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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…
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psnet.ahrq.gov/node/41069/psn-pdf
February 21, 2012 - Using the opportunity estimator tool to improve
engagement in a quality and safety intervention.
February 21, 2012
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 Patient Saf. 2012;38(1):41-47, 1.
https://p…
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psnet.ahrq.gov/issue/leapfrog-hospital-safety-score-magnet-designation-and-healthcare-associated-infections-united
July 27, 2022 - Study
Leapfrog Hospital Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals.
Citation Text:
Pakyz AL, Wang H, Ozcan YA, et al. Leapfrog Hospital Safety Score, Magnet Designation, and Healthcare-Associated Infections in United States Hospitals…
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psnet.ahrq.gov/node/49617/psn-pdf
January 01, 2011 - Failure to Reevaluate
December 1, 2010
Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/failure-reevaluate
The Case
A 61-year-old woman receiving palliative chemotherapy for non–small-cell lung cancer at a community
hospital developed methicillin-resistant staphylococc…
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psnet.ahrq.gov/node/34100/psn-pdf
February 09, 2011 - Safety of patients isolated for infection control.
February 9, 2011
Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA.
2003;290(14):1899-1905.
https://psnet.ahrq.gov/issue/safety-patients-isolated-infection-control
This study discovered that patients isolated for coloniza…
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psnet.ahrq.gov/node/45614/psn-pdf
November 29, 2016 - More than half a million heart surgery patients at risk of a
dangerous infection.
November 29, 2016
Sun LH.
https://psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection
Medical devices can contribute to the spread of health care–associated infections. This news article
discusses …
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psnet.ahrq.gov/node/45658/psn-pdf
November 09, 2016 - Hospitals installed more sinks to stop infections. The
sinks can make the problem worse.
November 9, 2016
Branswell H. STAT. October 25, 2016.
https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
Hospitals have sought to improve hand hygiene with interventions su…
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Increased resistance was noted with suctioning. … temperature and minute ventilation.3
HMEs have additional limitations, including added dead space and resistance
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - • Antipsychotic treatment resistance is a common feature and should lead clinicians
to look for additional … 21
Diagnosing Psychotic Illness (10)
• This patient did not demonstrate antipsychotic treatment resistance
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psnet.ahrq.gov/node/866687/psn-pdf
September 11, 2024 - An exploratory analysis of the association between
healthcare associated infections & hospital financial
performance.
September 11, 2024
Beauvais B, Dolezel D, Shanmugam R, et al. An exploratory analysis of the association between
healthcare associated infections & hospital financial performance. Healthcare (Basel…
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psnet.ahrq.gov/node/60045/psn-pdf
March 18, 2020 - Making Healthcare Safer III.
March 18, 2020
Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March
2020. AHRQ Publication No. 20-0029-EF.
https://psnet.ahrq.gov/issue/making-healthcare-safer-iii
This newly issued follow up to the seminal AHRQ Making Health Care Safer rep…
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psnet.ahrq.gov/node/840142/psn-pdf
November 16, 2022 - The neglected barrier to medication use: a systematic
review of difficulties associated with opening medication
packaging.
November 16, 2022
Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of
difficulties associated with opening medication packaging. Age Ageing. 2022…
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psnet.ahrq.gov/node/50431/psn-pdf
October 02, 2019 - Time-series analysis of health care–associated infections
in a new hospital with all private rooms.
October 2, 2019
McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections
in a New Hospital With All Private Rooms. JAMA Intern Med. 2019. doi:10.1001/jamainternmed.2019.2…
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psnet.ahrq.gov/node/72666/psn-pdf
January 20, 2021 - Why psychiatry is different--challenges and difficulties in
managing a nosocomial outbreak of coronavirus disease
(COVID-19) in hospital care.
January 20, 2021
Rovers JJE, van de Linde LS, Kenters N, et al. Why psychiatry is different - challenges and difficulties in
managing a nosocomial outbreak of coronavirus d…
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - Despite meeting some resistance when infusing saline, the nurse proceeded to infuse the first medication … inserted with some difficulty, and the nurse proceeded with vesicant administration despite meeting resistance
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psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
January 07, 2015 - checklist in preventing adverse patient events has been demonstrated.( 12 ) Predictably, there can be resistance … Automatic resistance to the implementation of checklists (it's a change, a possible slight increase in
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psnet.ahrq.gov/periodic-issue/periodic-issue-354
August 05, 2022 - antimicrobials are frequently prescribed for surgical patients despite the risks of antimicrobial overuse (e.g., resistance … antimicrobials are frequently prescribed for surgical patients despite the risks of antimicrobial overuse (e.g., resistance
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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…
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psnet.ahrq.gov/node/42996/psn-pdf
March 19, 2014 - The "physician-led chart audit": engaging providers in
fortifying a culture of safety.
March 19, 2014
Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a
culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057.
https://psnet.ahrq.go…
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psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
February 26, 2025 - When we hear resistance to the concept of OpenNotes, we realize it's often not really resistance to OpenNotes … , it's resistance to any one more thing.