-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
August 01, 2025 - Assessment
For Effective Response
2016–2018
$1,499,414
Purpose: Evaluate a comprehensive approach to central … Additionally, a patient safety study implemented central venous catheter
protocols, leading to a decrease … national cohort of ICUs, investigators found
that Patient Safety Reporting Systems (PSRSs) can serve as a central … Johns Hopkins
University
Baltimore, Maryland
R18 HS027415
[Grant]
Disseminating a Patient
Centered Venous … Michigan, Ann
Arbor
Ann Arbor,
Michigan
R01 HS018050
[Grant]
Optimizing Prophylaxis
Against Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-2025.pdf
January 01, 2025 - Massachusetts
R01 HS030221
[Grant]
Complexity, Incidence, and
Costs Related to Delayed
Diagnosis of Venous … Cleveland Clinic to create
tools that physicians can use to assess an individual patient’s risk of both
venous … Key Findings/Impact: According to the final report, researchers
developed an improved venous thromboembolism
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - - Central counties in metro areas of 1 million or more population. … As of 2016, NPCR supports central registries and promotes the use of registry
data in 46 states, the … Since 2001, central cancer
registries have been reporting data annually. … - Central counties in metro areas of 1 million or more population. … Healthcare Quality and Disparities Report Data Sources
Measure Primary Domain Data Period
Postoperative Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Dickerman_84.pdf
June 04, 2008 - the medical analogy: A group of interns is each directed to perform an
appendectomy or to place a central … venous access line, and each cuts the patient in a different
location, in a different direction, and
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.html
December 01, 2017 - Paul Tedrick conference with the American Hospital Association on September 10 th , 2013, at 11:00AM Central … With immobility comes venous thrombo-embolism and falls. … Central to this is nurse-provider relationships and communication. I can’t stress this enough.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
September 10, 2013 - Paul Tedrick conference with the American Hospital Association on September 10th, 2013, at 11:00AM Central … With immobility comes venous thrombo-embolism and falls. … Central to this is nurse-provider relationships and communication. I can’t stress this enough.
-
www.ahrq.gov/sites/default/files/2025-03/sapirstein-report.pdf
January 01, 2025 - Key Words: age, DRG, staffing, mobility, delirium, ventilator, central line
Purpose
The susceptibility … binary
variable, which was coded as ‘1’ if a patient experienced at least one event pertaining to central … These were each coded as binary variables of ‘1’ if the
patient received a central line bundle, mobility … therapy, mechanical and pharmacological venous
thromboembolism (VTE) therapy, ventilation therapy,
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/overview/background/corebackgrnd.pdf
January 01, 2013 - a A central line allows concentrated solutions to be infused with less risk of complications. … It permits monitoring of
special blood pressures including the central venous pressure, the pulmonary … The central line can be used for the estimation of cardiac output and vascular resistance. … A
central line saves having to have frequent small injections or "drips" placed in the arms. … A central line may also
allow a patient to have medicine or fluids at home instead of in the hospital
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meurer.pdf
January 01, 2004 - Health care guideline: venous thromboembolism.
Bloomington, MN: ICSI. 2002 Jan.
16. … Preventing complications of
central venous catheterization. N Engl J Med 2003;
348:1123–33.
19.
-
www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
January 01, 2024 - serious medical error related to the performance
of an invasive procedure, such as placement of a
central … venous or arterial catheter
Serious Diagnostic Error A serious medical error related to the performance
-
www.ahrq.gov/sites/default/files/2024-12/nishimi-report.pdf
January 01, 2024 - evidence-based care for acute myocardial
infarction;
• medication reconciliation;
• prevention of central … National Voluntary Consensus Standards for Prevention and Care of Venous
Thromboembolism (VTE)
On May … National Voluntary Consensus Standards for Prevention and Care of Venous
Thromboembolism (VTE)
On May
-
www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - Study 1: Risk adjustment is central to the generation of health outcome report cards. … postoperative physiologic and metabolic derangement, and
postoperative pulmonary embolism or deep venous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
January 01, 2016 - Best practices for insertion of
central venous catheters in intensive-care units to
prevent catheter-related
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Baker_107.pdf
March 30, 2008 - Jude’s Central Protocol and Data Monitoring Office confirms clinical
trial or single patient treatment … using at
least two methods (typically name and medical record number), is completed, and appropriate
venous
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-228-fullreport.pdf
February 01, 2018 - refill of 2 seconds or less, normal pulses with no differential between the quality of
peripheral and central … Brierley, et al., 2009; Dellinger, et al., 2013), decreased lactate, decreased
base deficit, and mixed venous
-
www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
January 01, 2024 - Dashboard was built around 13 safety domains: Code Status,
Glucose Control, Nutrition, Bowel Regimen, Venous … For VTE prophylaxis and central line use, effects were neutral or
negative. … patient-days with hyperglycemia, use of sedatives in
patients at high fall risk, and patient-days with central
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Duke Health Systems Laura Maynard, MDiv
Mayo Clinic Lori Scanlan-Hanson, RN, MS
University of Central … Patient Safety Through Enhanced Provider Communication'
‘Improving Warfarin Management'
‘Interactive Venous … Research Highlights: Program Brief'
‘Problems and Prevention: Chest Tube Insertion (DVD)'
‘Reducing Central … 427 -- Nosocomial Infections 3
450 -- Patient Falls 11
428 -- Pressure Ulcers 5
430 -- Venous
-
www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
January 01, 2024 - These included pulmonary failure, pneumonia, myocardial infarction, deep
venous thrombosis/pulmonary
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-datasources.pdf
October 01, 2019 - As of 2015, NPCR supports
central registries and promotes the use of registry data in 45 States, the … The categories reported include Mexican, Puerto Rican, Cuban, Central and
South American, and Other … The categories reported include Mexican, Puerto Rican, Cuban, Central and
South American, and Other … • Metropolitan counties include:
o Large Central - Central counties in metro areas of 1 million … 2002-2007 and 2009-2016
Postoperative Pneumonia Infection 2002-2007 and 2009-2016
Postoperative Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - Implementation of the TRIP model in combination with CUSP has been associated with
significant reductions in central … A defect is anything you don’t want to happen again–an
unsafe condition, a patient fall, a venous thromboembolism … The
Rhode Island ICU collaborative: a model for
reducing central line-associated bloodstream
infection … Eliminating central-line associated bloodstream
infections: a national patient safety
imperative.