-
psnet.ahrq.gov/node/49483/psn-pdf
June 01, 2005 - initial numbers were—surprisingly—more consistent with cardiogenic shock than
septic shock, with a central … venous pressure of 13-17 mm Hg, pulmonary capillary wedge pressure of 19
mm Hg, cardiac index (CI) … The CI and mixed venous oxygen saturation
increased to 3.8 L/min/m2 and 75%, respectively, and the SVR … While many ICUs have developed processes and protocols related to high-risk procedures such as
central … Acute decompensation after removing a central line: practical
approaches to increasing safety in the
-
psnet.ahrq.gov/issue/measurable-outcomes-quality-improvement-trauma-intensive-care-unit-impact-daily-quality
February 24, 2010 - Use of the tool resulted in significant reductions in ventilator-associated pneumonia and central line–associated … preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous
-
psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
December 14, 2011 - August 14, 2014
Electronic alerts to prevent venous thromboembolism among hospitalized … April 27, 2022
Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
May 01, 2006 - Examples:
pneumothorax from central venous catheter placement
anaphylaxis to penicillin
postoperative … Thus, pneumothorax from central venous catheter placement counts as an adverse event regardless of insertion
-
psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - To provide more nutrition, the physician placed
a central venous line and prescribed intravenous (IV … The LPN on the night shift
mistakenly hooked up the total nutrient fluid prepared for the central line … daughter's concern was
well founded—indeed this total nutrient fluid was to be administered through the central … disconnected the
total nutrient line from the enterostomy tube, and prepared to connect it to the central … daughter (a retired RN) and the RN in charge were present and stopped the LPN from
contaminating the central
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
October 01, 2015 - PDI 10 Postoperative Sepsis Rate 14.33
PDI 11 Postoperative Wound Dehiscence Rate 1.12
PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate 0.76
PDI 13 Transfusion Reaction Count N/A*
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - PDI 10 Postoperative Sepsis Rate 14.33
PDI 11 Postoperative Wound Dehiscence Rate 1.12
PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate 0.76
PDI 13 Transfusion Reaction Count N/A
-
psnet.ahrq.gov/issue/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
May 01, 2019 - Economic evaluation of quality improvement interventions for bloodstream infections related to central … March 5, 2014
Practices to prevent venous thromboembolism: a brief review.
-
psnet.ahrq.gov/issue/rates-patient-safety-indicators-belgian-hospitals-were-low-generally-higher-us-hospitals-2016
September 13, 2023 - More
Related Resources
Improving appropriate use of peripherally inserted central … More About The Topic
Hospitals
Indwelling Tubes and Catheters
Nosocomial Infections
Venous
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
December 01, 2006 - baseline
Timing: within 5-10 days of heparin exposure
Thrombosis: up to half of patients will develop venous … thrombosis—risk of thrombosis persists for at least 30 days, with up to 50% of patients developing venous … NS for patency of peripheral or central catheters
Heparin still used routinely for flushing dialysis … Benefit of heparin in peripheral venous and arterial catheters: systematic review and meta-analysis of … of heparin
Clinical presentation of HIT can include isolated thrombocytopenia, isolated arterial or venous
-
psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - therapy is increasingly utilized in the inpatient setting to reduce the incidence of hospital-acquired venous … neuraxial methods result in fewer postoperative cardiac events, pulmonary complications, and cases of venous … Take-Home Points Pharmacologic prophylaxis for venous thromboembolism and neuraxial anesthesia are … Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic … Cases
Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central
-
psnet.ahrq.gov/web-mm/missing-trauma
March 03, 2011 - Signs of hemorrhagic shock are low blood pressure, tachycardia, flat neck veins (no central venous filling … clinical features that distinguish tamponade from hypovolemic shock are distended neck veins or elevated venous … Beck's triad—muffled heart tones, jugular venous distention, and hypotension—describe the classic presentation … Kussmaul's sign—jugular venous distention upon inspiration—may also be seen in pericardial tamponade
-
www.ahrq.gov/cpi/about/impact/index.html
April 01, 2017 - Hospital-acquired conditions have relatively high mortality risk and include central line-associated … blood stream infections, ventilator-associated pneumonia, and post-operative venous thromboembolism. … Comprehensive Unit-based Safety Program, or CUSP, at The Johns Hopkins Hospital, he nearly eliminated central … , process improvement, and teamwork, to more than 1,100 intensive care units nationwide and reduced central … AHRQ’s and other HHS investments have led to central line-associated blood stream infections declining
-
www.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - rising rates of severe maternal morbidity, eclampsia/preeclampsia, severe postpartum hemorrhage, and venous … most convenient to patients, and using “pop-up clinics” rather than expecting patients to travel to central
-
psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - such study cites the inability of intensive care unit
personnel to accurately determine the jugular venous … pressure (JVP), calling instead for central venous
access for determination of this parameter.(1) In … Clinical assessment of central venous pressure in the critically ill.
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - vascular catheter-associated infections (blood stream infections
related to a catheter in a large, central … The ICD-9-CM code defining Vascular Catheter-Associated Infection is:
• 999.31, infection due to central … venous catheter
The ICD-9-CM code defining Surgical Site Infection: Mediastinitis following Coronary … embolism and thrombosis of unspecified deep vessels of lower
extremity
• 453.41, acute venous embolism … and thrombosis of deep vessels of proximal lower
extremity
• 453.42, acute venous embolism and thrombosis
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
April 01, 2017 - Hospital-acquired
conditions have relatively high
mortality risk and include
central line-associated … blood
stream infections,
ventilator-associated
pneumonia, and post-
operative venous thromboembolism … Preventing central line-
associated blood stream infections, the top-ranked
mortality risk among all … process improvement, and teamwork,
to more than 1,100 intensive care units nationwide and
reduced central … AHRQ’s and other HHS investments
have led to central line-associated blood stream infections
declining
-
psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
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.
-
psnet.ahrq.gov/perspective/methicillin-resistant-staphylococcus-aureus
June 24, 2010 - These include compliance with hand hygiene, optimal management of central venous and urinary catheters … Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central … venous catheters from hospitals in the Prevention Epicenter Program. … Cases
Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central
-
psnet.ahrq.gov/node/49620/psn-pdf
February 01, 2011 - 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 … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Hematoma formation resulting from either venous … can progress from partial to total very quickly, once critical compression from the hematoma
impairs venous