Bibliography

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• Catheter-Associated Urinary Tract Infections
• Central Line-Associated Bloodstream Infections
• Leadership Support
• Measuring Patient Safety
• Teamwork, Communication and Culture
• Translating Evidence into Practice

Catheter-Associated Urinary Tract Infections

Introducing a population-based outcome measure to evaluate the effect of interventions to reduce catheter-associated urinary tract infection
Fakih MG, Greene MT, Kennedy EH, Meddings JA, Krein SL, Olmsted RN, Saint S.
American Journal of Infection Control, May 2012, 40(4), pages 359-64

Reducing inappropriate urinary catheter use: a statewide effort
MG Fakih, SR Watson, MT Greene, EH Kennedy, RN Olmsted, SL Krein, S Saint
Archives of Internal Medicine, February 13, 2012, pages 255-60

Summary of recommendations: Guidelines for the Prevention of Intravascular Catheter-related Infections.
NP O’Grady, M Alexander, LA Burns, EP Dellinger, J Garland, SO Heard, PA Lipsett, H Masur, LA Mermel, ML Pearson, II Raad, AG Randolph, ME Rupp, S Saint, Healthcare Infection Control Practices Advisory Committee (HICPAC)
Clinical Infectious Diseases, May 2011, pages 1087-99

Translating health care-associated urinary tract infection prevention research into practice via the bladder bundle
S Saint, RN Olmsted, MG Fakih, CP Kowalski, SR Watson, AE Sales, SL Krein
Joint Commission Journal of Quality and Patient Safety, September 2009, pages 449-55

NHSN annual update: Antimicrobial-resistant pathogens associated with healthcare-associated infections: Annual summary of data reported to the national healthcare safety network at the centers for disease control and prevention, 2006-2007
AL Hidron, JR Edwards, J Patel, et al.
Infection Control and Hospital Epidemiology, October 2008, 29(11), pages 996-1011

Outbreaks of serratia marcescens bacteriuria in a neurosurgical intensive care unit of a tertiary care teaching hospital: A clinical, epidemiologic, and laboratory perspective
HJ Yoon, JY Choi, YS Park, et al.
American Journal of Infection Control, 2005, 33(10), pages 595-601

The direct costs of nosocomial catheter-associated urinary tract infection in the era of managed care
PA Tambyah, V Knasinski, DG Maki
Infection Control and Hospital Epidemiology, January 2002, 23(1), pages 27-31

Are physicians aware of which of their patients have indwelling catheters?
S Saint, J Weiss, JK Amory, et al.
The American Journal of Medicine, October 15, 2000, 109(6), pages 476-80

Clinical and economic consequences of nosocomial catheter-related bacteriuria
S Saint
American Journal of Infection Control, February 2000, 28(1), pages 68-75

Mortality associated with nosocomial urinary-tract infection
R Platt, BF Polk, B Murdock, B Rosner
New England Journal of Medicine, 1982, 307(11), pages 637-642

Catheter-associated urinary tract infections in surgical patients: A controlled study on the excess morbidity and costs
CD Givens, RP Wenzel
Journal of Urology, November 1980, 124(5), pages 646-648

Epidemics of nosocomial urinary tract infection caused by multiple resistant gram-negative bacilli: Epidemiology and control
DR Schaberg, RA Weinstein, WE Stamm
Journal of Infectious Diseases, March 1976, 133(3), pages 363-66

Central Line-Associated Bloodstream Infections

Using the Opportunity Estimator tool to improve engagement in a quality and safety intervention
J Duval-Arnould, SC Mathews, K Weeks, E Colantuoni, A Mukherjee, S Nundy, SR Watson, CG Holzmueller, LH Lubomski, CA Goeschel, PJ Pronovost, JC Pham, SM Berenholtz
Joint Commission Journal of Quality and Patient Safety, January 2012, 38(1), pages 41-7

Eradicating Central Line-Associated Bloodstream Infections Statewide: The Hawaii Experience
DM Lin, K Weeks, L Bauer, JR Combes, CT George, CA Goeschel, LH Lubomski, SC Mathews, MD Sawyer, DA Thompson, SR Watson, BD Winters, JA Marsteller, SM Berenholtz, PJ Pronovost, JC Pham
American Journal of Medical Quality, September 14, 2011

CLABSIs: Trustees Commit to Zero
M Djordjevic
Trustee, June 2011

The ability of intensive care units to maintain zero central line-associated bloodstream infections
A Lipitz-Snyderman, DM Needham, E Colantuoni, CA Goeschel, JA Marsteller, DA Thompson, SM Berenholtz, LH Lubomski, S Watson, PJ Pronovost
Archives of Internal Medicine, May 9, 2011, 171(9), pages 856-8

Preventing bloodstream infections: a measurable national success story in quality improvement
PJ Pronovost, JA Marsteller, CA Goeschel
Health Affairs, April 2011, 30(4), pages 628-34

Infection preventionist checklist to improve culture and reduce central line-associated bloodstream infections
CA Goeschel, CG Holzmueller, SE Cosgrove, P Ristaino, PJ Pronovost
Joint Commission Journal of Quality and Patient Safety, December 2010, 36(12), pages 571-5

Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections
CA Goeschel, CG Holzmueller, SM Berenholtz, JA Marsteller, DJ Murphy, M Sawyer, J Duval-Arnould, DA Thompson, LH Lubomski, K Weeks, L Bauer, PJ Pronovost
Joint Commission Journal of Quality and Patient Safety, November 2010, 36(11), pages 519-524

Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections
CA Goeschel, CG Holzmueller, PJ Pronovost
Joint Commission Journal of Quality and Patient Safety, November 2010, 36(11), pages 525-8

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections
M Sawyer, K Weeks, CA Goeschel, DA Thompson, SM Berenholtz, JA Marsteller, LH Lubomski, SE Cosgrove, BD Winters, DJ Murphy, LC Bauer, J Duval-Arnould, JC Pham, E Colantuoni, PJ Pronovost
Critical Care Medicine, August 2010, 38(8 Suppl):S292-8.

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study
PJ Pronovost, CA Goeschel, E Colantuoni, S Watson, LH Lubomski, SM Berenholtz, DA Thompson, DJ Sinopoli, S Cosgrove, JB Sexton, JA Marsteller, RC Hyzy, R Welsh, P Posa, K Schumacher, D Needham
BMJ, February 4, 2010, 340:c309

Preventing central line-associated bloodstream infections and improving safety culture: a statewide experience
SR Watson, C George, M Martin, B Bogan, C Goeschel, PJ Pronovost
Joint Commission Journal of Quality and Patient Safety, December 2009, 35(12), pages 593-7

An Executive Checklist
PJ Pronovost, JR Combes, MS Joshi
H&HN, November 2009

Supporting Change
JR Combes
H&HN, November 2008

Leadership Support

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs
HR Waters, R Korn Jr, E Colantuoni, SM Berenholtz, CA Goeschel, DM Needham, JC Pham, A Lipitz-Snyderman, SR Watson, P Posa, PJ Pronovost
American Journal of Medical Quality, September-October 2011, 25(5), pages 333-339

CLABSIs: Trustees Commit to Zero
M Djordjevic
Trustee, June 2011

An Executive Checklist
PJ Pronovost, JR Combes, MS Joshi
H&HN, November 2009

Supporting Change
JR Combes
H&HN, November 2008

Measuring Patient Safety

Preventing Hospital-Acquired Infections: A National Survey of Practices Reported by U.S. Hospitals in 2005 and 2009
SL Krein, CP Kowalski, TP Hofer, S Saint
Journal of General Internal Medicine, December 6, 2011

Advancing the science of patient safety
PG Shekelle, PJ Pronovost, RM Wachter, SL Taylor, SM Dy, R Foy, S Hempel, KM McDonald, J Ovretveit, LV Rubenstein, AS Adams, PB Angood, DW Bates, L Bickman, P Carayon, L Donaldson, N Duan, DO Farley, T Greenhalgh, J Haughom, ET Lake, R Lilford, KN Lohr, GS Meyer, MR Miller, DV Neuhauser, G Ryan, S Saint, KG Shojania, SM Shortell, DP Stevens, K Walshe
Annals of Internal Medicine, May 17, 2011, 154(10), pages 693-6

Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study
PJ Pronovost, CA Goeschel, E Colantuoni, S Watson, LH Lubomski, SM Berenholtz, DA Thompson, DJ Sinopoli, S Cosgrove, JB Sexton, JA Marsteller, RC Hyzy, R Welsh, P Posa, K Schumacher, D Needham
BMJ, 2010, 340, c309

Measurement of quality and assurance of safety in the critically ill
PJ Pronovost, JB Sexton, JC Pham, CA Goeschel, BD Winters, MR Miller
Clinics in Chest Medicine, 2009, 30(1), pages 169-179

The wisdom and justice of not paying for “preventable complications”
PJ Pronovost, CA Goeschel, RM Wachter
JAMA, 2008, 299(18), pages 2197-2199

Tracking progress in patient safety: An elusive target
PJ Pronovost, MR Miller, RM Wachter
JAMA, 2006, 296(6), pages 696-699

Teamwork, Communication and Culture

Developing and testing a tool to measure nurse/physician communication in the intensive care unit
M Manojlovich, S Saint, J Forman, CE Fletcher, R Keith, S Krein
Journal of Patient Safety, June 2011, 7(2), pages 80-84

Implementing standardized operating room briefings and debriefings at a large regional medical center
SM Berenholtz, K Schumacher, AJ Hayanga, M Simon, C Goeschel, PJ Pronovost, CJ Shanley, RJ Welsh
Joint Commission Journal of Quality and Patient Safety, August 2009, 35(8), pages 391-7

Translating Evidence into Practice

The business case for quality: economic analysis of the Michigan Keystone Patient Safety Program in ICUs
HR Waters, R Korn Jr, E Colantuoni, SM Berenholtz, CA Goeschel, DM Needham, JC Pham, A Lipitz-Snyderman, SR Watson, P Posa, PJ Pronovost
American Journal of Medical Quality, September-October 2011, 26(5), pages 333-339

Implementation science: how to jump‐start infection prevention
S Saint, JD Howell, SL Krein
Infection Control and Hospital Epidemiology, November 2010, 31 Supplement, s14-17

Using an interdisciplinary approach to identify factors that affect clinicians’ compliance with evidence-based guidelines.
AP Gurses, JA Marsteller, AA Ozok, Y Xiao, S Owens, PJ Pronovost
Critical Care Medicine, August 2010, 38(8-supplement), s282-291

Translating health care-associated urinary tract infection prevention research into practice via the bladder bundle
S Saint, RN Olmsted, MG Fakih, CP Kowalski, SR Watson, AE Sales, SL Krein
Joint Commission Journal of Quality and Patient Safety, September 2009, 35(9), pages 449-455

Translating evidence into practice: A model for large scale knowledge translation
PJ Pronovost, SM Berenholtz, DM Needham
BMJ, October 6, 2008, 337, a1714.

Improving patient safety in intensive care units in michigan
PJ Pronovost, SM Berenholtz, C Goeschel, et al.
Journal of Critical Care, 2008, 23(2), pages 207-221

An intervention to decrease catheter-related bloodstream infections in the ICU
P Pronovost, D Needham, S Berenholtz, et al.
New England Journal of Medicine, 2006, 355(26), pages 2725-2732

Implementing and validating a comprehensive unit-based safety program
P Pronovost, B Weast, B Rosenstein, et al.
Journal of Patient Safety, 2005, 1(1), pages 33-40

Senior executive adopt-a-work unit: A model for safety improvement
PJ Pronovost, B Weast, K Bishop, et al.
Joint Commission Journal of Quality and Safety, 2004, 30(2), page 59-68

Improving communication in the ICU using daily goals
P Pronovost, S Berenholtz, T Dorman, PA Lipsett, T Simmonds, C Haraden
Journal of Critical Care, 2003, 18(2), pages 71-75