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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/tiered-approach-slides.pptx
April 01, 2022 - No. 17(22)-0019
April 2022
Objectives
Describe the tiered approach for central line-associated bloodstream … appropriately
Translating Evidence Into Practice (TRIP)
Improving Care of Patients With Urinary or Central … 3
Tiered Approach to CLABSI Prevention5-8
Abbreviations: CHG = chlorhexidine gluconate; CLABSI = central … line-associated blood stream infection; CVC = central venous catheter; GPS = Guide to Patient Safety … Review of strategies to reduce central line-associated bloodstream infection (CLABSI) and catheter-associated
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www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
October 18, 2012 - venous
line care? … venous catheters effective in a real-
world setting? … venous catheters. … venous line bundle: epidemiologic and economic
consequences. … Does not pertain to CLABSI specific HAI
Shorr AF,
2003
New choices for central venous catheters
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - venous
catheters (CVC); total hip and total knee replacement; postoperative pneumonia,
postoperative … The concept of patient safety is central to any discussion of the MPSMS. … venous catheter; DVT = deep vein thrombosis; PE = Pulmonary embolism; UTI =
urinary tract infection … Central venous
catheters, for example, apply it to a large chart-based data source, and identify an … venous catheters [CVC]; total hip and total knee
replacement; postoperative pneumonia, postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
June 02, 2025 - Postoperative
Wound Dehiscence
Rate
0.0 1.1 0 $76,737 $ - 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
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www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
December 01, 2014 - Catheter-Associated Urinary Tract Infections
400,000
290,000
110,000
28%
$110,000,000
2,563
Central … Ventilator-Associated Pneumonias
38,000
37,000
1,000
3%
$21,000,000
144
(Post-op) Venous
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-slides.html
February 01, 2017 - Central venous catheter dislodgement (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site).
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www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Central Line-Associated Blood Stream Infections.
Clostridium difficile Infections.
Falls. … Venous Thromboembolism.
Ventilator-Associated Pneumonia. … Pressure Ulcers
Surgical Site Infections
Ventilator Associated Pneumonia
Venous … to insertion or access of a central line or umbilical catheter during the hospital stay. … Venous Thromboembolism (VTE)
A deep vein thrombosis (DVT) or pulmonary embolism (PE) developing among
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
June 02, 2025 - 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
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - First, the definition of venous thromboembolism events has been expanded beyond post-operative events … effective at reducing the risk of developing these HACs early in the exposure to the related devices (e.g., central … Thus, the remaining patients are those requiring longer-term devices (e.g., central venous access for
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4j_combo_psi13-sepsis-bestpractices.pdf
May 20, 2016 - despite volume resuscitation (septic
shock) or initial lactate > 4 mmol/L (36 mg/dL):
Measure central … venous pressure (CVP).*
Measure central venous oxygen saturation (ScvO2).*
Remeasure lactate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 02, 2025 - PSI 03 Pressure Ulcer
PSI 06 Iatrogenic
Pneumothorax
PSI 07 Central Venous
Catheter-Related
Bloodstream … Rate on scale of 10 (agree/high) to 0 (disagree/low)
PDI 12 Central … Venous
Catheter-Related Blood
Stream Infection Rate
PDI 03 Retained
Surgical Item or
Unretrieved
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www.ahrq.gov/hai/decolonization/index.html
May 01, 2025 - Patients with specific medical devices (central venous catheters, midline catheters, and lumbar drains
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.pdf
June 02, 2025 - , or aortic 01926
Anesthesia for therapeutic interventional radiological procedures involving the venous … /lymphatic
system (not to include access to the central circulation); intracranial 01933
Ventricular … unspecified site
(includes cavernous malformation)
228.00
Phlebitis/thrombophlebitis of intracranial
venous … Cerebral aneurysm, nonruptured 437.3
Moyamoya disease 437.5
Nonpyogenic thrombosis of intracranial venous … includes anteriovenous malformation)
Cerebrovascular anomalies 747.81
Other (aneurysm) 747.89
Other venous
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-slides.pptx
January 01, 2017 - Nasal feeding tube dislodgement
Oral feeding tube dislodgement
Percutaneous feeding tube dislodgement
Central … venous catheter dislodgement (not femoral site), including peripherally inserted central catheter line … Central venous catheter dislodgement (femoral site)
Arterial catheter dislodgement (not femoral site
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
May 20, 2016 - o Diminished cardiac output and dropping central venous pressure.
o Reductions in urine output. … AAOS guideline on preventing venous thromboembolic disease in patients undergoing
elective hip and knee
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.pdf
June 02, 2025 - unspecified site
(includes cavernous malformation)
228.00
Phlebitis/thrombophlebitis of intracranial venous … Cerebral aneurysm, nonruptured 437.3
Moyamoya disease 437.5
Nonpyogenic thrombosis of intracranial venous … includes anteriovenous malformation)
Cerebrovascular anomalies 747.81
Other (aneurysm) 747.89
Other venous … , or aortic 01926
Anesthesia for therapeutic interventional radiological procedures involving the venous … /lymphatic
system (not to include access to the central circulation); intracranial 01933
Ventricular
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 02, 2025 - Failure Rate
• PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound Dehiscence Rate
• PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate
Pediatric Toolkit for Using the AHRQ Quality
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement outlines … the latest evidence on how to lead a quality improvement effort to prevent hospital-acquired venous … customizable, educational toolkit aims to help hospital intensive care units (ICUs) reduce rates of central
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www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
December 01, 2014 - Tract Infections
530,000
40%
50%
20%
106,000
$1,000
.023
$106,000,000
2,470
Central … Pneumonias
40,000
50%
50%
25%
10,000
$21,000
.144
$210,000,000
1,438
(Post-op) Venous
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0206-technicalspecs.pdf
May 01, 2016 - unspecified site
(includes cavernous malformation)
228.00
Phlebitis/thrombophlebitis of intracranial
venous … Cerebral aneurysm, nonruptured 437.3
Moyamoya disease 437.5
Nonpyogenic thrombosis of intracranial venous … includes anteriovenous malformation)
Cerebrovascular anomalies 747.81
Other (aneurysm) 747.89
Other venous … or aortic 01926
Anesthesia for therapeutic interventional radiological procedures involving the
venous … /lymphatic system (not to include access to the central circulation); intracranial 01933
Ventricular