The Canary’s Warning: Why Infections Matter

Leape LL Error in medicine. JAMA. 1994;272:1851-1857.

Institute of Medicine. To Err Is Human: Building a Safer Healthcare System. Washington, DC: National Academies Press; 2000.

Agency for Healthcare Research and Quality. Patient safety indicators overview. http://www.qualityindicators.ahrq.gov/psi_overview.htm. Accessed May 2009.

Agency for Healthcare Research and Quality. National Healthcare Quality Report, 2008. http://www.ahrq.gov/qual/nhqr08/nhqr08.pdf. Accessed May 2009 .

Agency for Healthcare Research and Quality. National Healthcare Disparities Report, 2008. http://www.ahrq.gov/qual/nhdr08/nhdr08.pdf. Accessed May 2009 .

Farley DO , Battles JB Evaluation of the AHRQ Patient Safety Initiative: framework and approach. Health Serv Res. 2009;44(2, part 2):628-645.

Farley DO , Damberg CL Evaluation of the AHRQ Patient Safety Initiative: synthesis of findings. Health Serv Res. 2009;44(2, part 2):756-776.

Greenberg MD , Haviland AM , Yu H. , et al. Safety outcomes in the United States: trends and challenges in measurement. Health Serv Res. 2009;44(suppl 1):739-755.

Scott RD The direct medical costs of healthcare-associated infections in U.S. hospitals and the benefits of prevention, 2009. http://www.cdc.gov/ncidod/dhqp/pdf/Scott_CostPaper.pdf. Accessed May 2009.

Agency for Healthcare Research and Quality. Central line insertion care team checklist. http://www.ahrq.gov/qual/clichklist.htm. Accessed May 2009.

Pronovost P. , Needham D. , Berenholtz S. , et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725-2732.