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www.ahrq.gov/hai/tools/cauti-hospitals/index.html
March 01, 2018 - Toolkit for Reducing CAUTI in Hospitals
The Toolkit for Reducing Catheter-Associated Urinary … patient safety can significantly decrease rates of CAUTI and other risks associated with indwelling catheter
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/finish.html
September 01, 2015 - CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter … List ways that he/she can positively impact urinary catheter use in the ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - device and procedure-
related HAIs, such as central-line–associated bloodstream infection (CLABSI), catheter … bloodstream infections,45,46, 65,69 catheter-
related urinary tract infections, and pneumonia 70-73 … and port-a-caths), midline catheters,
and lumbar drains). … Effectiveness of chlorhexidine bathing to
reduce catheter-associated bloodstream infections in medical … An intervention to decrease catheter-
related bloodstream infections in the ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - progress in the past by implementing
CLABSI reduction programs, such as the use of
central venous catheter … Assessment (Tool A.3)
• Improvement Methods Overview
(Tool D.1)
• Best Practices for Central Venous
Catheter … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC … specific problem was that physicians were ordering temporary
lines such as peripherally inserted central catheter
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer. … Increased resource use associated with catheter-related bloodstream infection in the surgical intensive … Guideline for prevention of catheter-associated urinary tract infections 2009. … An intervention to decrease catheter-related bloodstream infections in the ICU. … A program to prevent catheter-associated urinary tract infection in acute care.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - and a peripheral line infection; the distinction is made by the
location of the end of catheter tip … CV-CRBSI is “infection due to central venous catheter,” which means that the catheter is the source of … the infection, not when the catheter becomes infected from another source (e.g., bacteremia, sepsis … CV-CRBSI is “infection due to central venous catheter,” which means that the catheter is the
source … PDI 12
Central Venous Catheter-
Related Bloodstream
Infections (CV-CRBI)
X
.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a4_pdi_casestudy.pdf
December 01, 2015 - progress in the past by implementing
CLABSI reduction programs, such as the use of
central venous catheter … Assessment (Tool A.3)
• Improvement Methods Overview
(Tool D.1)
• Best Practices for Central Venous
Catheter … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC … specific problem was that physicians were ordering temporary lines such as
peripherally inserted central catheter
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/prev-handouts.html
December 01, 2017 - ___ Dealing with medical devices (oxygen tubing, catheters)
___ Guidance for avoiding friction and … ___ Incontinence assessment
___ Medical device-related pressure assessment (e.g., oxygen tubing, catheters … ___ Dealing with medical devices (oxygen tubing, catheters)
___ Guidance for avoiding friction and … ___ Incontinence assessment
___ Medical device-related pressure assessment (e.g., oxygen tubing, catheters
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www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
July 01, 2023 - that a patient has abdominal distension and pain secondary to a distended bladder and needs a Foley catheter … following way:
D: "I (resident) am sensing that you (attending) are upset with me for ordering the Foley catheter
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - . (%)
Patients treated for UTI present on admission, without indwelling catheter 111 —
Urine culture … Population Lack of Adherence to Guidelines
Dalen, 2005 Ottawa Hospital 29 patients with catheter … for UTI (most due to lack of symptoms)
Cope, 2009 Houston VA 164 episodes of catheter … Do not treat except in pregnancy, prior to urologic procedures, or neutropenia
Candiduria: Change catheter … min)
Ciprofloxacin x 3 days
Cephalexin x 7 days
COMPLICATED
LOWER TRACT UTI
Male, urinary catheter
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4b_combo_pdi_casestudy.pdf
December 01, 2015 - progress in the past by implementing
CLABSI reduction programs, such as the use of
central venous catheter … Assessment (Tool A.3)
• Improvement Methods Overview
(Tool D.1)
• Best Practices for Central Venous
Catheter … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC … specific problem was that physicians were ordering temporary
lines such as peripherally inserted central catheter
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/014-bcx-algorithm-decision-support-tool.docx
October 01, 2024 - Catheter-related bloodstream infection before catheter replacement
· If Yes to any of these scenarios
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www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/Shooting-Script-How-to.pdf
July 01, 2024 - For instance, if you refer to “midline and central
venous catheters” in one place, don’t suddenly refer … to them as “vascular and central catheters”
somewhere else.
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www.ahrq.gov/hai/clabsi-tools/appendix-8.html
March 01, 2018 - you identify any other possible sources of contamination for the closed/sterile tubing-central venous catheter … mechanical problems (not drawing, difficult to infuse, repositioned, etc.) with the central venous catheter
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www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
December 01, 2017 - Desired Behavior:
Round to assess catheter appropriateness
Observed Behavior:
Do not participate … Johnson has a urinary catheter. It was put in in the ICU without an order. … Johnson is at risk for a CAUTI if we do not remove the catheter. … Johnson still has a urinary catheter.
B: It was put in in the ED without an order. … Johnson does not currently have any indications for a catheter.
R: Call Dr.
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - days6,11 (shorter course if early response)
Complicated urinary tract infection (UTI), including catheter-associated … UTI (CAUTI)
Lower tract CAUTI in women ≤ 65 years if catheter is removed
3 days13,14
Prompt … How long should catheter-acquired urinary tract infection in women be treated? … Diagnosis, prevention, and treatment of catheter associated urinary tract infection in adults: 2009 international
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/intro.html
September 01, 2015 - CAUTI in the ICU Setting: Facilitator’s Guide
Introduction
Module 1: Overview
Module 2: Urinary Catheter … Conversations Around Device Necessity
Module 4: Summary and Next Steps
Finishing Up Strong
Catheter-associated
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www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
July 01, 2018 - die in hospitals each year as the result of medical errors,5
Over half a million patients develop catheter-associated … Slide 22
Reduced CRBSI By Applying
Principles of Safe Design12
Time Period
Median Catheter-Related … 13-15 months
0
0.37
16-18 monts
0
0.34
Over various time periods, the Median Catheter … An intervention to decrease catheter-related bloodstream infections in the ICU.
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T4-Letter_to_Prescribing_Clinicians.docx
October 01, 2016 - Criteria for Initiating Antibiotics for a Urinary Tract Infection
For residents without an indwelling catheter … Suprapubic pain, or
Gross hematuria, or
Urinary incontinence
For residents with a chronic indwelling catheter … Residents with an intermittent catheter or a condom catheter should be evaluated as if they are not catheterized
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www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - Infections
290,000 8.8
CLABSIs MPSMS (2013) Blood Stream
Infections Associated
With Central Venous
Catheters … difficile
100,000 3.1
MPSMS (2013) Mechanical
Complications
Associated With
Central Venous
Catheters … hospitalwide quality
improvement programs featuring an intervention to remove unnecessary urinary catheters … Guideline for prevention of catheter-associated urinary tract infections
2009. … Guidelines for the prevention of intravascular catheter-related
infections.