-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Shah_99.pdf
March 23, 2008 - line, and sustaining a complication”; (b) “Giving patient
pneumothorax post-central venous access placement … Context: Placing central venous access in patient
Standard of care: Checking coagulants
Injury: Hematoma … Context: Post Central venous access placement
in patient
Standard of care: Checking a chest x ray … Context: Placing central venous access in patient
Standard of care: Checking coagulants
Injury: Hematoma … Context: Post Central venous access placement in
patient
Standard of care: Checking a chest x ray
-
www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Tract Infections
250,000
7.6
CLABSIs
MPSMS (2014)
Blood Stream Infections Associated With Central … Venous Catheters
5,000
0.2
Falls
MPSMS (2014)
In-Hospital Patient Falls
260,000
7.9 … Infections
400,000
250,000
150,000
38%
$150,000,000
3,495
Central … 50%
20%
106,000
$1,000
.023
$106,000,000
2,470
Central … 25%
10,000
$21,000
.144
$210,000,000
1,438
(Post-op) Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - Venous Catheter-Related Bloodstream
Infection [CLABSI]). … Validity of the AHRQ Patient Safety Indicator
“central venous catheter-related bloodstream infections … PDI 12 Central Venous Catheter-
Related Blood Stream
Infection
Differentiate between a central line … CV-CRBSI is “infection due to central venous catheter,” which means that the catheter is the source … PDI 12 Central Venous
Catheter-Related
Bloodstream
Infections (CV-
CRBI)
X Bloodstream infections
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 02, 2025 - Surgical Item or Unretrieved Device Fragment Count
• PSI 06 Iatrogenic Pneumothorax Rate
• PSI 07 Central … Venous Catheter-Related Blood Stream Infection Rate
• PSI 08 Postoperative Hip Fracture Rate
• PSI … Failure Rate
• PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound Dehiscence Rate
• PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate
In addition, a more general best practices form
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-l.pdf
September 01, 2015 - immobility (Foley is considered a "one-point
restraint"), hospital-acquired pressure ulcers, falls, and venous … Enhancing the Safety of Critically Ill Patients by Reducing Urinary and Central
Venous Catheter-related
-
www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - Venous Thromboembolism
10. … Thus, the remaining patients are those requiring longer-
term devices (e.g., central venous access for … Venous/adverse effects"[Mesh]
OR “Central Venous Catheters/adverse effects”[mh] OR “Catheters, Indwelling … /adverse effects”[mh] OR “umbilical
catheter”[tiab] OR central line*[tiab] OR central venous catheter … Venous Thromboembolism
Exhibit D8. Venous Thromboembolism continued
Exhibit D9.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - Venous Thromboembolism
10. … Thus, the remaining patients are those requiring longer-
term devices (e.g., central venous access for … Venous/adverse effects"[Mesh]
OR “Central Venous Catheters/adverse effects”[mh] OR “Catheters, Indwelling … /adverse effects”[mh] OR “umbilical
catheter”[tiab] OR central line*[tiab] OR central venous catheter … Venous Thromboembolism
Exhibit D8. Venous Thromboembolism continued
Exhibit D9.
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Appendix C: VTE Measurement and Tracking … Previous Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism … track these separately, as efforts to improve upper extremity DVT might focus on reducing inappropriate central … venous catheter use as much as on increasing pharmacologic prophylaxis. … 453.85
Acute venous embolism and thrombosis of subclavian veins
453.86
Acute venous
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
May 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Appendix C: VTE Measurement and Tracking … Previous Page
Table of Contents
Preventing Hospital-Associated Venous Thromboembolism … track these separately, as efforts to improve upper extremity DVT might focus on reducing inappropriate central … venous catheter use as much as on increasing pharmacologic prophylaxis. … 453.85
Acute venous embolism and thrombosis of subclavian veins
453.86
Acute venous
-
www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - For example, according to CDC’s March 2014 Healthcare-Associated Infections
Progress Report,
1
central … In the case of CLABSI, only patients
who received a central line as part of their inpatient care are … http://www.ncbi.nlm.nih.gov/pubmed/19194330
Central Line-Associated Bloodstream Infections
CDC Vital … Signs—Central line associated blood stream infections—U.S. 2001, 2008, 2009. … Strategies to prevent central line–associated bloodstream infections in
acute care hospitals.
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide2.html
February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 2. … Delivery
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous … and Order Sets
Appendix C: VTE Measurement and Tracking
This chapter helps venous … The evidence is imperfect and not all venous thromboembolism (VTE) prophylaxis issues are black and white … Preventable risk factors (e.g., central line) are not optimally managed.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
February 01, 2016 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 2. … Delivery
Previous Page Next Page
Table of Contents
Preventing Hospital-Associated Venous … and Order Sets
Appendix C: VTE Measurement and Tracking
This chapter helps venous … The evidence is imperfect and not all venous thromboembolism (VTE) prophylaxis issues are black and white … Preventable risk factors (e.g., central line) are not optimally managed.
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - immobility (Foley is considered a "one-point restraint), hospital-acquired pressure ulcers, falls, and venous … Enhancing the Safety of Critically Ill Patients by Reducing Urinary and Central Venous Catheter-related
-
www.ahrq.gov/sites/default/files/publications/files/clabsineonatal.pdf
October 01, 2012 - activities related to central lines. … Configure
tubing consistently for each type of arterial or
venous access device. … Lines
Central lines were classified as: peripherally inserted central catheter (PICC), umbilical artery … catheter (UAC), umbilical venous catheter (UVC), Broviac (a surgically placed, tunneled central
venous … catheter), or “other” (all other percutaneously placed central lines).
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream … Tunneled (other than dialysis)
· Dialysis (tunneled)
· Dialysis (nontunneled)
· Peripherally inserted central … (Select all that apply)
· Hemodynamic monitoring
· Poor venous access
· Long-term antibiotics … Yes No Uncertain
10) Was the blood culture drawn from this central line?
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
January 01, 2017 - Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site)
8. … Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site)
8.
-
www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-tool.html
January 01, 2017 - Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site). … Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - venous catheter
complications 4.57 3.20 4.00 6.08 3.65 3.17 0.006b
Anticoagulation complications … The
central venous catheter complications injury indicator showed a significant difference between … venous catheter
complications during the study period. … This
might, for example, have accounted for the increase in reported central venous catheter
complications … Central venous catheter (CVC) complications:
• Infection/inflammation due to vascular device, implant
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
June 02, 2025 - Y Y Y Y Y
PSI 06 Iatrogenic Pneumothorax 0.5 0.6 1 $36,576 $ 36,576 N 2 1 1 Y Y Y Y Y
PSI 7 Central … Venous Catheter-Related Bloodstream Infections 3.2 0.9 25 $82,147 $ 2,053,675 Y 10 10 8 Y Y Y Y … PDI 11 Postoperative Wound Dehiscence Rate 0.0 1.1 0 $76,737 $ - 0 N 5 5 5 Y Y Y Y Y
PDI 12 Central … Venous Catheter-Related Blood Stream Infection 0.4 0.8 2 $121,010 $ 242,020 N 10 9 9 Y Y Y Y N
-
www.ahrq.gov/news/newsroom/case-studies/202004.html
July 01, 2020 - The number of central line-associated bloodstream infections in intensive care units (ICUs) decreased … ChristianaCare also used CUSP to decrease the use of central venous (blood-line) catheters in its ICUs … TeamSTEPPS®,
Surveys on Patient Safety Culture
Topic(s):
Care Coordination,
Central