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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
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www.ahrq.gov/policymakers/chipra/overview/background/next-steps.html
December 01, 2009 - a A central line allows concentrated solutions to be infused with less risk of complications. … It permits monitoring of special blood pressures including the central venous pressure, the pulmonary … The central line can be used for the estimation of cardiac output and vascular resistance . … A central line saves having to have frequent small injections or "drips" placed in the arms. … A central line may also allow a patient to have medicine or fluids at home instead of in the hospital
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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
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Scanlon_62.pdf
March 25, 2008 - in-hospital cardiac
arrest, acute myocardial infarction, adverse drug events, surgical site infection, central … venous
line infection, and ventilator-associated pneumonia.37
The goal of eliminating patient … For instance, the risk of a central venous line-associated
infection can be presented relative to whether … One example that has been identified in both the medical and popular literature
relates to central venous … Central to this clinical scenario is the fact that the storage of concentrated potassium on patient
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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.
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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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - inpatients
PSI 05 Foreign body left during procedure
PSI 06 Iatrogenic pneumothorax
PSI 07 Central … venous catheter-related bloodstream infections
PSI 08 Postoperative hip fracture
PSI 09 Postoperative … Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate
PDI 12 Central … Venous Catheter-Related Blood Stream Infection Rate
PDI 13 Transfusion Reaction Count
PDI 14 Asthma
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psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
January 01, 2008 - IT partner, Perot Systems, which basically tracks device days and hospital-associated infections for central … venous lines, catheter-associated urinary tract infections (UTIs), and ventilator-associated pneumonias … administration of the hospitals engaged them—the intensivists in the ICUs and the surgeons placing central … Nevertheless, it was also important for the central corporate vision to be bold and clinically meaningful … Edwardo Salas from the University of Central Florida assisted with analysis of their survey results.
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psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
January 01, 2008 - Nevertheless, it was also important for the central corporate vision to be bold and clinically meaningful … national trends in data reporting and transparency To achieve this goal of linking local efforts to central … Edwardo Salas from the University of Central Florida assisted with analysis of their survey results. … the Michigan Keystone project, which found a tremendous and statistically significant reduction in central … venous lines, catheter-associated urinary tract infections (UTIs), and ventilator-associated pneumonias
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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
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psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
August 01, 2018 - 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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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.
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psnet.ahrq.gov/node/49656/psn-pdf
June 01, 2012 - Who is responsible for routine patient safety measures, such as deep venous thrombosis
prophylaxis? … Because of
the risk of central nervous system bleeding, anticoagulant use is a shared responsibility—hospitalists
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psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
February 24, 2021 - supraclavicular approach for the guidewire placement and was having significant difficulty obtaining venous … It was as if he entered the operating room directly from central casting. … has an important consequence: when activities are dispersed and not amenable to supervision from a central
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www.ahrq.gov/sites/default/files/2024-01/mastrangelo-report.pdf
January 01, 2024 - concentrated on the following procedures, which were most likely to be responsible for
these infections: central … venous catheter (CVC), peripherally inserted central
catheter (PICC), Broviac/Hickman type, port-a-cath
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - intraosseous (IO) line in the left tibia following several unsuccessful attempts to obtain peripheral venous … head is superior—up to five times
higher—to that in the tibial space, approaching the flow into a central
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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
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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