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www.ahrq.gov/action-alliance/resources/type-harm.html
September 01, 2025 - Resources by Safety Topic
Contents Diagnostic Safety Emergency Preparedness Falls Healthcare-Associated … AHRQ Toolkit for Preventing Central Line-Associated Bloodstream Infections (CLABSI) and Catheter-Associated … Urinary Tract infections (CAUTI) in Intensive Care Units (ICUs) The customizable education toolkit includes … the toolkit to prevent complications such as surgical site infections, venous thromboembolism, and urinary … tract infection and to improve perioperative safety culture.
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - support hospitals in making continuous improvement and reducing inpatient harm events, such as healthcare-associated … This measure assesses harms such as central-line-associated blood stream infections, hospital-acquired … pneumonia, urinary tract infections, and hospital-acquired sepsis, among others. 1
Description of … hospital-acquired pneumonia per 1,000 inpatient days decreased 73% (p<0.000) and hospital-acquired urinary … tract infection rates per 1,000 inpatient-days decreased 78.9% (p<0.000). 1
Planning and Development
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hcup-us.ahrq.gov/reports/statbriefs/sb123.pdf
November 01, 2011 - It also
expands prior analyses by examining the growth in costs from
1997–2009 associated with the … $6.3 0.5%
Skin and
subcutaneous
tissue infections 0.9 1.7 $1.0 $2.5 8.3% 3.5 4.7 $0.7 $1.3 5.7%
Urinary … tract
infections 0.8 0.8 $0.7 $1.3 4.7% 6.6 9.2 $1.2 $2.3 5.6%
Acute
cerebrovascular
disease 0.6 … tract infections
Chronic obstructive pulmonary disease
Acute cerebrovascular disease
Mood disorders … tract infections
Cardiac dysrhythmias
Nonspecific chest pain
Complications of surgical procedures
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-slides.html
July 01, 2023 - urinary tract infections resulting in 13,000 deaths a year. 4
Nearly 100,000 patients die from health … care-associated infections (HAIs) each year, and the cost of HAIs is $28 billion to $33 billion per … A New, Evidence-based Estimate of Patient Harms Associated with Hospital Care. … The Direct Medical Costs of Healthcare-Associated Infections in U.S. … Estimating Health Care-Associated Infections and Deaths in U.S. Hospitals 2002.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - CUSP – The Michigan Experience
Use of CUSP tied with a technical intervention, such as central line-associated … unit team has resources to reduce risks
Hold team accountable for improving risks and central line-associated … data – CAUTI rate
Brainstorm safety concerns
Determine the scope of your initial project
Policy - Urinary … Infections)
“Bladder Bundle Project”
Preventing Catheter-Associated Urinary Tract Infections … toolkits
Update/revise to fit
*
*
CAUTI Education
Trained the trainers
Engaged frontline staff
Urinary
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-notes.docx
April 01, 2022 - Healthcare Research and Quality, or AHRQ, Safety Program for Intensive Care Units: Preventing Central Line-Associated … Blood Stream Infection (CLABSI) and Catheter-Associated Urinary Tract Infection (CAUTI). … The benefit of this program is that it is designed to improve care for patients who have indwelling urinary … These include interventions such as placing indwelling urinary catheters only for appropriate reasons … intervention also focuses on how to ensure proper aseptic insertion techniques and maintenance of indwelling urinary
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/answer-key.html
March 01, 2017 - visibly soiled
One should perform hand hygiene before and after wearing gloves when touching the urinary
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/hand-hygiene/skills-test.html
March 01, 2017 - visibly soiled
One should perform hand hygiene before and after wearing gloves when touching the urinary
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www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/mindsets.html
April 01, 2022 - Making It Work – Overcoming the "Just in Case" Mindset (PDF, 269.6 KB)
Making It Work – Managing Urinary
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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - – The Michigan Experience
Use of CUSP tied with a technical intervention, such as central line-associated … Hold team accountable for improving risks and central line-associated blood steam infection rate. … Image: Flyer example by KEYSTONE HAI titled "Bladder Bundle Project": Preventing Catheter-Associated … Urinary Tract Infections. … Chronic indwelling urinary catheter on admittion = 6.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
February 01, 2015 - Describe the “Four E’s” and associated strategies to guide practice change. … Nurse leader or nurse educator
Bedside nurse
Other…
3
Quality Improvement in the ED: A Focus on Urinary … hygiene prior to 74% of insertions
No hand hygiene in 91% post insertion
59% of insertion attempts were associated … contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated … Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
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psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
May 01, 2012 - In fact, many of the issues that threaten the safety of hospitalized patients, including catheter–associated … urinary tract infections, hand hygiene, medication errors, and inappropriate restraints, are visible … Issues that threaten safety of hospitalized patients, including catheter–associated urinary tract infections
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spread.pptx
April 15, 2012 - North Carolina Prevent Catheter-Associated Urinary Tract Infections Collaborative.
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired … In Exhibit 7 , we provide estimates for the additional costs associated with each HAC. … Urinary Tract Infections (CAUTI)
6
$4,694–$29,743
$13,793 ($5,019–$22,568)
Central Line-Associated … Urinary Tract Infections (CAUTI)
4
1.28–1.97
1.50 (1.06–2.11)
0.071
0.036 (0.004–0.079) … Urinary Tract Infections
Based on six studies reporting cost data, we estimated the additional cost
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-quiz-key.html
March 01, 2017 - When emptying a urinary catheter collection bag, wearing gloves, a gown, and a face shield would be appropriate
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/precautions/ppe-quiz.html
March 01, 2017 - When emptying a urinary catheter collection bag, wearing gloves, a gown, and a face shield would be appropriate
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psnet.ahrq.gov/issue/economic-burden-nurse-sensitive-adverse-events-22-medical-surgical-units-retrospective-and
December 15, 2021 - adverse events—including pressure ulcers , falls , medication administration errors , pneumonia, and urinary … tract infection—for the Canadian health care system.
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www.ahrq.gov/news/newsletters/e-newsletter/939.html
November 01, 2024 - November 26, 2024
AHRQ Stats: Trends in Healthcare-Associated Infections Between 2020 and 2021, the … rate of inpatient stays with an associated central-line associated bloodstream infection increased by … prevalence and predictors of antibiotic use without a prescription in children and misdiagnoses of urinary … tract infections leading to the overprescribing of antibiotics. … Factors associated with acute telemental health consultations in older veterans.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Slide 8
Case
Image: Diagram showing the causes of urinary catheter harm. … Insertion and Maintenance
Technique
Competency
Removal
Process
Structure
Image: Urinary … Slide 41
Execute – Structure
Images: Photo a urinary catheter with a red circle and a line through … contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated … Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - infections (e.g., central lines, urinary catheters, ventilators, surgical implants, hemodialysis) and … Infections
Central line–associated bloodstream infection (CLABSI)
Catheter-associated urinary … tract infection (CAUTI)
Ventilator-associated complication (VAC)
Surgical site infection … But not for people coming in with viral upper respiratory tract infections. … Tract Infection: The Problem and Solutions
November 1, 2008
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