-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 2019 Goal
(20%
Reduction
of each
HAC)
Adverse Drug
Events
33.7 30.0 27.1 24.2 -28% 26.9
Catheter … Clostridioides difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters … Vancomycin-Resistant Enterococcus (VRE)
MPSMS Mechanical Complications Associated With Central Venous Catheters … Stream
Infections
8,493 0.29 2,182 0.07 6,519 0.22 7,991 0.27
Associated With
Central Venous
Catheters … Complications
Associated With
59,610 2.00 53,033 1.78 67,004 2.25 59,924 2.01
Central Venous
Catheters
-
psnet.ahrq.gov/issue/toolkit-preventing-clabsi-and-cauti-icus
December 24, 2008 - support practice changes to prevent and reduce central line-associated bloodstream infection (CLABSI) and catheter-associated … Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated
-
www.ahrq.gov/hai/clabsi-tools/appendix-8.html
March 01, 2018 - you identify any other possible sources of contamination for the closed/sterile tubing-central venous catheter … mechanical problems (not drawing, difficult to infuse, repositioned, etc.) with the central venous catheter
-
psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
April 10, 2024 - Classic
A national implementation project to prevent catheter-associated … Catheter-associated urinary tract infections are considered preventable never events. … Catheter-associated urinary tract infections are considered preventable never events. … 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
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/overviewhandouts.html
December 01, 2017 - 50% in 1 Day
Weekly Meal Intake Average <50%
Daily Urinary Incont
>3 Days Bowel Incont
Foley Catheter … >3 Days Bowel Incontinence
5 (14%)(c)
4 (11%) (b)
3 (9%) (b)
7 (20%) (a)
Foley Catheter …
X
X
Bladder
Habits
Incontinent
Incontinent
Incontinent
Incontinent
Catheter
-
www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - incorporated into the hospital’s electronic health records system to remind medical teams to assess urinary catheter … use and to remove catheters when they are no longer needed. … "From 2012 to first quarter 2014, TeamSTEPPS strategies helped reduce catheter-related urinary tract
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
May 01, 2016 - Central line/peripherally inserted venous catheter programs to minimize excessive use of central lines … Address Central Venous Catheter-Related VTE/Upper Extremity DVT
Upper extremity DVT (UE DVT) events … following CVC placement is 2 to 6 percent, with an 11 to 19 percent risk of asymptomatic DVT. 22 Larger catheter … , central catheters, and restraints. … Reducing sedatives, restraints, and inappropriate Foley catheters.
-
psnet.ahrq.gov/issue/save-lives-clean-your-hands
July 14, 2021 - July 9, 2014
Eliminating Catheter-Associated Urinary Tract Infections. … November 11, 2009
Preventing catheter-related bloodstream infections: thinking outside
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_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
-
www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
July 01, 2018 - die in hospitals each year as the result of medical errors,5
Over half a million patients develop catheter-associated … Slide 22
Reduced CRBSI By Applying
Principles of Safe Design12
Time Period
Median Catheter-Related … 13-15 months
0
0.37
16-18 monts
0
0.34
Over various time periods, the Median Catheter … An intervention to decrease catheter-related bloodstream infections in the ICU.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-041415.pptx
April 16, 2013 - B’s urinary catheter?
24
Change it to an antimicrobial coated catheter. … Infection rates
Process measures
Organizational and team culture
42
Evaluation: Metrics
43
Catheter … UCx sent with >100k E.Coli
44
Evaluation: Metrics
45
Catheter Prevalence
CAUTI Rate
National State … the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/158-dec-targeted-unit-protocol.docx
October 01, 2024 - is using targeted MRSA decolonization for all patients with devices such as central lines, midline catheters … , peripherally inserted central catheter (PICC) lines, or lumbar drains and/or all patients identified
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
April 02, 2025 - Patient Safety PSI 03 Pressure Ulcer
PSI 06 Iatrogenic Pneumothorax
PSI 07 Central Venous Catheter-Related … PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate
PDI 12 Central Venous Catheter-Related
-
psnet.ahrq.gov/issue/eliminating-central-line-associated-bloodstream-infections-national-patient-safety-imperative
March 21, 2012 - , 2012
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated … May 25, 2011
Sustaining reductions in catheter related bloodstream infections in Michigan … , 2010
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated
-
www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - of developing these HACs
early in the exposure to the related devices (e.g., central lines, urinary catheters … patients are those requiring longer-
term devices (e.g., central venous access for dialysis, Foley catheters … *[tiab] OR “catheter associated”[tiab])) OR ("catheter-related infections"[mh] AND "urinary"[tiab]) OR … “Central Venous Catheters/adverse effects”[mh] OR “Catheters, Indwelling/adverse effects”[mh] OR “umbilical … catheter”[tiab] OR central line*[tiab] OR central venous catheter*[tiab]) AND (“bloodstream infection
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/handouts/staff-chg-showering.docx
March 01, 2022 - two 2% CHG cloths:
· Clean the 6 inches of ALL lines, tubes, and drains (e.g., central lines, midline catheters … , chest tubes, surgical drains, G-tube/J-tube, urinary catheter, rectal tube) that are closest to the
-
www.ahrq.gov/news/newsroom/case-studies/201526.html
January 01, 2018 - "The hospital's nursing initiatives sought to reduce infections to no more than one per 1,000 catheter … The evidence-based practices for peripherally inserted central catheter (PICC) lines, a procedure that
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.docx
October 01, 2016 - Criteria for Initiating Antibiotics for a Urinary Tract Infection
For residents without an indwelling catheter … Suprapubic pain, or
Gross hematuria, or
Urinary incontinence
For residents with a chronic indwelling catheter … Residents with an intermittent catheter or a condom catheter should be evaluated as if they are not catheterized
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - Is this urinary catheter or central line catheter still necessary today?” … Therefore, we don’t have access to catheter days very easily. … We do have quite a few catheters on our units. … in place or need catheters. … Denise Flook: Are you talking about urinary catheters or—
Dee Anderson: No, no.
-
www.ahrq.gov/hai/tools/clabsi-cauti-icu/overcome/culture.html
April 01, 2022 - Posa – How To Empower Nurses To Effectively Implement a Nurse-Driven Protocol for Removing Urinary Catheters … www.youtube-nocookie.com/embed/DQ9AwEWaLF4
Video – Empowering Nurses To Implement a Protocol for Urinary Catheter