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www.ahrq.gov/patient-safety/settings/esrd/resource/checklist.html
January 01, 2015 - by direct-care staff at the dialysis station, on the following topics:
Access of Central Venous Catheter … for Initiation of Dialysis [ PDF version - 197.13 KB ]
Central Venous Catheter Exit Site Care … Storage, Preparation, and Administration [ PDF version - 183.47 KB ]
Access of Central Venous Catheter … checklists, for use by facility audit staff, on the following topics:
Access of Central Venous Catheter … for Initiation of Dialysis [ PDF version - 211.18 KB ]
Central Venous Catheter Exit Site Care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - Central venous catheter insertion kit. … Central venous catheters (triple lumens, swans, PICCs, etc.). … :
Identify indications for catheter insertion and use. … Confirm catheter placement via x-ray after placement. … o Do not replace catheters:
At scheduled time intervals.
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - followed by use of an independent line cart or kit stocked with essentials for placing a central line catheter … chlorhexidine (20.7 percent) followed by use of an antiseptic or antibiotic impregnated or coated central catheter … likely to, 1) use an independent line cart or kit stocked with essentials for placing a central line catheter … 4
Use of an independent line cart or kit, stocked with essentials for placing a central-line catheter … Does your ICU/Clinical Care Area currently use antiseptic or antibiotic impregnated or coated central catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
May 12, 2015 - In that 6 month period we observed 65 patients who had their catheters inserted. … like a female patient's labia closing over the catheter during insertion and contaminating the catheter … Physicians, many times, they insert catheters as medical students in the OR. … I'll watch you insert a catheter if you watch me insert a catheter. … Do you allow your nurse techs and nurse aids to insert indwelling catheters?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4x_combo_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc.). … Remove umbilical catheters as soon as possible. … Umbilical artery catheters should not
stay in place for more than 5 days and umbilical venous catheters … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4k_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc … ○ Do not replace catheters:
At scheduled time intervals. … ○ Remove and do not replace umbilicial artery catheters if any signs of Catheter-Related
Bloodstream … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc.). … Remove umbilical catheters as soon as possible. … Umbilical artery catheters should not
stay in place for more than 5 days and umbilical venous catheters … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section1.html
October 01, 2015 - The devices addressed include central and peripheral venous catheters, urinary catheters, and ventilators … Although the toolkit provides a frame to “optimize venous catheter, urinary catheter, and ventilator … Nationally, peripheral venous catheters (PVCs) are used in up to 90 percent of patients, and central … venous catheter (CVC) use averages 35–50 percent of intensive care unit (ICU) and 10–20 percent of non-ICU … The average use of urinary catheters (UCs) in adults varies between 50 and 80 percent of ICU patients
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
February 01, 2023 - 2
Setting the Stage
ICU with high CAUTI rates
Unit instituted a nurse-driven protocol for catheter … Slide 6
Questions for You
What about Sally’s decision to remove the catheter? … Slide 7
Discussing the Decision
Were there enough factors to justify removing the catheter? … Slide 11
Summary
Decision tree about catheter removal.
Importance of communication.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Central venous catheters (triple lumens, Swan-Ganz catheters, peripherally inserted
central catheters … , umbilical catheters, etc … ○ Do not replace catheters:
At scheduled time intervals. … ○ Remove and do not replace umbilicial artery catheters if any signs of Catheter-Related
Bloodstream … Central Venous Catheters Insertion – Assisting.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/pocket-card.html
May 01, 2017 - Slide 2: Pocket card side 1
Catheter-Associated Urinary Tract Infection
Criteria for defining CAUTI … Pus around the catheter insertion site. … AND
Any of the following:
If catheter removed within past 2 calendar days :
Clean catch (voided … microorganisms, at least 1 of which is bacteria of 100,000 or more colonies (≥10 5 CFU/ml)
In/Out catheter … , at least 1 of which is bacteria of 100 or more colonies (≥10 2 CFU/ml)
If indwelling urinary catheter
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www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - catheters. … The display improved provider's awareness of indwelling urinary catheters, central venous catheters, … The improvement of provider awareness of indwelling urinary catheters from the preintervention period … The improvement in provider awareness of central venous catheters was significant for intervention rooms … Persistent barriers to timely catheter removal identified from clinical observations and interviews .
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - Most of these infections are due to the use of urinary catheters specifically indwelling Foley catheters … are working as part of the Hospital Engagement Network, as you can see decreasing the use of urinary catheters … The second area where we can intervene is the maintenance phase and properly caring for the catheters … This is where a lot of catheters are used. … There are certain condom catheters that fit better than others.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - Most of these infections are due to the use of urinary catheters specifically indwelling Foley catheters … are working as part of the Hospital Engagement Network, as you can see decreasing the use of urinary catheters … The second area where we can intervene is the maintenance phase and properly caring for the catheters … This is where a lot of catheters are used. … There are certain condom catheters that fit better than others.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-centered-care-040913.ppt
April 02, 2025 - Educate others in daily rounding assessing for catheter presence and indication
Empowerment Empower … based on HICPAC recommendations
Proper care for appropriate indwelling catheters
3) Placement Intervention … , including indications for the placement and continued use of urinary catheters
To prevent the placement … of unnecessary urinary catheters
might patients and families have a role in determining “unnecessary … To promptly remove urinary catheters that are no longer needed
What role might patients and families
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www.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicompapc.html
January 01, 2013 - attributable CLABSI cost estimates
Borschel DM,
2006
Are antiseptic-coated central venous catheters … The impact of a nutritional support team on the cost and management of multilumen central venous catheters … Published before 2002
Halton K,
2007
Economic evaluation and catheter-related bloodstream … infection: are antimicrobial catheters useful? … Does not pertain to CLABSI specific HAI
Shorr AF,
2003
New choices for central venous catheters
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www.ahrq.gov/patient-safety/settings/esrd/resource/clinicalcare.html
January 01, 2015 - be shared with staff as a refresher on current practices and guidelines
Initiating Dialysis With a Catheter … : Catheter Exit Site Care
This video vignette illustrates proper initiation of dialysis for patients … with catheters, as well as proper exit site care. … by direct-care staff at the dialysis station, on the following topics:
Access of Central Venous Catheter … for Initiation of Dialysis [ PDF version - 197.13 KB ]
Central Venous Catheter Exit Site Care
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
January 01, 2013 - 8
8
Safety and Urinary Catheters
9
Seat Belt Yes No
Believe in it x
Built in safety alerts … x
Consequences x
Urinary Catheter Yes No
Believe in it ? … ED)
19
Connect the Dots to the Urinary Catheter
Is management engaged? … Why didn’t you put a catheter in her? You told me she was confused. … Scenario #2
Hospital management Support for Patient Safety
The surgical unit is not discontinuing urinary catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-a.docx
January 01, 2008 - this assessment tool to identify the senior executive who has the greatest potential for leading a catheter-associated … to understand quality problems related to appropriate use and timely removal of indwelling urinary catheters … Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009. … can use this assessment tool to identify the physician who has the greatest potential for leading a catheter-associated … Guideline for Prevention of Catheter-Associated Urinary Tract Infections, 2009.
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www.ahrq.gov/topics/long-term-care.html
Effectiveness Reviews
End of Life Care Media Resources
Guide to Implementing a Program To Reduce Catheter-Associated