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Approach to Improving Safety
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STUDY
A multidisciplinary approach to reduce central line–associated bloodstream infections.
McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.
COMMENTARYclassic
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
ORGANIZATIONAL POLICY/GUIDELINESclassic
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.
Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.
NEWSPAPER/MAGAZINE ARTICLE
Perfect is possible.
Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.
STUDY
The ability of intensive care units to maintain zero central line–associated bloodstream infections.
Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. Arch Intern Med. 2011;171:856-858.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
COMMENTARY
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
NEWSPAPER/MAGAZINE ARTICLE
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Making health care safer: stopping C. difficile infections.
CDC Vital Signs. March 2012:1-4.
SPECIAL OR THEME ISSUE
Infection Control in the Intensive Care Unit.
Crit Care Med. 2010;38:S265-S404.
CLINICAL GUIDELINE
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Crit Care Med. 2013;41:580-637.
NEWSPAPER/MAGAZINE ARTICLE
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2007;12:1-2.
NEWSPAPER/MAGAZINE ARTICLE
Smart pump custom concentrations without hard "low concentration" alerts.
ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.
BOOK/REPORT
Guide to Patient and Family Engagement: Environmental Scan Report.
Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHRQ Publication No. 12-0042-EF.
STUDY
Variations in surgical outcomes associated with hospital compliance with safety practices.
Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.
CLINICAL GUIDELINE
Guidelines for the prevention of intravascular catheter-related infections.
O'Grady NP, Alexander M, Burns LA, et al; Healthcare Infection Control Practices Advisory Committee. Am J Infect Control. 2011;52:e162-e193. 
BOOK/REPORT
Improving Patient Safety Systems for Patients With Limited English Proficiency: A Guide For Hospitals.
Rockville, MD: Agency for Healthcare Research and Quality; September 2012. AHRQ Publication No. 12-0041.
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