-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Clostridioides difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters … Thromboembolic Events
All Other
Hospital-
Acquired
Conditions
MPSMS Femoral Artery Puncture for Catheter … Vancomycin-Resistant Enterococcus (VRE)
MPSMS Mechanical Complications Associated With Central Venous Catheters … Stream
Infections
8,493 0.29 2,182 0.07 6,519 0.22 7,991 0.27
Associated With
Central Venous
Catheters … Complications
Associated With
59,610 2.00 53,033 1.78 67,004 2.25 59,924 2.01
Central Venous
Catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/168-central-line-maintenance-infographic.docx
October 01, 2024 - possible to remove CLABSI risk
Documentation
· Date of insertion
· Site of insertion/location of catheter … · Type of catheter (tunneled, non-tunneled, number of lumens, other)
· Line placement confirmation … Persistent barriers to timely catheter removal identified from clinical observations and interviews. … Interventions to reduce unnecessary central venous catheter use to prevent central-line-associated bloodstream
-
www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - *[tiab] OR "catheter associated"[tiab])) OR ("catheter-related infections"[mh] AND "urinary"[tiab]) OR … "[tiab] OR "catheter-associated"[tiab] OR "Catheterization, Central Venous/adverse effects"[Mesh] OR … "Central Venous Catheters/adverse effects"[mh] OR "Catheters, Indwelling/adverse effects"[mh] OR "umbilical … catheter"[tiab] OR central line*[tiab] OR central venous catheter*[tiab]) AND ("bloodstream infection … 0.68–3.09
1.61 (1.14, 2.27)
0.012 (0.003–0.025)
CAUTI
Hospitalized patients with urinary catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/051-top-10-successful-decolonization.docx
October 01, 2024 - medical devices.3,5
CHG is safe to use on medical devices, including central lines, drains, tubes, and catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/163-central-line-rounds-form.docx
October 01, 2024 - Yes No
5) Was the catheter insertion site visually inspected today? … Contextual barriers to communication between physicians and nurses about appropriate catheter use. … Persistent barriers to timely catheter removal identified from clinical observations and interviews. … Interventions to reduce unnecessary central venous catheter use to prevent central-line-associated bloodstream
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - Assess daily the necessity of the indwelling catheter
Use standard indwelling urinary catheter kit … bag while in the low position
CT tables needed place to hang catheter bag
Catheter Care charting not … in 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 is the plan … Days Monthly Rate per 1000 Catheter Days NHSN CCU Predicted CAUTI Catheter Utilization Ratio Standard
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - Interventions
included using antimicrobial-impregnated central venous
catheters (CVCs); limiting the … use of Foley catheters;
using oral care kits with cetylpyridium antiseptic rinse
agent; and using … antimicrobial-impregnated peripherally
inserted central catheters (PICCs) and Broviac lines. … oriented toward
reducing the risk of HAIs due specifically to CVCs,
mechanical ventilation, PICCs, Foley catheters
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability-transcript.docx
January 01, 2014 - We also updated our physician order sets that for post-op day #1 for surgery and get those catheters … This is a screenshot of our urinary catheter insertion assessment. … out on the floors and all the units inpatient and outpatient, but we weren't asking anything about catheters … made the decision to add that and talking to the frontline staff really helped open our eyes about catheters … our audit tools and we solidify that thought that we had kind on early on in '13 about changing out catheters
-
www.ahrq.gov/news/newsroom/case-studies/202004.html
July 01, 2020 - ChristianaCare also used CUSP to decrease the use of central venous (blood-line) catheters in its ICUs … Catheter days dropped from 12,627 days in 2011 to 6,574 days in 2019. … "The traditional thinking among staff had been that if you use catheter devices, then your patients are
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d7_combo_implementationmeasurement.pdf
January 01, 2016 - of an implementation measurement instrument that could be adapted for use at your
hospital (using catheter-related … For example, if thinking about catheter-related bloodstream infections, you could
collect data on all … for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.7 5
Catheter-Related … Indicate which
sterile technique precautions were used by the provider inserting the catheter and the … Bloodstream Infection Prevention
Measurement Instrument
Catheter-Related Bloodstream Infection Prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d7_pdi_implementationmeasurement.pdf
January 01, 2016 - of an implementation measurement instrument that could be adapted for use at your
hospital (using catheter-related … For example, if thinking about catheter-related bloodstream infections, you could
collect data on all … the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
Tool D.7 3
EXAMPLE: Catheter-Related … Indicate which
sterile technique precautions were used by the provider inserting the catheter and the … Central Line Days
Catheter-Related Bloodstream Infection Prevention Measurement: Description of Each
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
December 01, 2017 - We also updated our physician order sets that for post-op day #1 for surgery and get those catheters … This is a screenshot of our urinary catheter insertion assessment. … out on the floors and all the units inpatient and outpatient, but we weren't asking anything about catheters … made the decision to add that and talking to the frontline staff really helped open our eyes about catheters … our audit tools and we solidify that thought that we had kind on early on in '13 about changing out catheters
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/navigating-hierarchy-transcript.html
December 01, 2017 - – in a death of a child from a catheter-associated infection. … on a call and that kind of led to our work with CAUTI, with HRET, and it was about placing urinary catheters … And then the conversation became, well how do we get nurses to stop putting in Foley catheters? … The research or the literature shows that we shouldn't be putting in as many Foley catheters, we got … or don't put in a Foley catheter or how we do it.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/navigating-hierarchy-transcript.doc
December 10, 2013 - – in a death of a child from a catheter-associated infection. … on a call and that kind of led to our work with CAUTI, with HRET, and it was about placing urinary catheters … And then the conversation became, well how do we get nurses to stop putting in Foley catheters? … The research or the literature shows that we shouldn’t be putting in as many Foley catheters, we got … or don’t put in a Foley catheter or how we do it.
-
www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - reduction is from adverse drug events, about 28 percent from pressure ulcers, and about 16 percent from catheter-associated … 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
-
www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - colonizing the skin may have been introduced at the time of PVC placement or in maintenance of the catheter … Her physician and nurses felt that keeping the urinary catheter in place would make her more comfortable … Summarizing this case, we found that the patient developed complications related to urinary catheter … Blood cultures grew Staphylococcus aureus , and the catheter tip grew the same organism. … found that the patient developed multiple complications related to the infection of his central venous catheter
-
www.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - Current CUSP projects are addressing—
Reduction of central line-associated bloodstream infections and catheter-associated … surgical care and recovery and reduce complications, including reduction in surgical site infections and catheter-associated … CUSP reduced catheter-associated urinary tract infection rates by
30 percent in more than 700 hospital … CUSP reduced catheter-associated urinary tract infection rates by
54 percent in more than 400 nursing
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 2019 Goal
(20%
Reduction
of each
HAC)
Adverse Drug
Events
33.7 30.0 27.1 24.2 -28% 26.9
Catheter … Clostridioides difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central Venous Catheters … Vancomycin-Resistant Enterococcus (VRE)
MPSMS Mechanical Complications Associated With Central Venous Catheters … Stream
Infections
8,493 0.29 2,182 0.07 6,519 0.22 7,991 0.27
Associated With
Central Venous
Catheters … Complications
Associated With
59,610 2.00 53,033 1.78 67,004 2.25 59,924 2.01
Central Venous
Catheters
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-video.html
December 01, 2017 - Aseptic Catheter Insertion Practices in the ED: A Focus on Engagement
Video Presentation
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/reducing-urinary-catheter-use-ed-video.html
December 01, 2017 - Reducing Unnecessary Urinary Catheter Use in the Emergency Department
Video Presentation