-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Sputum
|_| Other
|_| Antibiotic changes; discontinuation
|_| AG levels:
|_| Sepsis bundle
Can catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pptx
March 01, 2022 - adult
non-intensive care unit (ICU) patients with selected medical devices:
Central lines
Midline catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pptx
March 01, 2022 - adult
non-intensive care unit (ICU) patients with selected medical devices:
Central lines
Midline catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.pdf
October 01, 2016 - She does not have an indwelling catheter.
Approximately 1 year ago, her eGFR was 79. … He has an indwelling catheter. His most recent eGFR, drawn 2 months ago was 62. … • Criteria were met for this resident: resident has an indwelling catheter and a fever. … She is not taking routine
medications, and does not have an indwelling catheter. … Case Study – Resident With Indwelling Catheter
Case Study – Resident Without Indwelling Catheter
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - reduction is from adverse
drug events, about 28 percent from pressure ulcers, and about 16 percent from catheter … Infections
250,000 7.6
CLABSIs MPSMS
(2014)
Blood Stream
Infections Associated
With Central Venous
Catheters … 16,000 0.49
All Other
Hospital-
Acquired
Conditions
MPSMS
(2014)
Femoral Artery
Puncture for Catheter … difficile
93,000 2.8
MPSMS
(2014)
Mechanical
Complications
Associated With
Central Venous
Catheters … Goal
Met
Adverse Drug
Events
1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500
Catheter
-
www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod3-slides.html
February 01, 2023 - 2
Setting the Stage
ICU with high CAUTI rates
Unit instituted a nurse-driven protocol for catheter … Slide 6
Questions for You
What about Sally’s decision to remove the catheter? … Slide 7
Discussing the Decision
Were there enough factors to justify removing the catheter? … Slide 11
Summary
Decision tree about catheter removal.
Importance of communication.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - Clostridium difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters … Vancomycin-Resistant Enterococcus (VRE)
MPSMS Mechanical Complications Associated With Central Venous Catheters … Hospital-Acquired Vancomycin-Resistant
(VRE)
Enterococcus 15,507 0.52
MPSMS Mechanical Complications
Catheters … MPSMS Blood Stream
Infections
8,513 0.29 5,530 0.19 5,848 0.20
Associated With
Central Venous
Catheters … 15,507 0.52 4,569 0.15 3,617 0.12
MPSMS Mechanical
Complications
Associated With
Central Venous
Catheters
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
December 01, 2017 - Foley education into all new employee education
Image: Photo of health professional practicing catheter … Insertion Assessment
Image: Screen show of a urinary catheter insertion assessment form. … bag while in the low position
CT tables needed place to hang catheter bag
Catheter Care charting … CC – Audit Tool
Interdisciplinary Daily Rounds – Refocus on appropriate reason/order and getting catheters … out
Patient Safety Committee Rounds:
Included how many patients have urinary catheters
What
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-slides.html
December 01, 2017 - B’s urinary catheter?
Change it to an antimicrobial coated catheter. … Peers
Slide 36
Structure: Things
Images: Photos of a hospital commode, a hospital monitor, a catheter … Slide 37
Process: Protocols
Image: Screen shot of the flowchart titled Foley Catheter Removal Protocol … Infection rates
Process measures
Organizational and team culture
Slide 43
Evaluation: Metrics
Catheter … chart reviewed
automated
mixed
Slide 45
Evaluation: Metrics
Catheter Prevalence
CAUTI
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-iodophor.pdf
March 01, 2022 - adult
non-intensive care unit (ICU) patients with selected medical devices:
o Central lines
o Midline catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/training/cbt-mupirocin.pdf
March 01, 2022 - adult
non-intensive care unit (ICU) patients with selected medical devices:
o Central lines
o Midline catheters
-
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/checklist4.html
August 01, 2022 - All disposables (e.g., medication vials, IV bags, catheters.
-
www.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - __ Antibiotic changes; discontinuation
__ AG levels:
__ Sepsis bundle
Can catheters
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/about-toolkit.html
May 01, 2017 - An estimated 7 to 10 percent 5 of all LTC residents have urinary catheters, including 12 percent 6
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module-3-slides.pptx
September 01, 2015 - Reducing CAUTI in Hospitals
1
ICU with high CAUTI rates
Unit instituted a nurse-driven protocol for catheter … AHRQ Safety Program for Reducing CAUTI in Hospitals
5
What about Sally’s decision to remove the catheter … Safety Program for Reducing CAUTI in Hospitals
6
Were there enough factors to justify removing the catheter … ‹#›
AHRQ Safety Program for Reducing CAUTI in Hospitals
10
Decision tree about catheter
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
October 01, 2016 - However, if the resident has an indwelling catheter, then a new and dramatic change in mental status … White blood cells in the urine can be related to use of a catheter, stones, tumors, or infections. … She does not have an indwelling catheter. Approximately 1 year ago, her eGFR was 79. … He has an indwelling catheter. His most recent eGFR, drawn 2 months ago was 62. … She is not taking routine medications, and does not have an indwelling catheter.
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - Infections
250,000 7.6
CLABSIs MPSMS
(2014)
Blood Stream
Infections Associated
With Central Venous
Catheters … 16,000 0.49
All Other
Hospital-
Acquired
Conditions
MPSMS
(2014)
Femoral Artery
Puncture for Catheter … With
Knee Joint
Replacements
16,000 0.50
MPSMS
(2014)
Contrast
Nephropathy
Associated With
Catheter … difficile
93,000 2.8
MPSMS
(2014)
Mechanical
Complications
Associated With
Central Venous
Catheters … Goal
Met
Adverse Drug
Events
1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500
Catheter
-
www.ahrq.gov/sites/default/files/publications2/files/interimhacrate2014_cx.pdf
November 19, 2015 - Infections
250,000 7.6
CLABSIs MPSMS
(2014)
Blood Stream
Infections Associated
With Central Venous
Catheters … 16,000 0.49
All Other
Hospital-
Acquired
Conditions
MPSMS
(2014)
Femoral Artery
Puncture for Catheter … With
Knee Joint
Replacements
16,000 0.50
MPSMS
(2014)
Contrast
Nephropathy
Associated With
Catheter … difficile
93,000 2.8
MPSMS
(2014)
Mechanical
Complications
Associated With
Central Venous
Catheters … Goal
Met
Adverse Drug
Events
1,900,000 50% 50% 25% 475,000 $5,000 .020 $2,375,000,000 9,500
Catheter
-
www.ahrq.gov/news/newsroom/case-studies/201518.html
July 01, 2015 - incorporated into the hospital’s electronic health records system to remind medical teams to assess urinary catheter … use and to remove catheters when they are no longer needed. … "From 2012 to first quarter 2014, TeamSTEPPS strategies helped reduce catheter-related urinary tract
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
October 01, 2014 - Chronic indwelling urinary catheter on admittion = 6. … Not Indicated Urinary Catheters Reasons:
Urine output monitoring OUTSIDE intensive care = 8. … Image: Flyer that explains how catheter-related infections can occur. … Prior to collection, change catheter unless known change within 7 days Inpatients. … If catheter in for 7 days must change prior to specimen collection.