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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Alert fatigue
(2)
Device-Related Complications
(4)
Indwelling Tubes and Catheters
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psnet.ahrq.gov/issue/african-partnerships-patient-safety
April 30, 2024 - February 19, 2014
Impact of a national multimodal intervention to prevent catheter-related
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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - The Case A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter … Many different tubing devices used in patient care, including epidural catheters and ordinary syringes … Preventing catheter/tubing misconnections: Much needed help is on the way.
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psnet.ahrq.gov/node/46135/psn-pdf
July 11, 2017 - psnet.ahrq.gov/issue/cusp-toolkit
https://psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
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psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - Background An obstetric nurse connects a bag of pain medication intended for an epidural catheter to … of epidural anesthetic was similar in size and shape to IV medication bags, and, crucially, the same catheter
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psnet.ahrq.gov/topics-0
March 03, 2025 - to this topic
Device Malfunctions Go to this topic
Indwelling Tubes and Catheters
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psnet.ahrq.gov/issue/patient-notification-toolkit
September 07, 2016 - December 18, 2013
Eliminating Catheter-Associated Urinary Tract Infections.
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - In contrast to modern peripheral IV catheters which use a temporary metallic introducer needle to facilitate … placement of a synthetic polymer catheter, IO devices use metallic needles attached to a plastic hub … Though complications involving insertion of IO lines are rare, significant morbidity can occur if the catheter … WebM&M Cases
The Hidden Danger of Unseen Intravenous Catheters
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psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - The student observed one of the team members insert a Foley catheter into the female patient. … The patient’s Foley catheter was discontinued and appropriate antibiotic coverage provided. … One remarked that the information about the catheter should not have been presented on rounds due to
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psnet.ahrq.gov/submit-your-toolkit-landing
Catheter-associated urinary tract infections (CAUTIs) and other healthcare-associated infections continue
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psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - A urinary catheter was inserted, with 2 L of urine immediately drained. … He was discharged home with an indwelling urinary catheter and a follow-up appointment with the same … months later, the patient underwent a TURP without complications and eventually was able to have the catheter
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psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - condition. 15,16 Figure 1, adapted from Pinkney and colleagues, 17 depicts a multi-lumen central venous catheter … complex setup process and include but are not limited to wrong Y-site connection, failure to open the catheter … In these cases, the nurse may decide to keep the IV infusion attached to the central venous catheter … medication titration orders, the nurse may disconnect the IV tubing from the patient's central venous catheter … risk of infection (e.g., CLABSI) when connecting and disconnecting IV infusions from central venous catheter
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psnet.ahrq.gov/issue/how-implicit-bias-harm-patient-care
December 04, 2019 - December 5, 2022
An intervention to decrease catheter-related bloodstream infections
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psnet.ahrq.gov/issue/nhs-safety-thermometer-report-patient-harms-and-harm-free-care-november-2014-november-2015
July 08, 2021 - explores the data collected on four types of health care–acquired conditions ( pressure ulcers , falls, catheter–associated
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psnet.ahrq.gov/issue/developing-resilience-combat-nurse-burnout
May 01, 2019 - August 7, 2024
Preventing catheter/tubing misconnections: much needed help is on the
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psnet.ahrq.gov/issue/disclosure-adverse-events-patients
November 29, 2023 - January 17, 2012
New 2012 National Patient Safety Goal - catheter-associated urinary
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - could increase their risk of falls or bleeding, patients with indwelling central venous or urinary catheters
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - This graft may have become infected and, in addition to the intravascular catheters and antibiotics,
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psnet.ahrq.gov/issue/checklist
September 28, 2017 - April 6, 2011
An intervention to decrease catheter-related bloodstream infections in
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psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
August 31, 2016 - October 9, 2013
Eliminating Catheter-Associated Urinary Tract Infections.