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86 Chapter 4 30. Romero CM, Salazar N, Rojas L, et al. E ects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients. J Crit Care. 2013;28:451-60. 31. Titsworth WL, Hester J, Correia T, et al. Reduction of catheter-associated urinary tract infections among patients in a neurological intensive care unit: a single institution’s success. J Neurosurg. 2012;116:911-20. 32. Álvarez Lerma F, Sánchez García M, Lorente L, et al. Guidelines for the prevention of ventilator-associated pneumonia and their implementation. The Spanish“Zero-VAP”bundle. Med Intensiva. 2014;38:226-36. 33. Harnage SA. Achieving zero catheter related blood stream infections: 15 months success in a community based medical center. The Journal of the Association for Vascular Access . 2007;12:218–224. 34. VHA/InstituteforHealthcareImprovement.ICUAdverseEventTriggerTool,January2002http:// www.ihi.org/resources/Pages/Tools/ICUAdverseEventTriggerTool.aspx. Accessed 25 June, 2015. 35. Marwick C, Davey P. Care bundles: the holy grail of infectious risk management in hospitals? Curr Opin Infect Dis. 2009;22:364-369. 36. National Quality Measures Clearinghouse. http://www.qualitymeasures.ahrq.gov/tutorial/ validity.aspx. Accessed 2 April, 2015. 37. Moher D, Liberati A, Tetzla J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoSMed. 2009;21: e1000097. 38. Kerckho s MC, Van der Sluijs AF, Binnekade JM, Dongelmans DA. Improving patient safety in the ICU by prospective identi cation of missing safety barriers using the bow-tie prospective risk analysis model. J Patient Saf. 2013;9:154-9. 39. Pronovost PJ, Goeschel CA, Marsteller JA, Sexton JB, Pham JC, Berenholtz SM. Framework for patient safety research and improvement. Circulation. 2009;119:330-337. 40. Pronovost PJ, Cardo DM, Goeschel CA, Berenholtz SM, Saint S, Jernigan JA. A research framework for reducing preventable patient harm. Clin Infect Dis. 2011;52:507-513. 41. Faulkner B. Applying Lean Management Principles to the Creation of a Postpartum Hemorrhage Care Bundle. Nursing for Women’s Health. 2013;17:400–411.