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psnet.ahrq.gov/perspective/measuring-patient-safety
December 14, 2022 - For example, we know that having femoral catheters can lead to more central line infections . … Organizations can create a trigger tool to look through their EMR and identify what patients have femoral catheters
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psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
December 14, 2022 - For example, we know that having femoral catheters can lead to more central line infections . … Organizations can create a trigger tool to look through their EMR and identify what patients have femoral catheters
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - After arterial and central venous catheters were placed, she was given a reduced dose of tissue plasminogen … Consultation with vascular surgery or interventional radiology for consideration of surgical thrombectomy or catheter-directed … Catheter-directed Thrombolysis for Intermediate-Risk Pulmonary Embolism.
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psnet.ahrq.gov/classics
August 01, 2023 - Device-Related Complications
(14)
Device Malfunctions
(1)
Indwelling Tubes and Catheters
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psnet.ahrq.gov/web-mm/dissecting-presentation
May 05, 2021 - October 31, 2017
Prevalence, risk factors, and outcomes of idle intravenous catheters
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - For instance, after publication of the seminal paper on the central line bundle to prevent catheter-associated
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - Two common risks to insertion of central lines include (i) misdirection of the catheter (cranially up … Comparison of the complications between left side and right side subclavian vein catheter placement in
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psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
August 31, 2022 - therapy for internal carotid and middle cerebral artery (MCA) strokes (i.e., LVOs), in which specialized catheters
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psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia
February 10, 2021 - blood samples. 2 Examples of the latter include traumatic venipuncture, sampling from intravenous catheters
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psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - December 23, 2020
WebM&M Cases
Unseen Perils of Urinary Catheters
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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - Modifiable Risk Factors Sensory impairment (hearing or vision) Immobilization (restraints or catheters
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - in the ED and ICU can also pose significant safety risks as patients may have multiple intravenous catheters
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psnet.ahrq.gov/primer/health-care-associated-infections
December 15, 2024 - devices—ventilator-associated pneumonia (VAP), central line–associated bloodstream infections (CLABSIs), and catheter-associated
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - the
total nutrient line from the enterostomy tube, and prepared to connect it to the central line catheter
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - Implementation of appropriate fail-safe protections (e.g., incompatible connections for various tubings and catheters
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
April 17, 2025 - blood pressure and creatinine levels were found to be markedly elevated, 2L of urine were drained via catheter
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - Device-Related Complications
(65)
Device Malfunctions
(1)
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - With the recognition that retained guidewires, sheaths and catheters occur
after interventional vascular
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - disconnected the total nutrient line from the enterostomy tube, and prepared to connect it to the central line catheter
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - oxycodone, the anesthesiologist, hoping to achieve adequate postoperative pain control, placed an epidural catheter