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psnet.ahrq.gov/node/45972/psn-pdf
April 05, 2017 - Comparing catheter-associated urinary tract infection
prevention programs between Veterans Affairs nursing
homes and non–Veterans Affairs nursing homes.
April 5, 2017
Mody L, Greene T, Saint S, et al. Comparing Catheter-Associated Urinary Tract Infection Prevention
Programs Between Veterans Affairs Nursing Homes a…
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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 …
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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…
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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.…
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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…
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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…
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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…
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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…
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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…
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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: …
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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:/…
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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.…
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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…
-
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…
-
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…
-
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…
-
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…
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psnet.ahrq.gov/node/35643/psn-pdf
June 24, 2010 - Preventing catheter-associated bloodstream infections: a
survey of policies for insertion and care of central venous
catheters from hospitals in the Prevention Epicenter
Program.
June 24, 2010
Warren DK, Yokoe D, Climo MW, et al. Preventing catheter-associated bloodstream infections: a survey of
policies for inse…
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psnet.ahrq.gov/node/40502/psn-pdf
January 01, 2020 - New 2012 National Patient Safety Goal - catheter-
associated urinary tract infection (CAUTI).
June 1, 2011
Joint Commission.
https://psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-
infection-cauti
This announcement reveals the new National Patient Safety Goal for 2012…
-
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 …