia … He slowly improved with treatment of his pneumonia and went home a few days later. … sedation/general anesthesia.( 1 ) In this case, flexible bronchoscopy was part of a diagnostic workup for pneumonia … In cases of nonresolving pneumonia, BAL and SVL can assist in the search of an etiologic diagnosis ( … intensive diagnostic microbiological investigation in low- and high-risk patients with community-acquired pneumonia

73. What US hospitals are currently doing to prevent common device-associated infections: results from a national survey. | PSNet
    psnet.ahrq.gov/issue/what-us-hospitals-are-currently-doing-prevent-common-device-associated-infections-results
    June 21, 2023 - infection (CAUTI), central line–associated bloodstream infection (CLABSI), and ventilator-associated pneumonia … Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia

74. Shared MDIs: can cross-contamination be avoided? | PSNet
    psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided
    May 03, 2023 - July 31, 2013 WebM&M Cases Missed Pneumonia November … Outbreak May 1, 2011 Prevention of ventilator-associated pneumonia

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - through 2011 for patients hospitalized with acute myocardial infarction, congestive heart failure, pneumonia … However, there were no measurable overall improvements for patients admitted with pneumonia or surgical

76. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet
    psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
    June 14, 2023 - He remained somnolent for two subsequent days, during which time he developed aspiration pneumonia. … Following the completion of antibiotics for pneumonia, he was diagnosed with Clostridioides difficile … Pneumonia is a common and early complication of the Severe Alcohol Withdrawal Syndrome (SAWS). … Prevention of hospital-acquired pneumonia. … Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia.

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38449/psn-pdf
    March 04, 2009 - approach and model to increase prophylaxis against venous thromboembolic disease, ventilator-associated pneumonia … tension-between-needing-improve-care-and-knowing-how-do-it https://psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45769/psn-pdf
    December 21, 2016 - falls, obstetric adverse events, pressure ulcers, surgical site infections, ventilator-associated pneumonias

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42685/psn-pdf
    December 06, 2013 - incidence of hypoglycemia, hyperglycemia, error in anticoagulant prescription, and ventilator-associated pneumonia … anticoagulation-associated-adverse-drug-events https://psnet.ahrq.gov/issue/prevention-ventilator-associated-pneumonia-evidence-based-systematic-review

80. Delirium or Dementia? | PSNet
    psnet.ahrq.gov/web-mm/delirium-or-dementia
    September 27, 2023 - An 86-year-old woman, admitted with complaints of shortness of breath and cough, was found to have pneumonia … dehydration, iatrogenic infection (such as catheter-associated urinary tract infection or aspiration pneumonia … In this case, the best single explanation for the patient's deterioration is progressive pneumonia resulting … More aggressive treatment of the pneumonia and associated CO2 retention was warranted. … The failure to recognize delirium in this patient may have delayed recognition of her worsening pneumonia