U.S. Department of Health & Human Services
Quality and Safety Professionals
PATIENT SAFETY PRIMERS
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New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).
Oakbrook Terrace, IL: Joint Commission; May 17, 2011.
On the CUSP: Stop HAI.
Health Research & Educational Trust, MHA Keystone Center.
Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.
The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
Eliminating Catheter-Associated Urinary Tract Infections.
Chicago, IL: Health Research & Educational Trust; July 2013.
Parent willingness to remind health care workers to perform hand hygiene.
Buser GL, Fisher BT, Shea JA, Coffin SE. Am J Infect Control. 2013;41:492-496.
Five Years of Quality: Working Together to Improve Care.
Tallahassee, FL: Florida Hospital Association; August 2013.
Supratherapeutic dosing of acetaminophen among hospitalized patients.
Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.
Infusing fun into quality and safety initiatives.
Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.
Administering a saline flush "site unseen" can lead to a wrong route error.
ISMP Medication Safety Alert! Acute Care Edition. May 16, 2013;18:1-3.
Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.
Clare CA, Afzal O, Knapp K, Viola D. J Patient Saf. 2013;9:68-74.
Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.
Fuller C, Besser S, Savage J, McAteer J, Stone S, Michie S. Am J Infect Control. 2014;42:106-110.
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.
Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.
Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.
Events associated with the prescribing, dispensing, and administering of medication loading doses.
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
Utilizing improvement science methods to improve physician compliance with proper hand hygiene.
White CM, Statile AM, Conway PH, et al. Pediatrics. 2012;129:e1042-e1050.
Health Care–Associated Infections (HAI) Portal.
The Joint Commission.
Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.
Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.
Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).
Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.
Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.
Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.
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