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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/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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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Safety Through Enhanced Provider Communication'
'Improving Warfarin Management'
'Interactive Venous … Highlights: Program Brief'
'Problems and Prevention: Chest Tube Insertion (DVD)'
'Reducing Central
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psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - Appreciate that dizziness “plus” other neurological symptoms is more likely to be caused by a central … They are often due to pathology of the peripheral vestibular apparatus or its central connections. … syndrome, hypercoagulable states and others. 11 Young patients with cardioembolic strokes often have venous … Direction-changing nystagmus is always central. … cannot walk independently, they should be evaluated for stroke or other central causes.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
January 01, 2018 - venous catheter-related bloodstream infection per
1,000 medical and surgical discharges of length 2 … venous catheter-related bloodstream infection per
1,000 medical and surgical discharges of length 2 … venous catheter-related bloodstream infection per
1,000 medical and surgical discharges of length 2 … venous catheter-related bloodstream infection per
1,000 medical and surgical discharges of length 2 … Metro Improving
Large Central Metro Not Changing
Large Central Metro Worsening
Large Fringe Metro
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psnet.ahrq.gov/node/867206/psn-pdf
December 18, 2024 - Appreciate that dizziness “plus” other neurological symptoms is more likely to be caused by a central … They are often due to pathology of the peripheral vestibular apparatus or its central connections. … syndrome,
hypercoagulable states and others.11
Young patients with cardioembolic strokes often have venous … Direction-changing nystagmus is always central. … cannot walk independently, they should be evaluated for stroke or
other central causes.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-moving-forward-cleary-slides.pdf
March 01, 2010 - complications, especially pressure ulcers,
post-operative respiratory failure, and pulmonary
embolism or deep venous … relationship between better patient-reported
hospital staff responsiveness and decreased likelihood of
central
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psnet.ahrq.gov/node/33741/psn-pdf
November 01, 2012 - The venous pulsations in the patient's neck indicate
the diagnosis is constrictive pericarditis, a disorder … Bedside differentiation of vestibular neuritis
from central "vestibular pseudoneuritis."
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psnet.ahrq.gov/web-mm/chemotherapy-extravasation
September 24, 2010 - relatively new to the job had difficulty placing a peripheral IV catheter but was ultimately able to achieve venous … Refer patients at high risk for peripheral extravasation for central line placement. … January 4, 2012
WebM&M Cases
Central, not Epidural
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www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
February 01, 2017 - oral feeding tube dislodgement, percutaneous feeding tube dislodgement, femoral and nonfemoral site central … venous, arterial, and dialysis catheter dislodgement.
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psnet.ahrq.gov/node/33788/psn-pdf
June 01, 2015 - We've
seen notable health care systems around the country drive, for example, central line infections … When the ProCESS trial came out and the new data about the lack of utility of central venous monitoring
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psnet.ahrq.gov/web-mm/missed-compartment-syndrome-after-steep-lithotomy-position-laparoscopic-gynecological
January 29, 2021 - Intermittent pneumatic compression devices were placed on both calves to prevent venous thrombosis, but … A doppler ultrasound scan of the right leg was negative for venous thrombosis. … This patient was misdiagnosed as having a deep venous thrombosis and was anticoagulated unnecessarily … Venous thrombosis is usually not associated with such severe pain. … Cases
Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central
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hcup-us.ahrq.gov/reports/natstats/his96/table1b.htm
January 01, 1996 - 1.96 $9,598 $3,151 $5,338 $9,664 5.0 1.4 46.0 48.7
6.1 Central … $14,538 $4,077 $7,359 $14,554 5.9 1.1 44.8 55.8
6.9.2 Other central … $3,525 $5,348 $8,521 5.9 0.8 40.3 63.3
7.5.1.2 Other venous
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - On hospital day 4, the ICU team and the neurosurgeon decided it would be safe to start deep venous thrombosis … the patient with full-dose anticoagulation (rather than lower dose anticoagulation, appropriate for venous … A central hallmark of I-PASS and other high-quality handoff communication programs is the emphasis on
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-091013.ppt
January 01, 2010 - Post-operatively, the staff notes that his left leg is swollen and he is diagnosed with deep venous thrombosis … Partnership for patients
Venous thrombo-embolism
Why the Emergency department (ED)? … collaborative clinical decision-making and care
Nurse-Provider relationships and communication
Central
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psnet.ahrq.gov/Information/Panel
January 01, 2012 - Her undergraduate nursing degree was obtained in 1989 from the University of Central Missouri. … obstetrics, hospital-associated infections, emergency departments, sepsis, falls, pressure ulcers, venous … on surgical patient safety, infusion safety, clinical alarms safety, unit-based safety improvement, venous
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - 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
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www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
January 01, 2024 - Key Words: Hospital-acquired condition, venous thromboembolism, bleeding, decision analysis. … smart order set on physician behavior and patient outcomes
in a randomized trial
SCOPE
Background
Venous … inflammatory arthritis, decubitus
ulcer, cancer, acute infection, activity level, peripherally inserted central … catheter, central line,
mechanical ventilation, and steroids. … A decision model to estimate a risk threshold for
venous thromboembolism prophylaxis in hospitalized
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psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - The patient remained on metoprolol and simvastatin
in addition to enoxaparin for deep venous thrombosis … In a prospective regional study of 580
patients, no patient who received venous thromboembolism prophylaxis … category: the patient was appropriately risk stratified prior to surgery, she received prophylaxis
for venous … Iatrogenic
pneumothorax
Pneumothorax ("collapsed
lung") due to a procedure
such as insertion of a
central … venous catheter
Discharges with ICD-9-CM code of 512.1 in any secondary
diagnosis field per 100 medical
-
psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - A kidney ultrasound on post procedure day (PPD) 3 revealed a central hematoma, decreased systolic velocity … ureter), and thrombosis can result from technical problems such as intimal dissection or arterial or venous … practice guidelines recommend using ultrasound to narrow the differential diagnosis, which includes venous … Cases
Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central