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psnet.ahrq.gov/node/45080/psn-pdf
February 15, 2017 - intervention group showed some improvements in a few process measures, such as
use of low tidal volumes, central … venous catheters, and urinary catheters, but there was no difference in
secondary clinical outcomes
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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/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/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients
December 09, 2015 - 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 … 20, 2014
'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/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
December 12, 2018 - June 1, 2022
Do clinicians know which of their patients have central venous catheters … August 4, 2015
Improving appropriate use of peripherally inserted central catheters through
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psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
August 22, 2012 - June 26, 2019
Can residents detect errors in technique while observing central line insertions … View More
Related Resources
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
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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/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.
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psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
April 12, 2011 - 21, 2013
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England. … March 6, 2013
Eradicating central line–associated bloodstream infections statewide: the
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - tracks HAC rates, including rates of adverse
drug events, catheter-associated urinary tract infections, central … events, pressure ulcers, surgical site infections, ventilator-associated pneumonias,
and postoperative venous
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psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - 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.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
September 01, 2012 - Risk factors for infusion-related phlebitis with small peripheral venous catheters. … Clinically-indicated replacement versus routine replacement of peripheral venous catheters. … Clinically-indicated replacement versus routine replacement of 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/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
May 03, 2023 - April 10, 2024
Safety Risk of Air Embolus Associated with Central Venous Catheters Used
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psnet.ahrq.gov/issue/seeing-through-google-glass-using-innovative-technology-improve-medication-safety-behaviors
September 15, 2021 - the Same Author(s)
Simulation-based education enhances patient safety behaviors during central … venous catheter placement.
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psnet.ahrq.gov/issue/master-science-medical-and-healthcare-simulation
November 01, 2023 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central … venous catheter skills.
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - There has been substantial focus on the risks associated with central venous catheters including catheter-related … which 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/node/50929/psn-pdf
February 26, 2020 - At
that time, he still had a central venous catheter in place, despite the antibiotic course having … The patient had no signs or symptoms of infection and his central
line was removed without complications … The patient also lacked follow-up with an Infectious Diseases physician and the central venous access … laboratory tests, timely follow-up in the Infectious Diseases
clinic would have occurred, and the central … venous catheter would have been removed at completion of
therapy.
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psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
April 22, 2015 - May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … August 25, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba
March 01, 2008 - After a central line is placed, whether it is a PICC, a hemodialysis catheter, or a central line, those … 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.
-
psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety
June 08, 2022 - March 24, 2021
Simulation-based education enhances patient safety behaviors during central … venous catheter placement.