Outbreak Column 11: Consequences of outbreaks;lessons for healthcare workers and infection prevention and control teams

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Berenholtz SM Pronovost PJ Lipsett PA Hobson D Earsing K Farley JE Milanovich S Garrett-Mayer E Winters BD Rubin HR Dorman T Perl TM . (2004) Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 32: 2014–20.

Branch-Elliman W Weiss D Balter S Bornschlegel K Phillips M . (2013) Hepatitis C transmission due to contamination of multidose medication vials: summary of an outbreak and a call to action. Am J Infect Control 41: 92–4.

Centers for Disease Control and Prevention. (2010) Bacterial meningitis after intrapartun spinal anesthesia - New York and Ohio, 2008–2009. MMWR Morbidity and Mortality Weekly Report 59: 65–9.

Chitnis AS Guh AY Benowitz I Srinivasan V Gertz RE Jr Shewmaker PL Beall BW O’Connell H Noble-Wang J Gornet MF Van BC Patrick SL Turabelidze G Patel PR . (2012) Outbreak of bacterial meningitis among patients undergoing myelography at an outpatient radiology clinic. J Am Coll Radiol 9: 185–90.

Curran ET . (2013a) Outbreak Column 4: an ‘infection control never event’ – nosocomial blood borne virus transmission. Journal of Infection Prevention 13: 170–4.

Curran ET . (2013b) Outbreak column 9: Endoscopy-related outbreaks. Journal of Infection Prevention 14: 139–44.

Dekker S . (2006) The bad apple theory. In: The Field Guide to Unserstanding Human Error, Aldershop: Ashgate, pp. 1–14.

Dolan SA Felizardo G Barnes S Cox TR Patrick M Ward KS Arias KM . (2010) APIC position paper: safe injection, infusion, and medication vial practices in health care. American Journal of Infection Control 38: 167–72.

Faculty of Pain Medicine. (2010) Best practice in the management of epidural analgesia in the hospital setting. Available at: http://www.aagbi.org/sites/default/files/epidural_analgesia_2011.pdf (accessed 15 July 2013).

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Hales BM Pronovost PJ . (2006) The checklist – a tool for error management and performance improvement. Journal of Critical Care 21: 231–5.

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Malhotra R Kelly S . (2013) Wearing facemasks when performing lumbar punctures: a snapshort of current practice among trainee doctors. Local and Regional Anaesthesia 3: 133–5.

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Pronovost PJ Berenholtz SM Needham DM . (2008) Translating evidence into practice: a model for large scale knowledge translation. British Medical Journal 337: a1714.

Reason J . (1990) Latent errors and system disasters. In: Human Error. Cambridge, pp. 173–216.

Reason J . (2008) Perceptions of unsafe acts. In: The human contribution: unsafe acts, accidents and heroic recoveries. Farnham, Surrey: Ashgate, pp. 69–103.

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Siegel JD Rhinehart E Jackson M Chiarello L . (2007) 2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings. American Journal of Infection Control 35(10 Suppl 2): S65–S164.

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