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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.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
Pediatric Toolkit for Using the AHRQ Quality
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/venous-ulcers-treatment_disposition-comments.pdf
January 27, 2014 - Chronic Venous Ulcers: A Comparative
Effectiveness Review of Treatment Modalities. … Margolis have been found useful for diabetes as well as
venous disease. … who
will be having long term
antibiotics and how many
would be having them
administered through a central … ulcers excludes patients without chronic
venous ulcers). … surgery” enhance the healing
of venous ulcers over the use
of adequate venous
compression.
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www.ahrq.gov/patient-safety/settings/hospital/index.html
February 01, 2025 - Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement outlines … the latest evidence on how to lead a quality improvement effort to prevent hospital-acquired venous … customizable, educational toolkit aims to help hospital intensive care units (ICUs) reduce rates of central
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - venous catheter
• Despite their life-sustaining benefit, vasopressors and
inotropic agents have the … – In these cases, the nurse may decide to keep the IV infusion attached
to the central venous catheter … to reduce the risk of central-line-
associated blood stream infection (CLABSI) … venous
catheter port but leave the bag/tubing present and hanging in the room in
case the patient … venous catheter access ports,
– Limited availability of vascular access coupled with co-administration
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/thromboembolism-update-executive-170622.pdf
June 01, 2017 - Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update
Comparative … Effectiveness Review
Number 191
Venous Thromboembolism Prophylaxis in
Major Orthopedic Surgery: Systematic … We searched PubMed®, both the Cochrane Central Trials
Registry® and Cochrane Database of Systematic … Relationship between deep venous
thrombosis and the postthrombotic syndrome. … Venous Thromboembolism
Prophylaxis in Orthopedic Surgery.
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effectivehealthcare.ahrq.gov/sites/default/files/thromboembolism-update-executive-170622.pdf
June 01, 2017 - Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update
Comparative … Effectiveness Review
Number 191
Venous Thromboembolism Prophylaxis in
Major Orthopedic Surgery: Systematic … We searched PubMed®, both the Cochrane Central Trials
Registry® and Cochrane Database of Systematic … Relationship between deep venous
thrombosis and the postthrombotic syndrome. … Venous Thromboembolism
Prophylaxis in Orthopedic Surgery.
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Page 2 of 9
Vascular-catheter-associated infections
• Central line-related sepsis/fungemia contributing … to death
• Fungal central line-associated bloodstream infection leading to acute renal failure and … hemodialysis
• Respiratory failure with delayed response resulting in an acute-care hospital admission
Venous … small dehiscence (rupture)
Vascular-catheter associated infections
• Cellulitis/abscess at PICC site
• Central … transfusions
• Traumatic catheterization with bleeding following non-function of urinary catheter
Venous
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psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm
March 23, 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/case-controlled-study-relatives-complaints-concerning-patients-who-died-hospital-role
November 16, 2022 - November 13, 2024
Complication rates of central venous catheters: a systematic review
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psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
November 16, 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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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - thromboembolic events
• Bloodstream infection in adult patients receiving central venous catheter … Venous Catheters for Dialysis
• Importance: In hemodialysis patients, central venous catheters (CVCs … Hemodialysis patients age 18 years and over who had
central venous catheters used for vascular access … Hemodialysis patients age 18 years and over who had
central venous catheters used for vascular access … Bloodstream infection event (central line-associated bloodstream
infection and non-central line-associated
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - airway compromise has also been reported with other commonly performed medical procedures, including central … of the trachea by a hematoma below the level of the cricoid or from supraglottic edema secondary to venous … The rate of hematoma expansion may be dependent on the mechanism (e.g., arterial vs. venous bleeding) … Management Hematoma formation resulting from either venous bleeding or an acute hemorrhage of a major … Cases
Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central
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psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
June 27, 2011 - 2, 2022
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.
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psnet.ahrq.gov/issue/improving-reliability-clinical-care-practices-ventilated-patients-context-patient-safety
November 07, 2011 - April 6, 2011
Elimination of central-venous-catheter-related bloodstream infections from
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psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
July 16, 2008 - August 21, 2013
Elimination of central-venous-catheter-related bloodstream infections
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psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - 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/making-patients-safer-nurses-responses-patient-safety-alerts
April 13, 2011 - 22, 2011
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.
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psnet.ahrq.gov/issue/medication-errors-prospective-cohort-study-hand-written-and-computerised-physician-order
March 06, 2013 - Author(s)
'Matching Michigan': a 2-year stepped interventional programme to minimise central … venous catheter-blood stream infections in intensive care units in England.
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psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
March 30, 2011 - 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/using-patient-safety-morbidity-and-mortality-conferences-promote-transparency-and-culture
March 28, 2011 - Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central … venous catheters from hospitals in the Prevention Epicenter Program.