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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - When the nurse went to connect the irrigation solution to the patient’s urinary catheter, it was found
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psnet.ahrq.gov/web-mm/forgotten-drip
April 01, 2014 - ICP monitoring devices are small plastic catheters that are inserted into the brain to measure ICP.
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - This graft may have become infected and, in addition to the intravascular catheters and antibiotics,
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - instituting surveillance and prevention of device-associated infections (e.g., central lines, urinary catheters … for Health Care–Associated Infections
Central line–associated bloodstream infection (CLABSI)
Catheter-associated
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - These orders included hospital admission, peripherally inserted central catheter (PICC) line placement
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psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - multiple causes, including complications from surgery, aspiration, and invasive devices like central catheters
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - instituting surveillance and prevention of device-associated infections (e.g., central lines, urinary catheters … for Health Care–Associated Infections
Central line–associated bloodstream infection (CLABSI)
Catheter-associated
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psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - August 14, 2024
Improving appropriate use of peripherally inserted central catheters
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psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
June 01, 2018 - rapidly access correctly sized pediatric equipment of all types (for example, endotracheal tubes, foley catheters
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - associated with infections. 25,26 For example, in a study of 28,205 home health care patients with urinary catheters … Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - WebM&M Cases
The Hidden Danger of Unseen Intravenous Catheters
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - enteral feeding solution into a nonenteral system, such as an intravascular line or peritoneal dialysis catheter
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - Improvements included the redesign of tubing and catheters so that clinicians were physically incapable … of attaching IV tubing to an epidural catheter.
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Improvements included the redesign of tubing and catheters so that clinicians were physically incapable … of attaching IV tubing to an epidural catheter.
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psnet.ahrq.gov/web-mm/bloody-bp-cuff
June 21, 2016 - After Resuscitations Disposal of Contaminated Disposal Equipment Bag and Mask for Airway Catheters
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psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
June 01, 2005 - November 13, 2024
Improving appropriate use of peripherally inserted central catheters
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - After a dialysis catheter was placed, the patient began experiencing worsening dyspnea and was emergently
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - Lap Pad Correct
14 Paraesophageal hernia repair;
2009
Lap Pad Correct
15 Peritoneal dialysis catheter
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psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
July 23, 2024 - treatment, the impact of medications, an unfamiliar environment, and obstruction from various tubes and catheters
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psnet.ahrq.gov/continuing-education
February 26, 2025 - Alert fatigue
(3)
Device-Related Complications
(17)
Indwelling Tubes and Catheters