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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Quality Report

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 and Pankaj B. Agrawal
Pediatrics June 2013, 131 (6) e1961-e1969; DOI: https://doi.org/10.1542/peds.2012-3293
Celeste J. Chandonnet
aDivision of Newborn Medicine,
Departments of bNursing, and
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Prerna S. Kahlon
cMedicine, Boston Children’s Hospital, Boston, Massachusetts;
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Pratik Rachh
dDepartment of Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts; and
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Michele DeGrazia
aDivision of Newborn Medicine,
Departments of bNursing, and
eHarvard Medical School, Boston, Massachusetts
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Eileen C. DeWitt
aDivision of Newborn Medicine,
Departments of bNursing, and
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Kathleen A. Flaherty
aDivision of Newborn Medicine,
Departments of bNursing, and
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Nadine Spigel
aDivision of Newborn Medicine,
Departments of bNursing, and
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Stephanie Packard
aDivision of Newborn Medicine,
Departments of bNursing, and
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Denise Casey
aDivision of Newborn Medicine,
Departments of bNursing, and
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Christine Rachwal
aDivision of Newborn Medicine,
Departments of bNursing, and
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Pankaj B. Agrawal
aDivision of Newborn Medicine,
cMedicine, Boston Children’s Hospital, Boston, Massachusetts;
eHarvard Medical School, Boston, Massachusetts
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Article Information

vol. 131 no. 6 e1961-e1969
DOI 
https://doi.org/10.1542/peds.2012-3293
PubMed 
23690523

Published By 
American Academy of Pediatrics
Print ISSN 
0031-4005
Online ISSN 
1098-4275
History 
  • Accepted January 10, 2013
  • Published online May 31, 2013.

Article Versions

  • previous version (May 20, 2013 - 00:07).
  • You are viewing the most recent version of this article.
Copyright & Usage 
Copyright © 2013 by the American Academy of Pediatrics

Author Information

  1. Celeste J. Chandonnet, RN, BSN, CCRNa,b,
  2. Prerna S. Kahlon, BDS, MPAH, CPHQc,
  3. Pratik Rachh, MD, MBA, CQPA, CPHQd,
  4. Michele DeGrazia, PhD, RN, NNP-BCa,b,e,
  5. Eileen C. DeWitt, RNC, MS, NNP-BCa,b,
  6. Kathleen A. Flaherty, MT(ASCP), BS, CICa,b,
  7. Nadine Spigel, RN, BSN, CCRNa,b,
  8. Stephanie Packard, RN, BSN, CCRNa,b,
  9. Denise Casey, MS, RN, CCRN, CPNPa,b,
  10. Christine Rachwal, MSN, RN, CCRNa,b, and
  11. Pankaj B. Agrawal, MD, MMSCa,c,e
  1. aDivision of Newborn Medicine,
  2. Departments of bNursing, and
  3. cMedicine, Boston Children’s Hospital, Boston, Massachusetts;
  4. dDepartment of Quality and Safety, Massachusetts General Hospital, Boston, Massachusetts; and
  5. eHarvard Medical School, Boston, Massachusetts
  1. Ms Chandonnet and Dr Kahlon contributed equally to this work.

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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
Pediatrics Jun 2013, 131 (6) e1961-e1969; DOI: 10.1542/peds.2012-3293

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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
Pediatrics Jun 2013, 131 (6) e1961-e1969; DOI: 10.1542/peds.2012-3293
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