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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2012
November 02, 2012 - calculation for identifying "Top Performers" included three new accountability measure sets: stroke, venous … for heart attacks, pneumonia, surgical care, children's asthma care, inpatient psychiatric services, venous … November 2, 2012
Preventing Central Line–Associated Bloodstream Infections: a Global
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psnet.ahrq.gov/issue/management-arterial-lines-and-blood-sampling-intensive-care-threat-patient-safety
November 12, 2014 - bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … November 17, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central … April 1, 2009
WebM&M Cases
Central Line Clot
May
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psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - Venous thromboembolism, ventilator-associated pneumonia, central
line–related infection, and urinary … now would be that chlorhexidine be used rather than povidone iodine, and ideally it would
be in the central … venous catheter kits. … barriers that we used in the past, and that the large drape be either in the kit or be part of the central … venous catheter kit.
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - There has been substantial focus on the risks associated with central venous catheters including catheter … occurs in 0.1% cases (0.5 per 1000 IV catheter-day), although the frequency is lower
than that of central … Risk factors for infusion-related phlebitis with small peripheral venous catheters. … randomised trial of povidone-iodine, alcohol, and
chlorhexidine for prevention of infection associated with central … venous and arterial catheters.
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psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates
August 20, 2018 - Prevention of central line–associated bloodstream infections represents one of the patient safety movement's … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … October 13, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
May 08, 2019 - June 7, 2023
Toolkit for Reducing Central Line-Associated Blood Stream Infections. … April 27, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … September 1, 2008
WebM&M Cases
Central Line Clot
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
November 23, 2016 - The Joint Commission has added new accountability measures over the past few years for stroke care, venous … Major gains were found this year in the quality of perinatal care , children's asthma, venous thromboembolism … December 1, 2010
Preventing Central Line–Associated Bloodstream Infections: a Global
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psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Thus, she was given doxycycline, a second-line agent for this organism, and had her central venous catheter … A repeat blood culture grew VRE, which necessitated removal and re-placement of yet another central venous … physical exam with special attention to the skin for soft tissue infections, infections associated with venous … Colonization of central lines can likewise herald infection. … venous catheters from hospitals in the Prevention Epicenter Program.
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psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - Each center examined its peer's prevention of central line–associated bloodstream infections (CLABSI … They resulted in rapid practice changes such as dissemination of unit-specific CLABSI rates and central … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … October 13, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/issue/influence-comprehensive-unit-based-safety-program-icus-evidence-keystone-icu-project
January 22, 2016 - safety culture improved in units with CUSP implementation, the intervention did not reduce incidence of central … January 2, 2017
A multicenter, phased, cluster-randomized controlled trial to reduce central … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … November 17, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/issue/avoiding-potential-harm-improving-appropriateness-urinary-catheter-use-18-emergency
June 08, 2016 - June 8, 2016
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream … February 7, 2022
Strategies to prevent central line-associated bloodstream infections … November 16, 2015
Do clinicians know which of their patients have central venous catheters
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psnet.ahrq.gov/issue/there-benefit-multidisciplinary-rounds-open-trauma-intensive-care-unit-regarding-ventilator
January 06, 2010 - April 27, 2019
Trends in central line–associated bloodstream infections in a trauma-surgical … March 2, 2011
Elimination of central-venous-catheter-related bloodstream infections from … February 1, 2011
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
May 28, 2008 - December 21, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated … bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central … 21, 2013
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.
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psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
September 16, 2020 - September 16, 2020
Improving peripherally inserted central catheter appropriateness and … August 14, 2019
Do clinicians know which of their patients have central venous catheters
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psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety
March 01, 2008 - Residents were expected to independently perform and teach most medical procedures (central venous line … Central venous lines (CVL) and thoracenteses are performed under the direct supervision of interventional … Venous Line Placements (CVL) (Go to table citation in commentary)
Procedure
… Sample Portion of the Self-Assessment Quiz for Central Venous Line Placement. … After a central line is placed, whether it is a PICC, a hemodialysis catheter, or a central line, those
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psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
March 27, 2024 - possible that the patient’s presenting signs of tachycardia and hypotension stemmed from an HIT-related central … venous or arterial thrombotic event, such as myocardial infarction or pulmonary embolism. … Although HIT is complicated by symptomatic venous thrombosis more often than arterial thrombosis ( 7 … Administration of heparin in quantities as small as those routinely used to flush central venous catheters … Electronic alerts to prevent venous thromboembolism among hospitalized patients.
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psnet.ahrq.gov/issue/explaining-michigan-developing-ex-post-theory-quality-improvement-program
April 04, 2011 - View More
Related Resources
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated … bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central … 4, 2013
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England. … October 13, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
January 27, 2021 - June 21, 2023
Safety Risk of Air Embolus Associated with Central Venous Catheters Used … April 26, 2023
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - Central, not Epidural
September 1, 2011
Simmons D. Central, not Epidural. … https://psnet.ahrq.gov/web-mm/central-not-epidural
The Case
A 55-year-old man with lung cancer recently … He was receiving total parenteral nutrition (TPN) and lipids
through a central venous catheter inserted … , inadvertently attached the new lipid bottle to the Y-site of the epidural tubing rather than the
central … venous line.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
August 01, 2006 - Recent study cites inability of ICU personnel to accurately determine the jugular venous pressure, calling … for central venous access for determination of this parameter
Medical students performed best, residents … Clinical assessment of central venous pressure in the critically ill.