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psnet.ahrq.gov/issue/patient-safety-and-covid-19-pandemic-qualitative-study-perspectives-front-line-clinicians
May 15, 2024 - delivery due to staffing and equipment shortages and space constraints , causing healthcare-associated infections … April 27, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream … infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus
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psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
October 11, 2017 - 9, 2013
Health care failure mode and effect analysis to reduce NICU line–associated bloodstream … infections. … March 17, 2021
Will the COVID-19 pandemic transform infection prevention and control … 2020
Perioperative COVID-19 defense: an evidence-based approach for optimization of infection
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psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors
July 15, 2020 - The influence of organizational context on quality improvement and patient safety efforts in infection … September 3, 2014
Targeted versus universal decolonization to prevent ICU infection. … March 23, 2011
An intervention to decrease catheter-related bloodstream infections in
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psnet.ahrq.gov/issue/potential-harm-caused-physicians-priori-beliefs-clinical-effectiveness-hydroxychloroquine-and
November 21, 2021 - mixed-methods analysis
October 9, 2019
Changes in prevalence of health care-associated infections … 31, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream … infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
June 02, 2025 - Safety PSI 03 Pressure Ulcer
PSI 06 Iatrogenic Pneumothorax
PSI 07 Central Venous Catheter-Related Bloodstream … Infections
PSI 08 Postoperative Hip Fracture
PSI 09 Perioperative Hemorrhage or Hematoma
PSI … 01 Neonatal Iatrogenic Pneumothorax
NQI 02 Neonatal Mortality Rate
NQI 03 Neonatal Blood Stream Infection … PDI 11 Postoperative Wound Dehiscence Rate
PDI 12 Central Venous Catheter-Related Blood Stream Infection
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - infection. … infection and put himself at risk for contamination. … ACGME Guidance statement on Ebola virus infection and resident/fellow training in the United States. … Use of simulation-based education to reduce catheter-related bloodstream infections. … infections.
-
www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - about 28 percent from pressure ulcers, and about 16 percent from catheter-associated urinary tract infections … 250,000
7.6
CLABSIs
MPSMS (2014)
Blood Stream Infections Associated With Central Venous … 250,000
150,000
38%
$150,000,000
3,495
Central Line-Associated Bloodstream … Infections
18,000
5,000
13,000
72%
$221,000,000
2,405 … 106,000
$1,000
.023
$106,000,000
2,470
Central Line-Associated Bloodstream
-
www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - Companion Guide
Preface
Methods
Participation
Outcomes
Adult Non-ICUs
Pediatric Units
Infections … 230 Beds
(n=167)
p value ‡
1
Participation in any organized multi-site effort to reduce bloodstream … infections
43.9%
20.5%
23.4%
0.009
20.8%
23.1%
0.210
2
Partnership' with a Senior
-
www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Tips for Taking Medicines Safely'
'Closing the Quality Gap: Prevention of Healthcare-Associated Infections … Program Brief'
'Problems and Prevention: Chest Tube Insertion (DVD)'
'Reducing Central Line Bloodstream … Infections and Ventilator-Associated Pneumonia'
'Reducing Discrepancies in Medication Orders'
-
psnet.ahrq.gov/node/38572/psn-pdf
April 22, 2009 - continues to gain momentum, largely
driven by its success in reducing catheter-related blood stream infections … /psnet.ahrq.gov/issue/checklist
https://psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu
-
www.ahrq.gov/hai/clabsi-tools/appendix-9.html
March 01, 2018 - Most of these infections are preventable, and you are part of the cure. … There is no single therapy that wipes out these infections. … This means expecting unit leaders to present both infection rates and weeks without an infection to senior … Infection preventionists work closely with unit-level teams to train, monitor, investigate infections … units where infections are measured and report these data to senior leaders.
-
www.ahrq.gov/news/newsletters/e-newsletter/955.html
April 01, 2025 - AHRQ Releases Toolkit To Prevent MRSA and Hospital Surgical Site Infections
Issue Number
955 … Today’s Headlines: AHRQ Releases Toolkit To Prevent MRSA and Hospital Surgical Site Infections . … Units Interested in Free CLABSI Prevention Program The AHRQ Safety Program for Healthcare-Associated Infection … recruiting adult intensive care units (ICUs) and non-ICU hospital units for its central line-associated bloodstream … infection (CLABSI) prevention cohort.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
May 01, 2024 - to severe bloodstream
infections and death.
11 Making Healthcare Safer IV – Active Surveillance … difficile LabID event and MRSA LabID bloodstream infection event data in their
Inpatient Quality Reporting … site, bloodstream, and lower respiratory tract infections) between
the campuses. … , MRSA bloodstream infections, or rate of MRSA infections per
1,000 patient days. … per 1,000 patient-
days (0.197 vs.
0.201; p=0.92)
• No difference in
MRSA bloodstream
infection
-
www.ahrq.gov/hai/clabsi-tools/appendix-3.html
March 01, 2018 - Process of Catheter-Related Infections
Slide 10. … Suspected C-VAD Infections
Slide 27. Suspected C-VAD Infections (cont.)
Slide 28. … Infection elsewhere (remote, i.e., urinary tract infection or wound) — secondary source
Colonization … Infection can occur hematogenously, from a distant local infection. … Suspected C-VAD Infections (cont.)
-
psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
August 20, 2018 - December 18, 2017
Statewide NICU central-line–associated bloodstream infection rates … December 18, 2014
Operating room traffic as a modifiable risk factor for surgical site infection
-
www.ahrq.gov/policymakers/chipra/overview/background/appendix-a1.html
December 01, 2009 - CHIRI™
Children's Health Insurance Research Initiative
CLABSI
Central Line-Associated Bloodstream … Infection
CMQC
California Maternal Quality Collaborative
CMS
Center for Medicare and … Tdap
Diphtheria, Tetanus, and Pertussis vaccine (used for adults)
URI
Upper respiratory infection
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-infection-prevention-mdro-protocol.pdf
July 01, 2023 - Safer, include those targeting invasive medical
devices/procedures such as central-line-associated bloodstream … infection (CLABSI), catheter-associated
urinary tract infection (CAUTI), ventilator associated pneumonia … pressure injuries, inpatient
falls)
• Clinical outcomes specifically for:
o Central-line associated bloodstream … infection (CLABSI)
o Catheter-associated urinary tract
infection (CAUTI)
o Ventilator-associated … pneumonia or
events (VAP/VAE)
o Surgical site infection (SSI)
o COVID-19 infection
o Tuberculosis
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects-revised.docx
April 01, 2022 - Learning From Defects Tool
Learn From Defects Tool Worksheet:
Catheter-Associated Urinary Tract Infection … all that apply.
· Multidisciplinary rounding
· Safety huddle
· CAUTI/CLABSI (central line-associated bloodstream … infection) rounds
· Shift handoff
· Other: ___________________________
· Medical necessity was not discussed
-
psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - hemorrhage); operator injury (needle stick or splash); and catheter-related issues (retained wire, bloodstream … infections, sheared catheter, dysrhythmias, thrombosis, through-and-through vessel trauma, or, as in … subclavian vein is recommended by the Institute for Healthcare Improvement due to the presumed lower infection … Use of simulation-based education to reduce catheter-related bloodstream infections. … An intervention to decrease catheter-related bloodstream infection in the ICU.
-
psnet.ahrq.gov/node/47434/psn-pdf
January 21, 2019 - https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
Pressure ulcers, surgical site infections … tract infection. … A WebM&M commentary explored the cascade of events that can lead to a
hospital-acquired bloodstream … infection and how to prevent them. … psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
https://psnet.ahrq.gov/primer/surgical-site-infections