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psnet.ahrq.gov/web-mm/or
August 22, 2013 - through admissions, pre-op and into the OR, where he received an arterial line and a pulmonary artery catheter
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psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
March 01, 2014 - instituting surveillance and prevention of device-associated infections (e.g., central lines, urinary catheters … for Health Care–Associated Infections
Central line–associated bloodstream infection (CLABSI)
Catheter-associated
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psnet.ahrq.gov/web-mm/collegiality-vs-competence
August 28, 2024 - multiple sites, including the surgical wound, endotracheal tube, nasogastric tube, and intravenous catheter
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - have increased his risk of complications and removing equipment (e.g., NGT, intravenous and bladder catheters
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psnet.ahrq.gov/web-mm/sleep-deprivation-leads-medication-error-during-spinal-epidural-anesthesia
January 29, 2021 - Epidural catheters should be placed before pain becomes unbearable, whenever possible.
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psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-errors-operating-room
January 29, 2021 - When the nurse went to connect the irrigation solution to the patient’s urinary catheter, it was found
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psnet.ahrq.gov/web-mm/think-surgeon
December 04, 2024 - Errors From Previous Providers
March 1, 2014
Elimination of central-venous-catheter-related
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psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
March 01, 2014 - instituting surveillance and prevention of device-associated infections (e.g., central lines, urinary catheters … for Health Care–Associated Infections
Central line–associated bloodstream infection (CLABSI)
Catheter-associated
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psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
April 24, 2024 - associated with infections. 25,26 For example, in a study of 28,205 home health care patients with urinary catheters … Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - Improvements included the redesign of tubing and catheters so that clinicians were physically incapable … of attaching IV tubing to an epidural catheter.
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Improvements included the redesign of tubing and catheters so that clinicians were physically incapable … of attaching IV tubing to an epidural catheter.
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - These orders included hospital admission, peripherally inserted central catheter (PICC) line placement
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - With the recognition that retained guidewires, sheaths and catheters occur after interventional vascular
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - After a dialysis catheter was placed, the patient began experiencing worsening dyspnea and was emergently
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psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
January 01, 2024 - Lap Pad Correct
14 Paraesophageal hernia repair;
2009
Lap Pad Correct
15 Peritoneal dialysis catheter
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - enteral feeding solution into a nonenteral system, such as an intravascular line or peritoneal dialysis catheter
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - sedation to gather and prepare necessary equipment and resources. 8 S = Size -appropriate suction catheters
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psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism
August 21, 2005 - includes operations such as thrombectomy and bypass if needed, or endovascular management, including catheter-directed
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - the risk of pump malfunction, most commonly due to kinking, blocking, or dislodgement of the infusion catheter