-
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
-
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
-
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
-
www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
June 01, 2025 - General Clinical Topics Infection Control: Carbapenem-Resistant Enterobacteriaceae Infection Control: Central … Hospitalized or Institutionalized Elders Sepsis Recognition Surgery, Anesthesia, and Perioperative Medicine Venous … Dedicated Staff (Not reviewed) (Not reviewed) Summary of Evidence (Not reviewed) Infection Control: Central … Room Integration and Display Systems (Not reviewed) Summary of Evidence (Not reviewed) (Not reviewed) Venous … Thromboembolism Patient Safety Practices MHS I (2001) MHS II (2013) MHS III (2020) MHS IV (2023-24) Prevention of Venous
-
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
-
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
-
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
-
www.ahrq.gov/hai/decolonization/index.html
May 01, 2025 - Patients with specific medical devices (central venous catheters, midline catheters, and lumbar drains
-
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
-
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
-
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
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - thromboembolic events
• Bloodstream infection in adult patients receiving central venous catheter … Venous Catheters for Dialysis
• Importance: In hemodialysis patients, central venous catheters (CVCs … Hemodialysis patients age 18 years and over who had
central venous catheters used for vascular access … Hemodialysis patients age 18 years and over who had
central venous catheters used for vascular access … Bloodstream infection event (central line-associated bloodstream
infection and non-central line-associated
-
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
-
www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 4. … risk factors identified were known thrombophilia, hospital stay ≥6 days, inflammatory bowel disease, central … venous catheter placement, and cancer (among adults <65 years). … Age ≥85 years, hepatic failure with an INR >1.5, GFR <30mL/min/m 2 , ICU or CCU admission, central venous … A validation of a retrospective venous thromboembolism risk scoring method.
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - Preventing Hospital-Associated Venous Thromboembolism
Chapter 4. … risk factors identified were known thrombophilia, hospital stay ≥6 days, inflammatory bowel disease, central … venous catheter placement, and cancer (among adults <65 years). … Age ≥85 years, hepatic failure with an INR >1.5, GFR <30mL/min/m 2 , ICU or CCU admission, central venous … A validation of a retrospective venous thromboembolism risk scoring method.
-
www.ahrq.gov/sites/default/files/publications/files/simulation-brief.pdf
February 01, 2015 - venous access line. … Likewise,
procedural skills that are found in surgery or in placing a central line require
a unique … venous catheter insertion skills.16 Mastery learning represents a different
way of thinking about … Representative of the diversity were awards that focused on
central venous catheter insertion, diagnosis … Long-term retention of central
venous catheter insertion skills after simulation-based mastery learning
-
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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
March 01, 2016 - 0.00606061 19.8884023
PDI 11 PDI #11 Postoperative Wound Dehiscence Rate 0 32 0 0.96714253
PDI 12 PDI #12 Central … Venous Catheter-Related Blood Stream
Infection
7 175 0.04 1.00410523
PDI 13 PDI #13 Transfusion … PDI #11 Postoperative Wound
Dehiscence Rate
0 32 0 0.001265 0 0.96714253 0 0.001665
PDI #12 Central … Venous Catheter-
Related Blood Stream Infection Rate
7 175 0 0.001144 0 0.002428 0 0.002309
PDI
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
October 01, 2015 - PDI 10 Postoperative Sepsis Rate 14.33
PDI 11 Postoperative Wound Dehiscence Rate 1.12
PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate 0.76
PDI 13 Transfusion Reaction Count N/A*