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psnet.ahrq.gov/issue/cost-implications-reduced-work-hours-and-workloads-resident-physicians
August 05, 2015 - May 24, 2023
Economic evaluation of quality improvement interventions to prevent catheter-associated … Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - dialysis solution), the patient's dialysis access (arteriovenous fistula, graft, or indwelling venous catheters … dialyzer, dialyzer leaks, and issues with the patient's access (arteriovenous fistula, graft, or venous catheter … for Disease Control and Prevention's standards for infection control and safe use of intravascular catheters … CDC)
Sets standards for infection control in dialysis units and provides standards for indwelling catheter-associated
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - A Foley catheter was placed to drain the bladder and lap pads were used during the operation. … The physician order was to remove the pack the next day when the Foley catheter was removed. … The nurse removed the Foley catheter and the 4x4’s, the Kerlix™ fluff and the peri-pad, assuming this … A Foley catheter was placed to drain the bladder and surgical sponges were used during the operation. … The physician wrote an order to remove the vaginal packing when the Foley catheter was removed before
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psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
October 12, 2022 - Only one study investigated the association between LWs and clinical outcomes; in that study, catheter-associated
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psnet.ahrq.gov/issue/adaptation-and-implementation-who-safe-childbirth-checklist-around-world
March 17, 2021 - Checklists are widely used to improve patient safety, including reductions in catheter-related bloodstream
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - The student observed one of the team members insert a Foley catheter into the female patient. … The patient’s Foley catheter was discontinued and appropriate antibiotic coverage provided. … One remarked that the information about the catheter should not have been presented on rounds due to
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psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
August 01, 2012 - collaborative that used the comprehensive unit-based safety program and associated tools to prevent catheter-associated
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Background An obstetric nurse connects a bag of pain medication intended for an epidural catheter to … of epidural anesthetic was similar in size and shape to IV medication bags, and, crucially, the same catheter
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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - psnet.ahrq.gov/issue/cusp-toolkit
https://psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
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psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
August 01, 2010 - these very high-risk patients, particularly bone marrow transplant patients with chronic indwelling catheters … This involves picking an activity—in this case, placing, maintaining, and manipulating both central catheters … and urinary tract catheters—and understanding what the expected outcomes are. … How is a catheter placed right now, and then how is it maintained and manipulated? … from nurses, the team concept of who does handoffs—who provides what to whom, what you do when that catheter
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psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
May 11, 2014 - than from similar-looking vials containing the 10 units/mL concentration used to flush intravenous catheters … usually held 10 units/mL vials, and multiple nurses administered the high-concentration heparin as catheter … When used to flush IV catheters, heparin concentrations typically range from 1-10 units/mL. … Eliminate vials of heparin intended for flushing IV catheters and evaluate the need for heparin flushes
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
February 16, 2022 - older adults are presented (e.g. utilization of national guidelines, minimization of central venous catheter
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - December 5, 2022
An intervention to decrease catheter-related bloodstream infections
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psnet.ahrq.gov/issue/patient-notification-toolkit
September 07, 2016 - December 18, 2013
Eliminating Catheter-Associated Urinary Tract Infections.
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - A pulmonary artery catheter was placed, and initial numbers were—surprisingly—more consistent with cardiogenic … taught that the differential diagnosis for unusual clinical findings (such as the pulmonary artery catheter … interactions) as well as other non-medication-related patient safety measures (e.g., urinary and vascular catheter … Indwelling urinary catheters: a one-point restraint? … Matter” (June 2005)
September 1, 2005
Improving peripherally inserted central catheter
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psnet.ahrq.gov/issue/hospital-acquired-conditions-reduction-program-patient-safety-and-magnet-designation-united
October 09, 2019 - Magnet hospitals are more likely to have lower patient safety indicator (PSI) 90 scores but higher catheter-associated
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psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - These include compliance with hand hygiene, optimal management of central venous and urinary catheters … If health care organizations comply with guidelines to reduce catheter-related bloodstream infections … Perspective
Related Resources From the Same Author(s)
Preventing catheter-associated … bloodstream infections: a survey of policies for insertion and care of central venous catheters from
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - antibiotics and pain medications were similar in appearance and could be accessed with the same type of catheter
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psnet.ahrq.gov/issue/culture-change-infection-control-applying-psychological-principles-improve-hand-hygiene
November 21, 2021 - approach—framing infection control as a social issue rather than a disease problem—to successfully reduce catheter-associated
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - August 7, 2024
Preventing catheter/tubing misconnections: much needed help is on the