-
psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
January 29, 2021 - Reconciliation
August 5, 2022
WebM&M Cases
Wrong Catheter
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/preventablehospitalandedvisits-implmatl.pdf
April 02, 2025 - greater], surgical
wound, stasis ulcer)
Polypharmacy (15 or more medications)
Presence of catheter
-
psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - Eliminating catheter-related bloodstream infections in the intensive care unit.
-
psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Device-Related Complications
(65)
Device Malfunctions
(1)
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - have increased his risk of complications and removing equipment (e.g., NGT, intravenous and bladder catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/module3_pu-bestpractices.docx
April 02, 2025 - applied for diagnostic or therapeutic purposes, such as face masks, nasal cannulas, feeding tubes, catheters
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide3.html
October 01, 2017 - applied for diagnostic or therapeutic purposes, such as face masks, nasal cannulas, feeding tubes, catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
January 01, 2018 - of length 4 or more
days, adults
81.61 11.34 HCUP 2016
Hospital admissions with central venous catheter-related … to
financial or insurance reasons
51.2 6.24 MEPS 2015
Hospital admissions with central venous catheter-related
-
www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
December 01, 2009 - The near end of the catheter may also be connected to a chamber for injections given over periods of
-
psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - With the recognition that retained guidewires, sheaths and catheters occur after interventional vascular
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
March 01, 2017 - Module 6: Sustainability
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 6: Sustainability
Slide 2: Objectives
Define sustainability and understand the importance of maintaining positive change.
Describe the link between sustainability and spread.
Develop a plan for sustainabi…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-facguide.html
March 01, 2017 - Module 6: Sustainability: Facilitator Notes
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Slide 1: Module 6: Sustainability
Say:
The Sustainability module of this toolkit helps an organization maintain and sustain a process that has worked well.
Slide 2: Objectives
Say:
In this module we wi…
-
hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006v2_MaskedStats_IP.PDF
April 08, 2010 - Laminectomy; excision intervertebral disc 4353 0.11
4: Diagnostic spinal tap 40008 1.01
5: Insertion of catheter … incontinence procedures 30 0.00
107: Extracorporeal lithotripsy; urinary 1023 0.03
108: Indwelling catheter
-
hcup-us.ahrq.gov/db/nation/neds/stats/NEDS_2006_MaskedStats_IP.PDF
January 01, 2006 - Laminectomy; excision intervertebral disc 4415 0.11
4: Diagnostic spinal tap 38308 0.96
5: Insertion of catheter … incontinence procedures 29 0.00
107: Extracorporeal lithotripsy; urinary 1013 0.03
108: Indwelling catheter
-
hcup-us.ahrq.gov/reports/factsandfigures/facts_figures_2005.jsp
January 01, 2005 - PTCA (percutaneous transluminal coronary angioplasty, procedure involving use of a balloon-tipped catheter … PTCA (percutaneous transluminal coronary angioplasty, procedure involving use of a balloon-tipped catheter … PTCA (percutaneous transluminal coronary angioplasty, procedure involving use of a balloon-tipped catheter
-
hcup-us.ahrq.gov/reports/statbriefs/sb86.pdf
February 01, 2010 - physician
offices (e.g., “dialysis,” “proctoscopy,” “extracorporeal lithotripsy,” and “indwelling
catheter
-
www.ahrq.gov/sites/default/files/2025-02/auerbach-report.pdf
January 01, 2025 - have led to important insights as to how to reduce adverse outcomes such as
infections due to urinary catheters
-
psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Epidural catheters should be placed before pain becomes unbearable, whenever possible.
-
hcup-us.ahrq.gov/reports/methods/2019-01.pdf
January 01, 2019 - PDI12 Admissions with central venous
catheter-related bloodstream
infection per 1,000 medical and … length 2 or
more days, age less than 18 years
The AHRQ PDI software requires that the central venous
catheter-related … PSI07 Admissions with central venous
catheter-related bloodstream
infection per 1,000 medical and … age 18 and over or
obstetric admissions
The AHRQ PSI software requires that the central venous
catheter-related
-
www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
November 01, 2017 - Comprehensive Unit-based Safety Program in long-term care settings revealed a 54 percent drop in rates of catheter-associated