-
www.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - The display improved provider's awareness of indwelling urinary catheters, central venous catheters, … The improvement in provider awareness of central venous catheters was significant for intervention rooms
-
psnet.ahrq.gov/issue/management-arterial-lines-and-blood-sampling-intensive-care-threat-patient-safety
November 12, 2014 - bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … November 17, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central … April 1, 2009
WebM&M Cases
Central Line Clot
May
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Adverse Drug Events 1,001,000 33.7
Catheter-Associated Urinary Tract
Infections
170,000 5.7
Central … CDI MPSMS Clostridioides difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central … Venous Catheters
Falls MPSMS In-Hospital Patient Falls
Obstetric
Adverse
Events
PSI OB Trauma … Venous
Catheters
Falls MPSMS In-Hospital
Patient Falls
239,286 8.04 225,199 7.57 223,106 7.50 … Venous
Catheters
MPSMS Postoperative
Cardiac Events
32,773 1.10 28,768 0.97 22,103 0.74 45,886
-
psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - Venous thromboembolism, ventilator-associated pneumonia, central
line–related infection, and urinary … now would be that chlorhexidine be used rather than povidone iodine, and ideally it would
be in the central … venous catheter kits. … barriers that we used in the past, and that the large drape be either in the kit or be part of the central … venous catheter kit.
-
www.ahrq.gov/patient-safety/resources/simulation/terms.html
January 01, 2025 - Some examples of this simulation work include inserting ultrasound-guided central venous catheters, diagnosing
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
January 01, 2022 - venous catheter
7 2944 0.2 0.1 – 0.5
Non-OR related burn or electric shock
events
1 22678 0.0 … venous
catheter
1 644 0.2 0.0 –
0.9
6 2300 0.3 0.1 –
0.6
Non-OR related burn
or electric … At Risk
AE
Rate
(%) 95% CI
Venous
Thromboembolism
(VTE)
29 11746 0.3 0.2 – 0.4 36 9903 0.4 … venous
catheter
0 619 0.0 0.0 –
0.6
7 2249 0.3 0.2 –
0.6
Non-OR related
burn or electric … venous
catheter
4 1460 0.3 0.1 –
0.7
3 1408 0.2 0.1 – 0.6
Non-OR related
burn or electric
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
January 01, 2022 - venous catheter
7 2944 0.2 0.1 – 0.5
Non-OR related burn or electric shock
events
1 22678 0.0 … venous
catheter
1 644 0.2 0.0 –
0.9
6 2300 0.3 0.1 –
0.6
Non-OR related burn
or electric … At Risk
AE
Rate
(%) 95% CI
Venous
Thromboembolism
(VTE)
29 11746 0.3 0.2 – 0.4 36 9903 0.4 … venous
catheter
0 619 0.0 0.0 –
0.6
7 2249 0.3 0.2 –
0.6
Non-OR related
burn or electric … venous
catheter
4 1460 0.3 0.1 –
0.7
3 1408 0.2 0.1 – 0.6
Non-OR related
burn or electric
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
January 01, 2022 - venous catheter
7 2944 0.2 0.1 – 0.5
Non-OR related burn or electric shock
events
1 22678 0.0 … venous
catheter
1 644 0.2 0.0 –
0.9
6 2300 0.3 0.1 –
0.6
Non-OR related burn
or electric … At Risk
AE
Rate
(%) 95% CI
Venous
Thromboembolism
(VTE)
29 11746 0.3 0.2 – 0.4 36 9903 0.4 … venous
catheter
0 619 0.0 0.0 –
0.6
7 2249 0.3 0.2 –
0.6
Non-OR related
burn or electric … venous
catheter
4 1460 0.3 0.1 –
0.7
3 1408 0.2 0.1 – 0.6
Non-OR related
burn or electric
-
psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - There has been substantial focus on the risks associated with central venous catheters including catheter … occurs in 0.1% cases (0.5 per 1000 IV catheter-day), although the frequency is lower
than that of central … Risk factors for infusion-related phlebitis with small peripheral venous catheters. … randomised trial of povidone-iodine, alcohol, and
chlorhexidine for prevention of infection associated with central … venous and arterial catheters.
-
psnet.ahrq.gov/issue/quality-traditional-surveillance-public-reporting-nosocomial-bloodstream-infection-rates
August 20, 2018 - Prevention of central line–associated bloodstream infections represents one of the patient safety movement's … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … October 13, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
April 01, 2022 - Short-term central venous catheter dressing changed daily, despite site being clean, dry, and intact … Daily central line maintenance bundle checklist to assess dressing and documentation of date changed … Reduction of central venous catheter associated blood stream infections following implementation of a … Preventing Central Line-Associated Bloodstream Infections: Useful Tools, An International Perspective … Strategies to prevent central line-associated bloodstream infections in acute care hospitals: 2014 update
-
psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
May 08, 2019 - June 7, 2023
Toolkit for Reducing Central Line-Associated Blood Stream Infections. … April 27, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … September 1, 2008
WebM&M Cases
Central Line Clot
-
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
-
psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2014
November 23, 2016 - The Joint Commission has added new accountability measures over the past few years for stroke care, venous … Major gains were found this year in the quality of perinatal care , children's asthma, venous thromboembolism … December 1, 2010
Preventing Central Line–Associated Bloodstream Infections: a Global
-
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
-
psnet.ahrq.gov/web-mm/inappropriate-antibiotic-use
September 22, 2010 - Thus, she was given doxycycline, a second-line agent for this organism, and had her central venous catheter … A repeat blood culture grew VRE, which necessitated removal and re-placement of yet another central venous … physical exam with special attention to the skin for soft tissue infections, infections associated with venous … Colonization of central lines can likewise herald infection. … venous catheters from hospitals in the Prevention Epicenter Program.
-
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
-
psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
March 14, 2018 - Each center examined its peer's prevention of central line–associated bloodstream infections (CLABSI … They resulted in rapid practice changes such as dissemination of unit-specific CLABSI rates and central … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … October 13, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
-
psnet.ahrq.gov/issue/influence-comprehensive-unit-based-safety-program-icus-evidence-keystone-icu-project
January 22, 2016 - safety culture improved in units with CUSP implementation, the intervention did not reduce incidence of central … January 2, 2017
A multicenter, phased, cluster-randomized controlled trial to reduce central … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from … November 17, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central