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psnet.ahrq.gov/issue/influence-hospital-leadership-support-burnout-psychological-safety-and-safety-climate-us
June 21, 2023 - June 21, 2023
A program to prevent catheter-associated urinary tract infection in acute … February 19, 2020
A national implementation project to prevent catheter-associated urinary … June 3, 2015
Comparing catheter-associated urinary tract infection prevention programs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - progress in the past by implementing
CLABSI reduction programs, such as the use of
central venous catheter … Assessment (Tool A.3)
• Improvement Methods Overview
(Tool D.1)
• Best Practices for Central Venous
Catheter … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC … specific problem was that physicians were ordering temporary
lines such as peripherally inserted central catheter
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - We also updated our physician order sets that for post-op day #1 for surgery and get those catheters … This is a screenshot of our urinary catheter insertion assessment. … out on the floors and all the units inpatient and outpatient, but we weren't asking anything about catheters … made the decision to add that and talking to the frontline staff really helped open our eyes about catheters … our audit tools and we solidify that thought that we had kind on early on in '13 about changing out catheters
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Desired Behavior:
Round to assess catheter appropriateness
Observed Behavior:
Do not participate … Johnson has a urinary catheter. It was put in in the ICU without an order. … Johnson is at risk for a CAUTI if we do not remove the catheter. … Johnson still has a urinary catheter.
B: It was put in in the ED without an order. … Johnson does not currently have any indications for a catheter.
R: Call Dr.
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - that supervisor commitment to safety was associated with lower rates of major injuries from falls and catheter … environmental safety was associated with lower rates of pressure ulcers, major injuries from falls, and catheter
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psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states
November 02, 2022 - The 2016 national data set of five common HAIs (surgical site infections, catheter- and line-associated … bloodstream infections, catheter-associate urinary tract infections, ventilator-associated pneumonia
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www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - We also updated our physician order sets that for post-op day #1 for surgery and get those catheters … This is a screenshot of our urinary catheter insertion assessment. … out on the floors and all the units inpatient and outpatient, but we weren't asking anything about catheters … made the decision to add that and talking to the frontline staff really helped open our eyes about catheters … our audit tools and we solidify that thought that we had kind on early on in '13 about changing out catheters
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psnet.ahrq.gov/issue/infection-control-intensive-care-unit
May 27, 2011 - November 9, 2015
Reducing the rate of catheter-associated bloodstream infections in a … , 2012
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated … February 3, 2010
Preventing catheter-related bloodstream infections: thinking outside
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www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - your ICU/Clinical Care Area currently use
antiseptic or antibiotic impregnated or coated
central catheters … calculated 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 … 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/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - getting those catheter-associated urinary tract rates down. … How are we going to harm patients with catheters?" … Why are all these catheters being put in? We've got to decrease the number of catheters." … as the catheter was put in. … on a daily basis and making sure that the catheter is truly needed.
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - reduction is from adverse drug events, about 28 percent from pressure ulcers, and about 16 percent from catheter-associated … 250,000
7.6
CLABSIs
MPSMS (2014)
Blood Stream Infections Associated With Central Venous Catheters … 16,000
0.49
All Other Hospital-Acquired Conditions
MPSMS (2014)
Femoral Artery Puncture for Catheter … With Knee Joint Replacements
16,000
0.50
MPSMS (2014)
Contrast Nephropathy Associated With Catheter … difficile
93,000
2.8
MPSMS (2014)
Mechanical Complications Associated With Central Venous Catheters
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psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients
July 31, 2019 - difficile infections (29%), international normalized ratio >5 for patients taking Warfarin (26%), and catheter-associated … July 21, 2021
Patient and family engagement in catheter-associated urinary tract infection
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - After the anesthesia provider inserted the epidural catheter, it was tested using 2 milliliters (ml) … After 5 minutes, an additional 3 ml of 0.5% bupivacaine was injected through the catheter. … The clinical team suspected inadvertent dural puncture with the epidural catheter, leading to total spinal … Catheters were placed, and infusions of nitric oxide and trepostinil were started, with continuation … While the use of an epidural catheter (as opposed to a spinal catheter) allows for slower titration of
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hcup-us.ahrq.gov/reports/statbriefs/sb313-prevalence-burden-HAIs-2016-2021-appendix.pdf
January 01, 2021 - of stay, in-hospital mortality rate, and median total
hospital cost for adult inpatient stays with catheter-associated … line-associated bloodstream infection (CLABSI)
Diagnosis T80211A Bloodstream infection due to central venous catheter … , initial encounter
Catheter-associated urinary tract infection (CAUTI)
Any of the following diagnosis … present on admission)
Diagnosis T83511A Infection and inflammatory reaction due to indwelling urethral catheter … initial encounter
Diagnosis T8351XA Infection and inflammatory reaction due to indwelling urinary catheter
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a4_pdi_casestudy.pdf
December 01, 2015 - progress in the past by implementing
CLABSI reduction programs, such as the use of
central venous catheter … Assessment (Tool A.3)
• Improvement Methods Overview
(Tool D.1)
• Best Practices for Central Venous
Catheter … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC … specific problem was that physicians were ordering temporary lines such as
peripherally inserted central catheter
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psnet.ahrq.gov/issue/toolkit-reducing-central-line-associated-blood-stream-infections
October 01, 2024 - Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated … Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated
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www.ahrq.gov/news/newsroom/case-studies/202004.html
July 01, 2020 - ChristianaCare also used CUSP to decrease the use of central venous (blood-line) catheters in its ICUs … Catheter days dropped from 12,627 days in 2011 to 6,574 days in 2019. … "The traditional thinking among staff had been that if you use catheter devices, then your patients are
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psnet.ahrq.gov/issue/value-human-factors-medication-and-patient-safety-intensive-care-unit
December 01, 2010 - May 4, 2014
Sustaining reductions in catheter related bloodstream infections in Michigan … Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated … October 12, 2009
Preventing catheter-related bloodstream infections: thinking outside
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psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
September 25, 2013 - May 31, 2017
Reducing the rate of catheter-associated bloodstream infections in a surgical … September 20, 2011
Guidelines for the prevention of intravascular catheter-related infections … August 25, 2010
Preventing catheter-related bloodstream infections: thinking outside
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psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
June 25, 2014 - safety interventions to date, including the landmark Keystone ICU program that nearly eliminated catheter–associated … showed some improvements in a few process measures, such as use of low tidal volumes, central venous catheters … , and urinary catheters, but there was no difference in secondary clinical outcomes.