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psnet.ahrq.gov/node/46155/psn-pdf
December 21, 2017 - A national implementation project to prevent catheter-
associated urinary tract infection in nursing … A National Implementation Project to Prevent Catheter-Associated
Urinary Tract Infection in Nursing … https://psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract … In adjusted analyses, this effort led to a significant
decrease in catheter-associated urinary tract … infections, despite no change in catheter utilization,
suggesting that needed use of catheters became
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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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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - The Commentary
More than 2.5 million peripherally inserted central catheters (PICCs) ( Figure ) are … catheter. … Central venous catheters in home infusion care: outcomes analysis in 50,470 patients. … central venous catheters. … Are antimicrobial-impregnated catheters effective? Don't throw out the baby with the bathwater.
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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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psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
July 03, 2016 - hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated … hospital-acquired conditions policy for central line-associated bloodstream infection (CLABSI) and catheter-associated … was a substantial increase in claims in which central line–associated bloodstream infections and catheter-associated … hospital-acquired conditions policy for central line-associated bloodstream infection (CLABSI) and catheter-associated
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psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
May 08, 2019 - May 8, 2019
A program to prevent catheter-associated urinary tract infection in acute … June 8, 2016
A national implementation project to prevent catheter-associated urinary … September 27, 2023
Comparing catheter-associated urinary tract infection prevention programs … Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from
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psnet.ahrq.gov/issue/ahrq-patient-safety-project-reduces-bloodstream-infections-40-percent
January 22, 2020 - December 31, 2014
Reducing the rate of catheter-associated bloodstream infections in … October 16, 2012
Sustaining reductions in catheter related bloodstream infections in … May 25, 2011
An intervention to decrease catheter-related bloodstream infections in the … February 17, 2011
Reducing catheter-associated bloodstream infections in the pediatric … August 25, 2010
Preventing catheter-related bloodstream infections: thinking outside
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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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psnet.ahrq.gov/issue/prevalence-risk-factors-and-outcomes-idle-intravenous-catheters-integrative-review
August 29, 2018 - Review
Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative … Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. … Prompt removal of intravenous catheters is critical to preventing health care–associated infections … Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. … Evaluation of the association between Hospital Survey on Patient Safety Culture (HSOPS) measures and catheter-associated
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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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psnet.ahrq.gov/web-mm/crossing-line
December 01, 2012 - catheters. … , since most central venous catheters are 15-20 cm long. … to the catheter. … A prospective evaluation of the use of femoral venous catheters in critically ill adults. … Cost-effectiveness of antiseptic-impregnated central venous catheters for the prevention of catheter-related
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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.