-
www.ahrq.gov/patient-safety/resources/match/matchtab1.html
August 01, 2012 - No indication for frequency change and patient's current blood pressure slightly elevated. … Patient's simvastatin was omitted from their discharge instructions without any clear indication for
-
www.ahrq.gov/news/newsroom/case-studies/ktcoe101.html
October 01, 2014 - , Ohio Medicaid's Neonatal Transformation Team reduced the induction of labor without clear medical indication … cesarean [deliveries] was not our primary intent, but reducing elective deliveries without clear medical indication
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
April 01, 2022 - Preventing CLABSI and CAUTI
• Incorporate meaningful prompts in rounds or huddles to link the catheter's indication … • Perform periodic audits to determine if a catheter meets policy criteria for indication. … determined that the central line catheters
remained in place when they no longer met the criteria for indication … versus “Does the patient meet any
indication for having the line remain in place?”
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/prevent/infographic.pdf
March 01, 2017 - Urinary Catheter
U
Use Regular
Assessments
Insert new urinary catheters
only where there is a good
indication … Incontinence is
NOT an appropriate
indication for an indwelling
urinary catheter.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
April 01, 2022 - Safety Program for ICUs: Preventing CLABSI and CAUTI
Urine Culturing Stewardship ׀ 3
3
Ordering
Indication … Culturing Stewardship ׀ 6
6
Survey of Doctors and Nurses for Indications to Urine Culture13
Order Indication … education to providers & nurses
Actively review urine culture orders and peer feedback
Require clinical indication … education to providers & nurses
Actively review urine culture orders and peer feedback
Require clinical indication … education to providers and nurses
Actively review urine culture orders and peer feedback
Require clinical indication
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/icu-clinical-decision-making-slides.html
December 01, 2017 - Slide 2
Learning Objectives
Identify appropriate and inappropriate indication for indwelling urinary … Slide 8
Inappropriate Catheter Placement
Initial indication for catheter placement 1 :
Inappropriate … in 21%-54% of catheterizations
Varies by location of placement and site of care
Indication 2 … Slide 9
Prolonged Urinary Catheter Device Utilization by Location
Indication
MICU (N=597 days … audit
Direct observation
Limit duration of catheter use
Device rounds
Daily assessment of indication
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Pop.pdf
October 04, 2016 - barrier methods such as condoms, diaphragm)
Prescription for birth control/contraception with indication … control/ contraception alone would count
towards the numerator only when it is documented with an indication
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA0087-NCINQSexualActivityStatusSpec-Prov.pdf
October 04, 2016 - barrier methods such as condoms, diaphragm)
Prescription for birth control/contraception with indication … towards the numerator only when it is documented with an indication for
contraception/pregnancy prevention
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/no-more-cauti-preventing-cauti.pptx
September 22, 2011 - Appropriate catheter indications
Urinary retention or urinary flow obstructions
4
Appropriate Catheter indication … life
7
Appropriate catheter indications
Selected perioperative use
8
Appropriate catheter indication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
January 01, 2013 - indications means
23
Accurate measurement of urinary output in the critically ill patients
We see this indication … is completed
27
Assist Healing of Perineal and Sacral Wounds in Incontinent Patients
This is an indication … Nursing Rounds
Does the patient have a urinary catheter
Reason for catheter use
If no appropriate indication … A single patient who has a urinary catheter placed without indication for a prolonged period of time … should promptly discontinue catheters when no longer needed
Nurses evaluating catheters and finding no indication
-
www.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
October 01, 2015 - presence of physician’s order for placement
Chart review for presence of documentation of appropriate indication … for catheter placement
Prompt to discuss indication for catheter placement in report to inpatient … of physician’s order for placement 52.20%, Chart review for presence of documentation of appropriate indication … for catheter placement, 58.49%, Prompt to discuss indication for catheter placement in report to inpatient … Is there an appropriate indication for insertion?
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - Slide 24
Accurate Measurement of Urinary Output in the Critically Ill Patients
We see this indication … Slide 28
Assist Healing of Perineal and Sacral Wounds in Incontinent Patients
This is an indication … the need for the catheter
The bedside nurse should note the catheter's presence and evaluate the indication … A single patient who has a urinary catheter placed without indication for a prolonged period of time … should promptly discontinue catheters when no longer needed
Nurses evaluating catheters and finding no indication
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Furmaga.pdf
January 01, 2005 - to review outpatient
prescription identifiers and complete an audit for each prescription on the
indication … Of these 1,648 prescriptions, the most common indication for use
was hypertension (737 prescriptions … The
remaining 32 percent did not have an indication listed in the report form (Table 1). … Of the two remaining patients, one patient was
continued on short-acting nifedipine for an indication … The provider was informed of the concerns with using short-acting
nifedipine for this indication.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/four-moments-completion-guide.pdf
June 01, 2021 - • Record the indication associated with each antibiotic prescribed for the resident. … • If an indication is not documented, write “Indication not documented.”
Question 8.
-
www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/aspirin-workflow.pdf
October 14, 2018 - Discuss at
Huddle
Contra
indication
No
Place & pend
order for Aspirin
without dose
Yes
Place
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - electronic health record order for urinary catheter placement to allow the team to be aware of the indication … This indication is also used inappropriately outside of the ICU. … Patients in an ICU need a specific medical indication for catheter use. … Johnson does have a medical indication for using a catheter. … The ICU patient still needs a specific medical indication to justify the risk of placing an indwelling
-
www.ahrq.gov/chain/research-tools/featured-certs/improving-hit-prescribing-safety.html
March 01, 2017 - prescribing safety by redesigning computerized prescriber order entry (CPOE) to incorporate a medication indication … It is a crucial piece of information needed for every prescription—the right indication. … interface design elements, limitations and barriers, and policy implications of incorporating medication indication
-
www.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
October 01, 2015 - to assess volume status.However, routine use of catheters in the intensive care unit (ICU) without indication … Hospice/comfort/palliative care —This is an acceptable indication for catheter use in end-of-life care … is an opportunity for the offgoing and oncoming staff to review together whether the patient has an indication … Morbid obesity or immobility —Morbid obesity or immobility alone is not an appropriate indication for … Confusion or dementia —Confusion or dementia is not an appropriate indication for urinary catheter placement
-
www.ahrq.gov/sites/default/files/2024-01/kesselheim-report.pdf
January 01, 2024 - based on rigorous randomized trial data that has not (yet) led to formal FDA
approval for a given indication … Food and Drug Administration (FDA)
approves new drugs based on their effectiveness for a particular indication … based on rigorous randomized trial data that has
not (yet) led to formal FDA approval for a given indication … have substantial support from post-
approval clinical trials, but FDA approval for this subsequent indication … Thus, in a post-Caronia medical world, once a drug
was approved for any indication, its manufacturer
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-206-fullreport.pdf
November 01, 2019 - This measure assesses the number of computed tomography (CT) scans obtained without
indication on or … Numerator Statement
The numerator is the number of CT scans obtained without indication on or within … This measure assesses the number of CT scans obtained without indication on or within 30 days
after … This measure assesses the number of CT scans obtained without indication on or within 30 days
after … The proportion of CT imaging without
indication varied between States in 2006, ranging from a low of