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psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
April 24, 2018 - January 29, 2010
Effect of nonpayment for hospital-acquired, catheter–associated urinary … September 19, 2012
A program to prevent catheter-associated urinary tract infection in
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psnet.ahrq.gov/issue/universal-surveillance-methicillin-resistant-staphylococcus-aureus-3-affiliated-hospitals
December 23, 2008 - View More
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November 03, 2015 - measures (e.g., barcode medication ordering), which recognize safety efforts, and outcome measures (e.g., catheter-associated … December 6, 2023
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psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
June 16, 2011 - May 25, 2011
Sustaining reductions in catheter related bloodstream infections in Michigan … October 16, 2012
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psnet.ahrq.gov/issue/health-care-associated-infections-meta-analysis-costs-and-financial-impact-us-health-care
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May 20, 2009 - January 12, 2011
Sustaining reductions in catheter related bloodstream infections in … September 20, 2011
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psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
October 01, 2010 - And then I focused on the problem of catheter-related bloodstream infections and the trials and tribulations … Or when inserting a catheter, use these five items on a checklist. … With catheter-associated infections, we now have frontline doctors and nurses getting feedback about … complications ( 3 ) and a checklist guiding the activities surrounding the insertion of central venous catheters … An intervention to decrease catheter-related bloodstream infections in the ICU.
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psnet.ahrq.gov/node/33565/psn-pdf
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https://psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
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psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - standardized order clearing the tube for immediate use (similar to what is typically done for central venous catheters … October 27, 2022
WebM&M Cases
Wrong Catheter in … The Topic
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Indwelling Tubes and Catheters
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psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
September 01, 2003 - A Foley catheter was placed to drain the bladder and lap pads were used during the operation. … The physician order was to remove the pack the next day when the Foley catheter was removed. … The nurse removed the Foley catheter and the 4x4’s, the Kerlix™ fluff and the peri-pad, assuming this … A Foley catheter was placed to drain the bladder and surgical sponges were used during the operation. … The physician wrote an order to remove the vaginal packing when the Foley catheter was removed before
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psnet.ahrq.gov/node/33592/psn-pdf
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https://psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu … bundle to prevent catheter-associated bloodstream infections, reviewers participating in adverse event
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - A pulmonary artery catheter was placed, and initial numbers were—surprisingly—more consistent with cardiogenic … taught that the differential diagnosis for unusual clinical findings (such as the pulmonary artery catheter … interactions) as well as other non-medication-related patient safety measures (e.g., urinary and vascular catheter … Indwelling urinary catheters: a one-point restraint? … Matter” (June 2005)
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psnet.ahrq.gov/node/33578/psn-pdf
September 15, 2024 - Background
An obstetric nurse connects a bag of pain medication intended for an epidural catheter to … epidural anesthetic was similar in size and shape to IV medication bags, and, crucially,
the same catheter
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psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
January 09, 2024 - , 2013
Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated