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Infection Control & Hospital Epidemiology


37. United States Pharmacopeia (USP). Proposed Revision to General Chapter 797: Pharmaceutical Compounding—Sterile Preparations 2018. July 27 proposed revision for public comment. USP website. http://www. usp.org/compounding/797-download. Updated July 27, 2018. Accessed October 24, 2018.


38. Fukada T, Ozaki M. Microbial growth in propofol formulations with disodium edetate and the influence of venous access system dead space. Anaesthesia 2007;62:575–580.


39. Austin PD, Hand KS, Elia M. Systematic review and meta-analysis of the risk of microbial contamination of parenteral doses prepared under aseptic techniques in clinical and pharmaceutical environments: an update. J Hosp Infect 2015;91:306–318.


40. Jelacic S, Bowdle A, Nair BG, Kusulos D, Bower L, Togashi K. A system for anesthesia drug administration using barcode technology: the Codonics Safe Label System and Smart Anesthesia Manager. Anesth Analg 2015;121:410–421.


41. Haas RE, Beitz E, Reed A, et al. No bacterial growth found in spiked intravenous fluids over an 8-hour period. Am J Infect Control 2017;45:448–450.


42. Siegel JD, Rhinehart E, Jackson M, Chiarello L, Committee HCICPA. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in health care settings. Am J Infect Control 2007;35:S65–S164.


43. Safe injection practices to prevent transmission to patients. Centers for Disease Control and Prevention website. www.cdc.gov/injectionsaf ety/ip07_standardprecaution.html. Published 2011. Accessed October 24, 2018.


44. Dolan SA, Felizardo G, Barnes S, et al. APIC position paper: safe injection, infusion, and medication vial practices in health care. Am J Infect Control 2010;38:167–172.


45. Commission J. Preventing infection from the misuse of vials. Sentinel Event Alert 2014:1–6.


46. AANA. Safe Injection Guidelines for Needle and Syringe Use. 2014. 47. Stackhouse R, Beers R, Brown D, et al. Recommendations for Infection Control for the Practice of Anesthesiology, 3rd ed. www.asahq.org/ standards-and-guidelines/resources-from-asa-committees#ic


48. Association of Anaesthetists of Great Britain and Ireland (AAGBI). Infection Control in Anaesthesia. Anaesthesia 2008;63:1027–1036.


49. Greeley RD, Semple S, Thompson ND, et al. Hepatitis B outbreak associated with a hematology-oncology office practice in New Jersey, 2009. Am J Infect Control 2011;39:663–670.


50. CDC. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. MMWR Morb Mortal Wkly Rep 2008;57:513–517.


51. Wong MR, Del Rosso P, Heine L, et al. An outbreak of Klebsiella pneumoniae and Enterobacter aerogenes bacteremia after interventional pain management procedures, New York City, 2008. Reg Anesth Pain Med 2010;35:496–499.


52. Pan A, Dolcetti L, Barosi C, et al. An outbreak of Serratia marcescens bloodstream infections associated with misuse of drug vials in a surgical ward. Infect Control Hosp Epidemiol 2006;27:79–82.


53. Gutelius B, Perz JF, Parker MM, Hallack R, Stricof R, Clement EJ, et al. Multiple clusters of hepatitis virus infections associated with anesthesia for outpatient endoscopy procedures. Gastroenterology 2010;139:163–170.


54. Branch-Elliman W, Robillard E, McCarthy G, Gupta K. Direct feedback with the ATP luminometer as a process improvement tool for terminal cleaning of patient rooms. Am J Infect Control 2014;42:195–197.


55. Germain JM, Carbonne A, Thiers V, et al. Patient-to-patient transmis- sion of hepatitis C virus through the use of multidose vials during general anesthesia. Infect Control Hosp Epidemiol 2005;26:789–792.


56. Katzenstein TL, Jørgensen LB, Permin H, et al. Nosocomial HIV- transmission in an outpatient clinic detected by epidemiological and phylogenetic analyses. AIDS 1999;13:1737–1744.


57. Samandari T, Malakmadze N, Balter S, et al. A large outbreak of hepatitis B virus infections associated with frequent injections at a physician’s office. Infect Control Hosp Epidemiol 2005;26:745–750.


58. Lagging LM, Aneman C, Nenonen N, et al. Nosocomial transmission of HCV in a cardiology ward during the window phase of infection: an


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epidemiological and molecular investigation. Scand J Infect Dis 2002;34:580–582.


59. Moore ZS, Schaefer MK, Hoffmann KK, et al. Transmission of hepatitis C virus during myocardial perfusion imaging in an outpatient clinic. Am J Cardiol 2011;108:126–132.


60. Krause G, Trepka MJ, Whisenhunt RS, Katz D, Nainan O, Wiersma ST, et al. Nosocomial transmission of hepatitis C virus associated with the use of multidose saline vials. Infect Control Hosp Epidemiol 2003;24:122–127.


61. Hodgson ES, Ruis-Frutos C. A case report of contaminated operating theatre multipurpose equipment: a potential hazard for health care workers. Ann Occup Hyg 1991;35:341–346.


62. Rowlands J, Yeager MP, Beach M, Patel HM, Huysman BC, Loftus RW. Video observation to map hand contact and bacterial transmission in operating rooms. Am J Infect Control 2014;42:698–701.


63. Birnbach DJ, Rosen LF, Fitzpatrick M, Carling P, Munoz-Price LS. The use of a novel technology to study dynamics of pathogen transmission in the operating room. Anesth Analg 2015;120:844–847.


64. Borer A, Gilad J, Meydan N, et al. Impact of active monitoring of infection control practices on deep sternal infection after open-heart surgery. Ann Thorac Surg 2001;72:515–520.


65. Chen LF, Vander Weg MW, Hofmann DA, Reisinger HS. The Hawthorne effect in infection prevention and epidemiology. Infect Control Hosp Epidemiol 2015;36:1444–1450.


66. Srigley JA, Furness CD, Baker GR, Gardam M. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. BMJ Qual Saf 2014;23:974–980.


67. Rampersad SE, Martin LD, Geiduschek JM, Weiss GK, Bates SW. Video observation of anesthesia practice: a useful and reliable tool for quality improvement initiatives. Paediatr Anaesth 2013;23:627–633.


68. Martin LD, Rampersad SE, Geiduschek JM, Zerr DM, Weiss GK. Modification of anesthesia practice reduces catheter-associated blood- stream infections: a quality improvement initiative. Paediatr Anaesth 2013;23:588–596.


69. Friedman Z, Katznelson R, Devito I, Siddiqui M, Chan V. Objective assessment of manual skills and proficiency in performing epidural anesthesia—video-assisted validation. Reg Anesth Pain Med 2006;31:304–310.


70. Linam WM, Margolis PA, Atherton H, Connelly BL. Quality- improvement initiative sustains improvement in pediatric health care worker hand hygiene. Pediatrics 2011;128:e689–e698.


71. Weinger MB, Englund CE. Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Anesthesiology 1990;73:995–1021.


72. Cabana MD, Rand CS, Powe NR, et al. Why don’t physicians follow clinical practice guidelines? A framework for improvement. JAMA 1999;282:1458–1465.


73. Beatty PC, Beatty SF. Anaesthetists’ intentions to violate safety guidelines. Anaesthesia 2004;59:528–540.


74. Pennathur PR, Thompson D, Abernathy JH, et al. Technologies in the wild (TiW): human factors implications for patient safety in the cardiovascular operating room. Ergonomics 2013;56:205–219.


75. Carthey J, Walker S, Deelchand V, Vincent C, Griffiths WH. Breaking the rules: understanding non-compliance with policies and guidelines. BMJ 2011;343:d5283.


76. Hysong SJ, Kell HJ, Petersen LA, Campbell BA, Trautner BW. Theory- based and evidence-based design of audit and feedback programmes: examples from two clinical intervention studies. BMJ Qual Saf 2017;26:323–334.


77. Dolan SA, Heath J, Potter-Bynoe G, Stackhouse RA. Infection prevention in anesthesia practice: a tool to assess risk and compliance. Am J Infect Control 2013;41:1077–1082.


78. Derickson R, Fishman J, Osatuke K, Teclaw R, Ramsel D. Psychological safety and error reporting within Veterans Health Administration hospitals. J Patient Saf 2015;11:60–66.


79. Gurses AP, Seidl KL, Vaidya V, et al. Systems ambiguity and guideline compliance: a qualitative study of how intensive care units follow


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