-
psnet.ahrq.gov/toolkits
March 01, 2025 - Catheter-associated urinary tract infections (CAUTIs) and other healthcare-associated infections continue … Safety Target
Device-Related Complications
(12)
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - For instance, after publication of the seminal paper on the central line bundle to prevent catheter-associated
-
psnet.ahrq.gov/web-mm/who-nose-where-airway
May 01, 2016 - WebM&M Cases
The Hidden Danger of Unseen Intravenous Catheters … Operating Room
Health Care Providers
Anesthesiology
Vascular Surgery
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - devices—ventilator-associated pneumonia (VAP), central line–associated bloodstream infections (CLABSIs), and catheter-associated
-
psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - Two common risks to insertion of central lines include (i) misdirection of the catheter (cranially up … Comparison of the complications between left side and right side subclavian vein catheter placement in
-
psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - One (HD) requires a fistula or a catheter to provide access to the blood vessels. … The other requires a PD catheter where you have fluid that is used in the abdomen for dialysis. … Patients can get peritonitis, they can get an infection of their fascia, from dialysis catheters.
-
psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - After arterial and central venous catheters were placed, she was given a reduced dose of tissue plasminogen … Consultation with vascular surgery or interventional radiology for consideration of surgical thrombectomy or catheter-directed … Catheter-directed Thrombolysis for Intermediate-Risk Pulmonary Embolism.
-
psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
April 17, 2025 - blood pressure and creatinine levels were found to be markedly elevated, 2L of urine were drained via catheter
-
psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - disconnected the total nutrient line from the enterostomy tube, and prepared to connect it to the central line catheter
-
psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - oxycodone, the anesthesiologist, hoping to achieve adequate postoperative pain control, placed an epidural catheter
-
psnet.ahrq.gov/web-mm/nothing-called-small-surgery
February 01, 2023 - In addition, there are numerous types of self-made tourniquets devised from surgical gloves, elastic catheters … Avoid use of self-made tourniquets from gloves and elastic catheters, which may apply excessive pressure
-
psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
September 01, 2017 - misdiagnosed as experiencing anxiety, stress, or panic attacks and are referred later than men for catheter … August 20, 2018
WebM&M Cases
Unseen Perils of Urinary Catheters
-
psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - the
total nutrient line from the enterostomy tube, and prepared to connect it to the central line catheter
-
psnet.ahrq.gov/topics-0
March 03, 2025 - to this topic
Device Malfunctions Go to this topic
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Alert fatigue
(2)
Device-Related Complications
(4)
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - multiple sites, including the surgical wound, endotracheal tube, nasogastric tube, and intravenous catheter
-
psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - Errors From Previous Providers
March 1, 2014
Elimination of central-venous-catheter-related
-
psnet.ahrq.gov/web-mm/or
August 22, 2013 - through admissions, pre-op and into the OR, where he received an arterial line and a pulmonary artery catheter
-
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - could increase their risk of falls or bleeding, patients with indwelling central venous or urinary catheters
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter