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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-bed-bathing.pptx
March 01, 2022 - for adult non-intensive care unit (ICU) patients with selected medical devices:
Central lines
Midline catheters … Patients With Devices
15
Clean ALL Devices
Patients with selected devices, such as central venous catheters … , midline catheters, or lumbar drains, may have other devices as well. … These may include:
Urinary catheters
G-tube, J-tubes
Chest tubes
Rectal tubes
EKG leads and wires … Wrap all devices (e.g., central lines and midline catheters), as needed, to protect from water in shower
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/reducing-unnecessary-urinary-catheter-use-ed-transcript.docx
April 02, 2025 - Furthermore, a catheter that’s placed in the ED is much more likely to be removed once the patient is … In order to accomplish this it’s important to change the culture of urinary catheter placement in the … The first is to establish a collaborative guideline for ED catheter placement. … Only about 50% of urinary catheters had a physician order documented. … In our 2010 study, we did find the physician ordered about 40% less urinary catheters after these processes
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-device-cleaning.docx
March 01, 2022 - This includes patients with devices such as central lines, midline catheters, and lumbar drains. … This includes patients with devices such as central lines, midline catheters, and lumbar drains.
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4-slides.html
February 01, 2023 - Maintaining awareness and proper care of catheters.
Prompting catheter removal. … Preventing catheter replacement.
1 Meddings J, Saint S. … Disrupting the life cycle of the urinary catheter. … Early removal of the catheter using reminders or stop-orders appears warranted
2 Saint S, Olmsted … Sustain progress
Limit the number of CAUTIs through:
Correct use (and not overuse) of urinary catheters
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www.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - (physician diagnosed)
CLABSI
MPSMS
Blood Stream Infections Associated With Central Venous Catheters … Warfarin
10.85
17.40
0.62
CLABSI
Blood Stream Infections Associated With Central Venous Catheters … 1.02
3.62
0.28
All Other HACs
Mechanical Complications Associated With Central Venous Catheters … 32,750,000
12.249
CLABSI
MPSMS
Blood Stream Infections Associated With Central Venous Catheters … 86,916
32,750,000
2.654
MPSMS
Mechanical Complications Associated With Central Venous Catheters
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/001-clabsi-prevention-webinar-slides.pptx
October 01, 2024 - and catheter sites. … Central venous catheter‐related infection in a prospective and observational study of 2,595 catheters … Risk of infection due to central venous catheters: effect of site of placement and catheter type. … Central line catheters and associated complications: a review. Cureus. 2019;11(5):e4717. … central venous catheters in adults: a systematic review and meta-analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/159-which-type-decolonization-work-best.docx
October 01, 2024 - percentage of patients who have an increased MRSA risk due to the presence of central lines, midline catheters … , peripherally inserted central catheter (PICC) lines, or lumbar drains.
· is appropriate for use in … patients are at higher risk for MRSA infection due to having devices such as central lines, midline catheters
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/132-preventing-clabsi-4-key-steps-one-pager.docx
October 01, 2024 - Insertion:
· Slides (.pptx)12 • Guide (.docx)13
Step 2: Maintain Awareness & Proper Care of Catheters … CLABSI Module: Central Venous Catheter Insertion. … Central Venous Catheter Maintenance: Maintaining Awareness and Proper Care of Catheters in Place. … Central Venous Catheter Removal: Prompting Removal of Unnecessary Catheters. … CLABSI Module: Central Venous Catheter Removal.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/huddle/chg-device-cleaning.pdf
March 01, 2022 - This includes patients with devices such as central lines, midline
catheters, and lumbar drains. … This includes patients with devices such as central lines, midline
catheters, and lumbar drains.
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www.ahrq.gov/news/newsroom/case-studies/201607.html
January 01, 2018 - "At MUSC, we are committed to promoting a safe patient environment that minimizes urethral catheter use … Because catheters are often inserted unnecessarily, the team studied urinary catheter insertion at MUSC … to assess whether catheters were being used appropriately. … They found that catheter use varied depending on the hospital department performing the procedure. … use of the catheter every 48 hours, asking whether it should be continued.
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www.ahrq.gov/hai/cauti-tools/impl-guide/index.html
October 01, 2015 - Poster on Indications for Urinary Catheters
Appendix E. … Urinary Catheter Project Fact Sheet
Appendix H. Urinary Catheter Pocket Card
Appendix I. … Catheter Care Pocket Card
Appendix J. Urinary Catheter Brochure
Appendix K. … Use
Proper Catheter Insertion and Maintenance
Prompt Catheter Removal
Antimicrobial … Poster on Indications for Urinary Catheters ( PDF , 444 KB)
Appendix E.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/cost-implications.pdf
March 01, 2022 - Trial1 showed that the use of decolonization in patients with
select devices (central lines, midline catheters … First, identify all annual bloodstream infections in
non-ICU patients with central lines, midline catheters … identify all annual MRSA and VRE clinical cultures in non-ICU patients with central lines,
midline catheters
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www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
December 01, 2017 - They wanted to take the Foley catheter out, but the patient was like, "I like my Foley catheter. … B's urinary catheter? They changed it to an antimicrobial catheter. … There's not data for antimicrobial catheters. … New condom catheters come out. New female urinals come out. … We have condom catheters. We have appropriate skin care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/sustaining-change-transcript.docx
April 14, 2015 - They wanted to take the Foley catheter out, but the patient was like, "I like my Foley catheter. … B's urinary catheter? They changed it to an antimicrobial catheter. … There's not data for antimicrobial catheters. … New condom catheters come out. New female urinals come out. … We have condom catheters. We have appropriate skin care.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - An intervention to decrease catheter-
related bloodstream infections in the ICU. … Prevention of intravascular catheter-related infections. … Risk of infection due to central venous
catheters: effect of site of placement and catheter type. … The pathogenesis and epidemiology of
catheter-related infection with pulmonary artery Swan-Ganz catheters … Guidelines for the management of intravascular
catheter-related infections.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/faqs/faq-chg-bathing.pdf
March 01, 2022 - , use CHG baths for patients with the
following medical devices is recommended:
• Central venous catheters … (including dialysis catheters and port-a-caths)
• Midline catheters
• Lumbar drains
What if my patient … ,
if my patient also has a urinary catheter, should the urinary catheter be cleaned
with CHG as well … When we use CHG bathing for patients with central lines and midline catheters, if my patient also has … a urinary catheter, should the urinary catheter be cleaned with CHG as well?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - Infections (physician diagnosed)
CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters … Antibiotic-Associated Clostridium difficile
MPSMS Mechanical Complications Associated With Central Venous Catheters … Associated With
Warfarin
10.85 17.40 0.62
CLABSI Blood Stream Infections
Associated With Central
Venous Catheters … Replacements
1.02 3.62 0.28
All Other
HACs
Mechanical Complications
Associated With Central
Venous Catheters … difficile
86,916 32,750,000 2.654
MPSMS Mechanical Complications
Associated With Central Venous
Catheters
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-1-slides.pptx
September 01, 2015 - values, attitudes, or beliefs (i.e., “behavior based”)
Examples:
Are nurses reluctant to remove urinary catheters … even when the patient no longer meets criteria for a catheter? … CAUTI in Hospitals
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Methods for Mitigating Risk
Optimize insertion practices
Prevent insertion of catheters … Perform clinical assessment for signs/symptoms of UTI
Increase use of alternatives to indwelling urinary catheters … Condom catheters (evaluate multiple products)
Moisture-wicking incontinence pads
Bladder scanners
Intermittent
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-4-slides.pptx
September 01, 2015 - Prompting catheter removal
1
4
3
2
1. Preventing unnecessary and improper placement
2. … Maintaining awareness and proper care of catheters
4. … Preventing catheter replacement
1 Meddings J, Saint S. … Disrupting the life cycle of the urinary catheter. … culture
Sustain progress
Limit the number of CAUTIs through—
Correct use (and not overuse) of urinary catheters
-
www.ahrq.gov/hai/tools/abate/index.html
March 01, 2022 - Among non-ICU patients with specific medical devices (namely central venous catheters, midline catheters