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| 1. |  Organizational Policy/Guidelines: 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. |
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| 2. | Study: Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? |
| | Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522. |
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| 3. | Commentary: The wisdom and justice of not paying for "preventable complications." |
| | Pronovost PJ, Goeschel CA, Wachter RM. JAMA. 2008;299:2197-2199. |
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| 4. | Study: Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. |
| | Harbarth S, Fankhauser C, Schrenzel J, et al. JAMA. 2008;299:1149-1157. |
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| 5. | Study: Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. |
| | Robicsek A, Beaumont JL, Paule SM, et al. Ann Intern Med. 2008;148:409-418. |
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| 6. | Fact Sheet/FAQs: 10 Patient Safety Tips for Hospitals. |
| | Rockville, MD: Agency for Healthcare Research and Quality; 2007. AHRQ Publication No. 07-P004. |
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| 7. | Study: The effect of workload on infection risk in critically ill patients. |
| | Hugonnet S, Chevrolet JC, Pittet D. Crit Care Med. 2007;35:76-81. |
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| 8. | Study: An intervention to decrease catheter-related bloodstream infections in the ICU. |
| | Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732. |
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| 9. | Commentary: Balancing "no blame" with accountability in patient safety. |
| | Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406. |
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| 10. | Study: Safety of patients isolated for infection control. |
| | Stelfox HT, Bates DW, Redelmeier DA. JAMA. 2003;290:1899-1905. |
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| 11. | Book/Report: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. |
| | Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds. Evidence Report/Technology Assessment No. 43 from the Agency for Healthcare Research and Quality: AHRQ Publication No. 01-E058; 2001. |
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| 12. | Study: Iatrogenic illness on a general medical service at a university hospital. |
| | Steel K, Gertman PM, Crescenzi C, Anderson J. N Engl J Med. 1981;304:638-642. |
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| 13. | Multi-use Website: Joint Commission Center for Transforming Healthcare. |
| | The Joint Commission. |
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| 14. | Study: Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. |
| | Bittle MJ, LaMarche S. Jt Comm J Qual Patient Saf. 2009;35:519-525, AP1-AP3. |
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| 15. | Study: Medicare's policy not to pay for treating hospital-acquired conditions: the impact. |
| | McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493. |
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| 16. | Study: Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. |
| | Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540. |
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| 17. | Book/Report: To Err Is Human — To Delay Is Deadly. |
| | Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. |
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| 18. | Study: Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. |
| | Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348. |
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| 19. | Book/Report: HealthGrades Sixth Annual Patient Safety in American Hospitals Study. |
| | Golden, CO: HealthGrades, Inc.; April 2009. |
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| 20. | Study: Health information technology and patient safety: evidence from panel data.
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| | Parente ST, McCullough JS. Health Aff. 2009;28:357-360.
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