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21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/45385/psn-pdf
    January 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …

22. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851099/psn-pdf
    June 28, 2023 - Misconnection Leading to Arterial Thrombosis June 28, 2023 Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis The Case A 55-year-old man with chronic obstructive pulmonary disease (COPD) was brought by am…

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49582/psn-pdf
    April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…

24. Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. | PSNet
    psnet.ahrq.gov/issue/implementing-national-program-reduce-catheter-associated-urinary-tract-infection-quality
    June 08, 2016 - Study Implementing a national program to reduce catheter-associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. Citation Text: Fakih MG, George C, Edson B, et al.…

25. A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. | PSNet
    psnet.ahrq.gov/issue/national-implementation-project-prevent-catheter-associated-urinary-tract-infection-nursing
    April 05, 2017 - Study Classic A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents. Citation Text: Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated Urinary Tract I…

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/43345/psn-pdf
    July 16, 2014 - Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. July 16, 2014 Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med. 2014;63(6):761-8.e1. doi:10.1016…

27. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
    April 01, 2009 - Spotlight Case July 2008 Spotlight Case Breakage of a PICC Line * * Source and Credits This presentation is based on the April 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Vesselin Dimov, MD Creighton University Editor, AHRQ WebM&M: …

28. Misconnection Leading to Arterial Thrombosis | PSNet
    psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
    January 29, 2021 - Misconnection Leading to Arterial Thrombosis Citation Text: Bohringer C, Lee G. Misconnection Leading to Arterial Thrombosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar Bib…

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49836/psn-pdf
    July 01, 2018 - Primary Workaround, Secondary Complication July 1, 2018 Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication The Case A young adult with a progressive neurological disorder presented to a hospital emerg…

30. Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. | PSNet
    psnet.ahrq.gov/issue/sustaining-reductions-catheter-related-bloodstream-infections-michigan-intensive-care-units
    May 25, 2011 - Study Classic Sustaining reductions in catheter related bloodstream infections in Michigan intensive care units: observational study. Citation Text: Pronovost P, Goeschel CA, Colantuoni E, et al. Sustaining reductions in catheter related bloodstream infections…

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836827/psn-pdf
    March 30, 2022 - Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract infections in the hospital setting: a systematic review. March 30, 2022 McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent catheter-associated urinary tract i…

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73491/psn-pdf
    July 14, 2021 - Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. July 14, 2021 Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865778/psn-pdf
    May 29, 2024 - Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement May 29, 2024 Vuyyuru S, Kapa N. Navigating Complications: The Unintended Journey of a Guidewire During Dialysis Catheter Placement. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-complications-unint…

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851158/psn-pdf
    June 28, 2023 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization June 28, 2023 Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization The Case A patient was …

35. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837025/psn-pdf
    May 04, 2022 - Central venous catheter guidewire retention: lessons from England's never event database. May 4, 2022 Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10.1097/pts.0000000000000826. https:/…

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46155/psn-pdf
    December 21, 2017 - A national implementation project to prevent catheter- associated urinary tract infection in nursing home residents. December 21, 2017 Mody L, Greene T, Meddings J, et al. A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents. JAMA Intern Med. 2017;177(8…

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40253/psn-pdf
    March 02, 2011 - Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. March 2, 2011 Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):174-80. doi:10.1136/bmjqs.2009.037200.…

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42819/psn-pdf
    October 31, 2014 - Implementing a national program to reduce catheter- associated urinary tract infection: a quality improvement collaboration of state hospital associations, academic medical centers, professional societies, and governmental agencies. October 31, 2014 Fakih MG, George C, Edson B, et al. Implementing a national prog…

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40045/psn-pdf
    May 25, 2011 - Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units. May 25, 2011 Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated ur…

40. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet
    psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
    November 16, 2022 - Study Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. Citation Text: Sacks GD, Diggs BS, Hadjizacharia P, et al. Reducing the rate of catheter-associated bloodstream infe…