Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.

Celeste J. Chandonnet; Prerna S. Kahlon; Pratik Rachh; Michele Degrazia; Eileen C. Dewitt; Kathleen A. Flaherty; Nadine Spigel; Stephanie Packard; Denise Casey; Christine Rachwal; Pankaj B. Agrawal

Study

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.

December 18, 2014

Chandonnet CJ, Kahlon PS, Rachh P, et al. Pediatrics. 2013;131(6):e1961-9.

View more articles from the same authors.

Successful application of a failure mode and effect analysis approach resulted in a marked reduction in the incidence of central line–associated bloodstream infections in a neonatal intensive care unit.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Families as partners in hospital error and adverse event surveillance.

April 24, 2018

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Advancing the science of patient safety.

September 20, 2011

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

Latent risk assessment tool for health care leaders.

October 13, 2018

Changes in prevalence of health care-associated infections in U.S. hospitals.

November 14, 2018

To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum.

August 17, 2016

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Related Resources

Don't underestimate the impact of change on risk potential.

May 5, 2018

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

December 18, 2014

The morbidity and mortality conference in PICUs in the United States: a national survey.

September 24, 2014

Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model.

October 2, 2013

The high-reliability pediatric intensive care unit.

May 22, 2013

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

April 17, 2013

Quality: performance improvement, teamwork, information technology and protocols.

April 17, 2013

Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.

June 27, 2011

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

October 13, 2010

Random safety auditing, root cause analysis, failure mode and effects analysis.

May 19, 2010

See More About The Topic

Intensive Care Units

Children's Hospitals

Health Care Providers

Health Care Executives and Administrators

Safety Scientists

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users