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psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
April 01, 2008 - venous catheter with a subcutaneous port. … In numerous studies of central venous cannulation in children and adults, the experience of the proceduralist … Central line complications. … Hickman central venous catheters in children: open versus percutaneous technique. … Prospective analysis of percutaneous central venous catheterization in infants <4.0 kg undergoing cardiac
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Simulation-based mastery learning reduces complications during central venous catheter insertion in a … Use of simulation-based mastery learning to improve the quality of central venous catheter placement … Preventing complications of central venous catheterization. … Simulation-based mastery learning reduces complications during central venous catheter insertion in a … Use of simulation-based mastery learning to improve the quality of central venous catheter placement
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - venous catheters and subcutaneous venous ports.1
While PICCs offer several benefits to patients and … Inpatient venous access practices: PICC
culture and the kidney patient. … Ultrasound-guided peripheral venous access: a meta-
analysis and systematic review. … Advantages and disadvantages of
peripherally inserted central venous catheters (PICC) compared to other … central venous lines: a
systematic review of the literature.
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psnet.ahrq.gov/node/47952/psn-pdf
January 01, 2020 - This
commentary examines factors that contribute to central venous catheterization mistakes and applies … The authors suggest steps before,
during, and after central venous catheter placement to support safe
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Fibrin sheath enhances central venous catheter infection. Crit Care Med. 2002;30:908-912. … The relationship between the thrombotic and infectious complications of central venous catheters. … Central venous catheters in home infusion care: outcomes analysis in 50,470 patients. … venous catheters. … The clinical effectiveness and cost-effectiveness of central venous catheters treated with anti-infective
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.197_slideshow.ppt
April 01, 2009 - venous catheters
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*
Case: PICC Line Breakage
Born at 27 weeks’ gestation, a premature infant … had a standard, silastic, 1.9 F percutaneously inserted central venous catheter (PICC) placed on day … The peripherally inserted central catheter. … Placement and management of long-term venous access catheters and ports. … Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population.
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psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - Commentary
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism … National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. … Venous thromboembolism (VTE) is a preventable condition that can contribute to maternal harm . … National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. … Held Too Long
April 1, 2010
WebM&M Cases
Central
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psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
June 21, 2016 - preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous … July 19, 2018
Practices to prevent venous thromboembolism: a brief review. … May 24, 2012
Eliminating central line-associated bloodstream infections: a national patient … July 2, 2019
ASH Clinical Practice Guidelines on Venous Thromboembolism. … January 9, 2019
Practices to prevent venous thromboembolism: a brief review.
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psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - Central venous catheters are placed directly into the central veins, usually the subclavian, internal … Evidence-based practice: improving outcomes for patients with a central venous access device. … National survey of central venous catheter flushing in the intensive care unit. … How to obtain a specimen from a central venous catheter. Nursing. 2000;30:14. … A simulation-based "just in time" and "just in place" central venous catheter education program.
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psnet.ahrq.gov/node/838020/psn-pdf
September 07, 2022 - Families’ experiences of central-line infection in children:
a qualitative study. … Families’ experiences of central-line infection in children: a qualitative
study. … https://psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study … venous access device
(CVAD). … Parents highlight the persistent fear of central line-associated blood stream infections as well as
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psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - The nurse's lack of
familiarity with the specific type of central venous catheter (CVC) and improper … Central venous catheters are placed directly into the central veins, usually the subclavian, internal … Evidence-based practice: improving outcomes for patients with a central venous access
device. … National survey of central venous catheter flushing in the intensive care
unit. … How to obtain a specimen from a central venous catheter. Nursing. 2000;30:14. [go to PubMed]
10.
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psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - This commentary examines factors that contribute to central venous catheterization mistakes and applies … The authors suggest steps before, during, and after central venous catheter placement to support safe … June 1, 2017
WebM&M Cases
Departure From Central
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - reduced using this technique for central venous catheter insertion.( 9,22 ) Simulation-based mastery … learning (SBML) for central venous catheter insertion improves skills ( 9-11 ), retention of skills … Simulation-based mastery learning reduces complications during central venous catheter insertion in a … Use of simulation-based mastery learning to improve the quality of central venous catheter placement … Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123-1133.
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psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - After resuscitation and stabilization, he was
noted to have venous congestion and soft tissue damage … venous access is not available. … Erosion of the venous wall may be induced by endovascular inflammation from movement of
the catheter … venous catheter, if possible, over
an appropriate amount of time. … Vesicants should be infused via a central line or by a large-bore IV catheter placed in a deep vein.
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - catheter insertion.(9,22) Simulation-based mastery learning (SBML) for central venous catheter
insertion … Simulation-based mastery learning
reduces complications during central venous catheter insertion in … Use of simulation-based mastery
learning to improve the quality of central venous catheter placement … Preventing complications of central venous catheterization. N Engl J Med.
2003;348:1123-1133. … Long-term retention of central venous catheter
insertion skills after simulation-based mastery learning
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psnet.ahrq.gov/issue/just-what-doctor-ordered-missed-ordering-venous-thromboembolism-chemoprophylaxis-associated
September 07, 2022 - Study
Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis … Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated … Hospital-acquired venous thromboembolism (VTE) remains a significant source of preventable patient … July 19, 2023
Eliminating central line-associated bloodstream infections: a national … May 10, 2023
Modes of failure in venous thromboembolism prophylaxis.
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psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - After resuscitation and stabilization, he was noted to have venous congestion and soft tissue damage … venous access is not available. … Erosion of the venous wall may be induced by endovascular inflammation from movement of the catheter … venous catheter, if possible, over an appropriate amount of time. … During infusion of fluids, IV catheters can become dislodged and/or penetrate through the venous wall
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psnet.ahrq.gov/issue/explaining-matching-michigan-ethnographic-study-patient-safety-program
August 20, 2018 - Matching Michigan program attempted to replicate the success of the Keystone ICU study at preventing central … October 21, 2020
Families’ experiences of central-line infection in children: a qualitative … 1, 2013
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England. … September 20, 2011
Elimination of central-venous-catheter-related bloodstream infections
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - Bedside cannulation of the central circulation for measurement of central
venous pressure and for vasopressor … venous insertion has declined from its initially reported rate of 2% to below 1%. … Relative value of central-venous-pressure monitoring and blood-volume measurement in the
management … Preventing complications of central venous catheterization. N Engl J Med.
2003;348:1123-1133. … Delayed pneumothorax after central venous
access: a potential hazard. Am Surg. 1993;59:587-589.
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psnet.ahrq.gov/web-mm/cognitive-overload-icu
June 01, 2005 - Bedside cannulation of the central circulation for measurement of central venous pressure and for vasopressor … venous insertion has declined from its initially reported rate of 2% to below 1%. … Relative value of central-venous-pressure monitoring and blood-volume measurement in the management of … Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123-1133. … Delayed pneumothorax after central venous access: a potential hazard. Am Surg. 1993;59:587-589.