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psnet.ahrq.gov/issue/unsuspected-mr-projectile-wooden-chair-metal-bracing
August 03, 2022 - Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central … venous catheters from hospitals in the Prevention Epicenter Program.
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psnet.ahrq.gov/issue/patient-safety-dialysis-access
September 29, 2017 - November 6, 2015
Do clinicians know which of their patients have central venous catheters
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psnet.ahrq.gov/issue/national-patient-safety-syllabus-10-training-all-nhs-staff
September 26, 2018 - Safety and Quality
April 26, 2023
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
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psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
August 24, 2016 - Patient Safety
February 26, 2025
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
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psnet.ahrq.gov/node/38825/psn-pdf
October 12, 2009 - The concept was further supported by its resounding
success in preventing central-line–associated bloodstream … surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
https://psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - He still had a central venous catheter in place, despite the antibiotic
course having been completed … The patient had no signs or symptoms of infection and his central
venous catheter was removed. … • Patient lacked f/u with Infectious Diseases and the central line
remained in place for 2 weeks … necessary lab tests, timely follow-up in the Infectious
Diseases clinic would have occurred, and the central
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psnet.ahrq.gov/node/49721/psn-pdf
December 01, 2014 - The intensive care unit (ICU) physicians decided the patient needed central venous
access and requested … While they often supervise resident and fellow insertions of
central lines, attending physicians in … Unfamiliar with the
central line kit, they struggled but successfully put a triple-lumen catheter in … The physician, who breached sterile technique during the central venous catheter (CVC) insertion, put … Simulation-based mastery learning
reduces complications during central venous catheter insertion in
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psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - ) anterior ischemic optic neuropathy (AION), (ii) posterior ischemic optic neuropathy (PION), (iii) central … CRAO can be caused by globe compression, emboli, venous congestion, and vasculitis. … intravenous fluid bags and have air filters for rapid infusion devices; consider an air-aspiration central … venous catheter for high-risk procedures) should be employed to prevent cortical blindness. … Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - As an example, a search for "central venous line" returned over 8000 videos on YouTube, one of which … Video-based training increases sterile-technique compliance during central venous catheter insertion. … Avoiding common technical errors in subclavian central venous catheter placement.
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psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - that procedural
skills training using simulation is associated with improved patient outcomes during central … venous catheter
insertion, hemodialysis catheter insertion, paracentesis, and lumbar puncture.(3-7) … Most of the valid studies
were in the areas of airway management, endoscopic procedures, central venous … Long-term retention of central venous catheter
insertion skills after simulation-based mastery learning
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - First, the definition of venous thromboembolism events has been expanded beyond post-operative events … effective at reducing the risk of developing these HACs early in the exposure to the related devices (e.g., central … Thus, the remaining patients are those requiring longer-term devices (e.g., central venous access for
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Ulcer PDF [327 KB]
PSI05 Foreign Body PDF [133.68 KB]
PSI06 Pneumothorax PDF [130.62 KB]
PSI07 Central … Venous Catheter-Related Bloodstream Infections PDF [150 KB]
PSI08 Postoperative Hip Fracture PDF … Postoperative Sepsis PDF [286.81 KB]
PDI11 Postoperative Wound Dehiscence PDF [253.23 KB]
PSI12 Central … Venous Catheter-Related Bloodstream Infections PDF [343.33 KB]
NQI03 Neonatal Blood Stream Infection
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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
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psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
February 16, 2022 - preventable mortality in older adults are presented (e.g. utilization of national guidelines, minimization of central … venous catheter use, addressing polypharmacy).
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/blood-clots-hip-knee-surgery_disposition-comments.pdf
March 01, 2012 - Disposition of Comments for Venous Thromboembolism Prophylaxis in Orthopedic Surgery
Source: http … Venous Thromboembolism in Orthopedic
Surgery. Comparative Effectiveness Review No. 49. … including sites with
patients to meet recruitment, site PIs, and staff.
2) Specify the roles and site of central … Venous thromboembolism: risk factors for recurrence. … Prevention of venous
thromboembolism.
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psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
August 21, 2019 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central … venous catheter skills.
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psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
May 06, 2015 - Safety and Quality
April 26, 2023
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
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psnet.ahrq.gov/issue/design-everyday-things
August 01, 2012 - View More
Related Resources
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
-
psnet.ahrq.gov/issue/safety-first
June 09, 2011 - 21, 2017
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.
-
psnet.ahrq.gov/issue/you-can-say-sorry
February 25, 2009 - 21, 2017
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.