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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - three areas of focus to reduce device risk: placement, maintenance, and removal
Peripheral Venous Catheters … Central Venous Catheters
Before a CVC is placed, an evaluation of necessity ( indication ) should be … Urinary Catheters
Before a UC is placed, an evaluation of necessity ( indication ) should be done ( … i.e., does the patient need a urinary catheter? … movement and trauma risk), and an unbroken catheter seal.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/168-central-line-maintenance-infographic.docx
October 01, 2024 - possible to remove CLABSI risk
Documentation
· Date of insertion
· Site of insertion/location of catheter … · Type of catheter (tunneled, non-tunneled, number of lumens, other)
· Line placement confirmation … Persistent barriers to timely catheter removal identified from clinical observations and interviews. … Interventions to reduce unnecessary central venous catheter use to prevent central-line-associated bloodstream
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www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwpref.html
August 01, 2015 - Eliminating catheter-related bloodstream infections in the intensive care unit. … Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational … An intervention to decrease catheter-related bloodstream infections in the ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
September 09, 2014 - If we think about the urinary catheter, again, this is a foreign catheter and having the urine very easily … What about the link between CRE and urinary catheters? … The problem with putting in a catheter, and what actually happens with that catheter later, is not necessary … workload problem than having patients with catheters. … They also noted patient and family requests for catheters and for leaving catheters in for longer than
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www.ahrq.gov/hai/tools/cauti-hospitals/toolkit-about.html
March 01, 2018 - Background
Catheter-associated urinary tract infections (CAUTI) are a common type of health care-associated … As many as one-fourth of all hospital inpatients may have a short-term, indwelling urinary catheter placed … during their hospital stay; a significant portion of these catheters are placed without appropriate
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/implementation-guide.pdf
April 01, 2022 - techniques
o Central Venous Catheter Maintenance – maintaining awareness and proper care
of catheters … in place
o Central Venous Catheter Removal – prompting removal of unnecessary
catheters
• CAUTI … o Indwelling Urinary Catheters Indications – avoiding placement and determining
appropriateness
o … Alternative to Indwelling Urinary Catheters – review when alternatives to
indwelling urinary catheters … placement
o Indwelling Urinary Catheter Maintenance – maintaining awareness and proper
care of catheters
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
October 01, 2024 - Yes No
5) Was the catheter insertion site visually inspected today? … Contextual barriers to communication between physicians and nurses about appropriate catheter use. … Persistent barriers to timely catheter removal identified from clinical observations and interviews. … Interventions to reduce unnecessary central venous catheter use to prevent central-line-associated bloodstream
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 01, 2015 - processes for staff training and retraining in appropriate and inappropriate indications for urinary catheters … catheter maintenance. … practices
Monitor catheter maintenance practices
Have catheter alternatives available
Use other … processes are already established that could accommodate review of patients for presence of urinary catheters … and ongoing appropriateness of those catheters.
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/pocketguide.html
December 01, 2017 - Urinary Catheters
Appropriate Urinary Catheter Indications
Acute urinary retention or obstruction … patients (ICU only)
Placement and Maintenance
Use aseptic technique when inserting urinary catheters … Avoid opening the closed urinary catheter system
Make sure the urinary catheter has a securement … device
Avoid looping or kinking of catheter
Keep the urinary bag lower than the patient’s bladder … Central Venous Catheters
Use complete sterile barrier precautions (CAP, GOWN,MASK, & FULL DRAPE)
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www.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi4.html
January 01, 2013 - artery catheter (UAC), umbilical venous catheter (UVC), Broviac (a surgically placed, tunneled central … venous catheter), or "other" (all other percutaneously placed central lines). … The types of catheters in use among patients with infections can be found in Table 4 . … Types of catheters in use among patients with infections *
Catheter Type
N (%)
PICC … Eight infections had no catheter type noted.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
August 12, 2014 - What’s your greatest challenge with catheter removal? … didn’t have a catheter when they came to the ICU, we put a catheter in. … We don’t really need a catheter in every ICU patient. … So, there’s been a lot of work in stocking all the urinary catheters, the condom catheters, the change … and the urology has to come in and put in the catheter.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-3-slides.pptx
September 01, 2015 - Reducing CAUTI in Hospitals
1
ICU with high CAUTI rates
Unit instituted a nurse-driven protocol for catheter … AHRQ Safety Program for Reducing CAUTI in Hospitals
5
What about Sally’s decision to remove the catheter … Safety Program for Reducing CAUTI in Hospitals
6
Were there enough factors to justify removing the catheter … ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
10
Decision tree about catheter
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
December 01, 2017 - B’s urinary catheter?
Change it to an antimicrobial coated catheter. … Peers
Slide 36
Structure: Things
Images: Photos of a hospital commode, a hospital monitor, a catheter … Slide 37
Process: Protocols
Image: Screen shot of the flowchart titled Foley Catheter Removal Protocol … Infection rates
Process measures
Organizational and team culture
Slide 43
Evaluation: Metrics
Catheter … chart reviewed
automated
mixed
Slide 45
Evaluation: Metrics
Catheter Prevalence
CAUTI
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - She does not have an indwelling catheter.
Approximately 1 year ago, her eGFR was 79. … He has an indwelling catheter. His most recent eGFR, drawn 2 months ago was 62. … • Criteria were met for this resident: resident has an indwelling catheter and a fever. … She is not taking routine
medications, and does not have an indwelling catheter. … Case Study – Resident With Indwelling Catheter
Case Study – Resident Without Indwelling Catheter
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www.ahrq.gov/hai/clabsi-tools/guide.html
January 01, 2020 - Full-barrier precautions during central venous catheter insertion. … Prevention of intravascular catheter-related infections. … Risk of infection due to central venous catheters: effect of site of placement and catheter type. … The pathogenesis and epidemiology of catheter-related infection with pulmonary artery Swan-Ganz catheters … Guidelines for the management of intravascular catheter-related infections.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - They wanted to take the Foley catheter out, but the patient was like, "I like my Foley catheter. … B's urinary catheter? They changed it to an antimicrobial catheter. … There's not data for antimicrobial catheters. … New condom catheters come out. New female urinals come out. … We have condom catheters. We have appropriate skin care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - They wanted to take the Foley catheter out, but the patient was like, "I like my Foley catheter. … B's urinary catheter? They changed it to an antimicrobial catheter. … There's not data for antimicrobial catheters. … New condom catheters come out. New female urinals come out. … We have condom catheters. We have appropriate skin care.
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www.ahrq.gov/hai/cusp/cauti-interim/cauti-interim2.html
July 01, 2013 - Approximately a quarter of all hospitalized patients have a urinary catheter placed during their hospital … 10-State On the CUSP: Stop CAUTI initiative can play a critical role in reducing the frequency of catheter … The overall goal of this national expansion is to achieve a sustainable decrease in CAUTI and catheter … The Guideline's recommendations for the appropriate use of indwelling urinary catheters are similar to … Reducing inappropriate urinary catheter use: a statewide effort.
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www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
September 01, 2015 - processes for staff training and retraining in appropriate and inappropriate
indications for urinary catheters … catheter maintenance. … practices
Monitor catheter maintenance practices
Have catheter alternatives available
Use other … processes are already established that could
accommodate review of patients for presence of urinary catheters … and ongoing appropriateness of
those catheters.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
September 01, 2015 - processes for staff training and retraining in appropriate and inappropriate
indications for urinary catheters … catheter maintenance. … practices
Monitor catheter maintenance practices
Have catheter alternatives available
Use other … processes are already established that could
accommodate review of patients for presence of urinary catheters … and ongoing appropriateness of
those catheters.