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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
August 01, 2006 - Recent study cites inability of ICU personnel to accurately determine the jugular venous pressure, calling … for central venous access for determination of this parameter
Medical students performed best, residents … Clinical assessment of central venous pressure in the critically ill.
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psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
October 09, 2024 - May 18, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream … May 25, 2011
Elimination of central-venous-catheter-related bloodstream infections from
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psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
July 28, 2021 - August 12, 2020
View More
Related Resources
Modes of failure in venous … June 16, 2019
ASH Clinical Practice Guidelines on Venous Thromboembolism.
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psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
April 22, 2016 - March 14, 2018
Do clinicians know which of their patients have central venous catheters … March 11, 2009
Improving appropriate use of peripherally inserted central catheters through … September 16, 2020
Improving peripherally inserted central catheter appropriateness and
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psnet.ahrq.gov/issue/biased-test-kept-thousands-black-people-getting-kidney-transplant
September 02, 2016 - September 2, 2016
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated … May 3, 2023
Safety Risk of Air Embolus Associated with Central Venous Catheters Used
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
April 01, 2022 - CLABSI Learning From Defects Tool
Learn From Defects Tool Worksheet:
Central Line-Associated Bloodstream … Tunneled (other than dialysis)
· Dialysis (tunneled)
· Dialysis (nontunneled)
· Peripherally inserted central … (Select all that apply)
· Hemodynamic monitoring
· Poor venous access
· Long-term antibiotics … Yes No Uncertain
10) Was the blood culture drawn from this central line?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
January 01, 2017 - Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site)
8. … Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site)
8.
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www.ahrq.gov/hai/tools/mvp/modules/technical/early-mobility-tool.html
January 01, 2017 - Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site). … Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - venous catheter
complications 4.57 3.20 4.00 6.08 3.65 3.17 0.006b
Anticoagulation complications … The
central venous catheter complications injury indicator showed a significant difference between … venous catheter
complications during the study period. … This
might, for example, have accounted for the increase in reported central venous catheter
complications … Central venous catheter (CVC) complications:
• Infection/inflammation due to vascular device, implant
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
June 02, 2025 - Y Y Y Y Y
PSI 06 Iatrogenic Pneumothorax 0.5 0.6 1 $36,576 $ 36,576 N 2 1 1 Y Y Y Y Y
PSI 7 Central … Venous Catheter-Related Bloodstream Infections 3.2 0.9 25 $82,147 $ 2,053,675 Y 10 10 8 Y Y Y Y … 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/news/newsroom/case-studies/202004.html
July 01, 2020 - The number of central line-associated bloodstream infections in intensive care units (ICUs) decreased … ChristianaCare also used CUSP to decrease the use of central venous (blood-line) catheters in its ICUs … TeamSTEPPS®,
Surveys on Patient Safety Culture
Topic(s):
Care Coordination,
Central
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www.ahrq.gov/hai/tools/abate/index.html
March 01, 2022 - Among non-ICU patients with specific medical devices (namely central venous catheters, midline catheters
-
psnet.ahrq.gov/node/49525/psn-pdf
December 01, 2006 - possible that the patient’s
presenting signs of tachycardia and hypotension stemmed from an HIT-related central … venous or arterial
thrombotic event, such as myocardial infarction or pulmonary embolism. … Although HIT is complicated by symptomatic venous thrombosis more often
than arterial thrombosis (7) … Administration of heparin in quantities as small as those routinely used to
flush central venous catheters … Electronic alerts to prevent venous thromboembolism among
hospitalized patients.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/013-strategies-prevent-bcc.docx
October 01, 2024 - Use Venipuncture To Draw Blood Cultures; Avoid Central Line Blood Draws.2
Peripherally drawn blood cultures … Central venous catheter and peripheral line-drawn cultures are more likely to give false positive results
-
psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients
December 09, 2015 - View More
Related Resources
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated … bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central … 20, 2014
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England. … October 13, 2010
Using evidence, rigorous measurement, and collaboration to eliminate central
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psnet.ahrq.gov/issue/bullying-hidden-threat-patient-safety
August 22, 2012 - June 26, 2019
Can residents detect errors in technique while observing central line insertions … View More
Related Resources
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
-
psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
December 12, 2018 - June 1, 2022
Do clinicians know which of their patients have central venous catheters … August 4, 2015
Improving appropriate use of peripherally inserted central catheters through
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c1_pdi_prioritizationworksheet.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
Sentinel Events PDI 03 Retained
Surgical Item
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psnet.ahrq.gov/web-mm/peripheral-iv-too-long
September 15, 2011 - There has been substantial focus on the risks associated with central venous catheters including catheter-related … which 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/node/45080/psn-pdf
February 15, 2017 - intervention group showed some improvements in a few process measures, such as
use of low tidal volumes, central … venous catheters, and urinary catheters, but there was no difference in
secondary clinical outcomes