-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - to
identify opportunities for team members to discuss potential safety issues (e.g., patients with
central … lines, not on venous thromboembolism prophylaxis, etc.). … Patient Safety Checklist – Reviewed verbally by nurse
• Urinary catheter – present or absent
• Central … venous line – present or absent
• Falls risk – As assessed by the Morse score; includes whether the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
January 08, 2008 - pneumonia, sepsis) or myocardial ischemia; reduction of catheter-
associated bloodstream infections in central … Collaborative were focused on avoidable
perioperative complications, including surgical site infections, venous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide.pdf
September 01, 2015 - catheter and the
resulting immobility: urine infection, skin breakdown (pressure ulcers), and deep
venous … Utilize the help of
the central supply manager to obtain samples of new/improved condom catheters on … Engage the input of frontline staff to determine
which products to add to the hospital and unit Central
-
www.ahrq.gov/sites/default/files/publications/files/implementation-guide_0.pdf
September 01, 2015 - catheter and the
resulting immobility: urine infection, skin breakdown (pressure ulcers), and deep
venous … Utilize the help of
the central supply manager to obtain samples of new/improved condom catheters on … Engage the input of frontline staff to determine
which products to add to the hospital and unit Central
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/mission/budget/2021/FY_2021_CJ_NIRSQ.pdf
January 01, 2021 - The rate of opioid-related stays was higher among older women in the western and
north central United … NIRSQ will also complete the expansion of the CUSP projects aimed at reducing central line-
associated … ICUs that participated in AHRQ’s nationwide CUSP
implementation project for central line-associated … NIRSQ will also
complete the expansion of the CUSP project aimed at reducing central line-associated … Reconciliation;
• Nursing Home Antimicrobial Stewardship Modules;
• Preventing Hospital-Acquired Venous
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - important variables in the RegCox model were prior
GIB, atrial fibrillation, ischemic heart disease, and venous … associated with receipt of duplicated opioids, chronic opioid use, and
co-use of opioids with other central … Hopkins
University
Baltimore,
Maryland
R18 HS27415
[Grant]
Disseminating
a Patient
Centered Venous … Prevention Bundle
2020-2025
$400,000
Purpose: Empower patients to make informed decisions about their venous … Decline
in the Elderly With
Depression
2012-2016
$872,568
Final Report
Purpose: Evaluate the central
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Cleveland Clinic to create
tools that physicians can use to assess an individual patient’s risk of both venous
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - Bundles of Care have extrapolated care from the operating room to the bedside for the
performance of central … venous catheters, we believe that there is an opportunity to readdress the
way in which the surgical … fault trees for important safety problems such as medication errors,
serious and sentinel events, and central
-
www.ahrq.gov/sites/default/files/2025-02/griffey-report.pdf
January 01, 2025 - pressure; CPAP – continuous positive airway pressure; D50 – 50% Dextrose; US – ultrasound guided; CVC –
central … venous catheter; SBP – systolic blood pressure; O2 – oxygen; BNP - brain natriuretic peptide; CT – computed
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhospitalvisits-funcspecs_0.pdf
August 01, 2017 - * Circulatory problems include vascular disease, and venous and arterial ulcer.
** Medical conditions …
IV Access/Insertion and Fluids Diabetes
PICC Dysrhythmias
Central
-
www.ahrq.gov/sites/default/files/publications/files/lepguide.pdf
September 01, 2012 - as one of the
essential components of high-quality health care.2 Patient safety efforts are now a central … Examples include pneumothorax from central venous catheter
placement, anaphylaxis to penicillin, postoperative … there is evidence of racial and ethnic disparities in health care.32 Patient safety efforts are now a
central … of the literature and findings from our research, we
identified several key team behaviors that are central
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
May 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, and
decreased base deficit and mixed venous
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
April 02, 2018 - refill of 2 seconds or less, normal pulses with no differential between the quality of
peripheral and central … et al., 2009; Dellinger, et al., 2013), decreased lactate, decreased
12
base deficit and mixed venous
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
July 01, 2022 - admission/discharge/
transfer (ADT) data
� Access to RRT call/response data
Missed diagnosis
of deep venous … unique partnership between researchers at Baylor College of Medicine
(Houston, Texas) and Geisinger (central
-
www.ahrq.gov/sites/default/files/publications2/files/MeasureDx-guide.pdf
July 01, 2022 - admission/discharge/
transfer (ADT) data
� Access to RRT call/response data
Missed diagnosis
of deep venous … unique partnership between researchers at Baylor College of Medicine
(Houston, Texas) and Geisinger (central
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
November 30, 2013 - Doppler studies
MRI
Ultrasound
X rays
Other
IV Access/Insertion
and Fluids
PICC
Central … infection, sepsis or fever
or infection, dehydration, circulatory problems [includes
vascular disease, venous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - Debriefings
were central to understanding and improving such processes, because response to this
emergency … not address quality or safety issues related to surgical site infection,
maternal or newborn sepsis, venous
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/care-transitions-1.pdf
March 01, 2020 - Advancing high value transitional care: The central role of nursing and its leadership. … pulmonary
disease, diabetes
mellitus, spinal
stenosis, hip fracture,
peripheral vascular
disease, deep venous
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/sepsis-1.pdf
March 01, 2020 - Low/ moderate
Guerra et
al., 201314
A screening
tool using
point-of-care
venous lactate
meters … There was no
significant difference between alert
patients and nonalert patients
receiving central … Unlike hospital-based Early Goal-Directed
Therapy, no complex procedures, such as
central-line placement … to 66%
(p=0.001), the initial fluid bolus of ≥20
mL/kg increased from 23% to 70%
(p=0.001), and central
-
www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/kaward/kaward-evalreport.pdf
August 01, 2016 - survey and the AHRQ database, we performed
descriptive statistics, such as calculating measures of central … Use of venous access devices in hospitalized patients.