-
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.
-
psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
March 12, 2019 - April 26, 2023
Safety Risk of Air Embolus Associated with Central Venous Catheters
-
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
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - Results
Overall, the CMS HAC of vascular catheter-associated infections (blood stream infections … related to a catheter in a large, central vein) were the most common among the ten reported CMS
HACs … The CMS-defined vascular catheter-associated infections comprised 49
percent of stays involving the … infection 8,959,419 11,435 48.7 127.6
Falls and trauma 8,959,419 4,676 19.9 52.2
Catheter-associated … The ICD-9-CM code defining Vascular Catheter-Associated Infection is:
• 999.31, infection due to
-
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
-
psnet.ahrq.gov/issue/luer-connector-misconnections-under-recognized-potentially-dangerous-events
May 24, 2015 - Topic
Health Care Providers
Nurse Managers
Engineers
Medicine
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
May 06, 2015 - April 26, 2023
Safety Risk of Air Embolus Associated with Central Venous 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
-
psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - The ICU team decided that the patient required central venous catheter placement in order to administer … The combination of this catheter and his prior fistula meant that upper extremity catheter placement … Eventually, the left internal jugular hemodialysis catheter was removed and replaced with a different … catheter that could be used for vasopressor administration. … Topic
Intensive Care Units
Health Care Providers
Critical Care
Indwelling Tubes and Catheters
-
psnet.ahrq.gov/issue/inappropriate-diagnosis-pneumonia-among-hospitalized-adults
July 17, 2024 - July 17, 2024
Improving appropriate use of peripherally inserted central catheters through … August 7, 2024
Improving peripherally inserted central catheter appropriateness and reducing
-
psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality
October 23, 2024 - June 10, 2020
Diagnostic errors with inserted tubes, lines and catheters in children.
-
psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
July 03, 2016 - hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated … hospital-acquired conditions policy for central line-associated bloodstream infection (CLABSI) and catheter-associated … was a substantial increase in claims in which central line–associated bloodstream infections and catheter-associated … hospital-acquired conditions policy for central line-associated bloodstream infection (CLABSI) and catheter-associated
-
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