-
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.
-
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
-
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
-
datatools.ahrq.gov/action-alliance/wp-content/uploads/sites/8/2025/09/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2025 - tract
infection * * * * ≥ 30
Clostridioides difficile infection 24,003 8,248,777 2.9 1.9–3.9 18.1
Central … tract infection * * * * ≥ 30
Clostridioides difficile
infection 19,441 8,517,084 2.3 1.4–3.1 18.6
Central … 9,464,341 0.0 N/A N/A
Laceration or unintended
puncture * * * * ≥ 30
Mechanical AE associated
with central … tract infection * * * * ≥ 30
Clostridioides difficile
infection 10,175 8,848,485 1.1 0.6 – 1.7 24.4
Central … 9,893,581 0.0 N/A N/A
Laceration or unintended
puncture * * * * ≥ 30
Mechanical AE associated
with central
-
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
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/thromboembolism-update_research-protocol.pdf
February 17, 2016 - Answer the Key Questions: We will conduct literature searches of studies in
PubMed, both the Cochrane Central … thrombos* or deep venous thromboembol* or
deep vein thromboembol* or DVT or "Venous Thromboembolism … "[Mesh] or venous
thromboembol* or VTE or "Venous Thrombosis"[Mesh] or venous thrombos* or clot
AND … or venous thromboembol* or
VTE or Venous Thrombosis or venous thrombos* or clot
AND
Anticoagulants … or venous thromboembol* or
VTE or Venous Thrombosis or venous thrombos* or clot
AND
Anticoagulants
-
psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
October 05, 2011 - An AHRQ WebM&M commentary discusses the consequences of a central venous catheter–associated complication
-
psnet.ahrq.gov/issue/out-crisis
March 06, 2005 - Safety and Quality
April 26, 2023
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
-
psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
September 20, 2012 - June 1, 2010
Complication rates of central venous catheters: a systematic review
-
psnet.ahrq.gov/issue/cutting-out-human-error
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.
-
psnet.ahrq.gov/issue/utilizing-improvement-science-methods-improve-physician-compliance-proper-hand-hygiene
April 13, 2011 - May 4, 2011
Elimination of central-venous-catheter-related bloodstream infections from
-
psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance
December 16, 2015 - View More
Related Resources
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
-
psnet.ahrq.gov/issue/use-pharmaceuticals-dialysis-patients-how-well-do-we-know-our-patients-allergies
March 04, 2011 - Safety and Quality
April 26, 2023
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
-
psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
January 11, 2017 - December 22, 2008
Elimination of central-venous-catheter-related bloodstream infections
-
psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-specification-and
February 21, 2018 - Safety and Quality
April 26, 2023
Safety Risk of Air Embolus Associated with Central … Venous Catheters Used for Haemodialysis Treatment.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 02, 2025 - PSI 03 Pressure Ulcer
PSI 06 Iatrogenic
Pneumothorax
PSI 07 Central Venous
Catheter-Related
Bloodstream … Rate on scale of 10 (agree/high) to 0 (disagree/low)
PDI 12 Central … Venous
Catheter-Related Blood
Stream Infection Rate
PDI 03 Retained
Surgical Item or
Unretrieved
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psnet.ahrq.gov/web-mm/ebola-are-we-ready
July 01, 2012 - The intensive care unit (ICU) physicians decided the patient needed central venous access and requested … Unfamiliar with the central line kit, they struggled but successfully put a triple-lumen catheter in … Sterile technique was breached multiple times as they navigated the central line insertion process 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 a
-
psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - At that time, he still had a central venous catheter in place, despite the antibiotic course having been … The patient had no signs or symptoms of infection and his central line was removed without complications … The patient also lacked follow-up with an Infectious Diseases physician and the central venous access … necessary laboratory tests, timely follow-up in the Infectious Diseases clinic would have occurred, and the central … venous catheter would have been removed at completion of therapy.
-
psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
May 29, 2024 - Citation
Related Resources From the Same Author(s)
Complication rates of central … venous catheters: a systematic review and meta-analysis.
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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - HAC rates, including rates of adverse drug events, catheter-associated urinary tract infections , central … events, pressure ulcers, surgical site infections, ventilator-associated pneumonias, and postoperative venous