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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications.pptx
April 01, 2022 - Indwelling Urinary Catheter Indications
Indwelling Urinary Catheter Indications
Avoiding Placement and … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
IUC Indications ׀ 2
Disrupting the Lifecycle … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
IUC Indications ׀ 3
Using Appropriateness … ׀ 5
5
Examples of Indications for Urinary Catheters3-5
2009 HICPAC Guidelines American Nurses … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
IUC Indications ׀ 9
9
Develop a Shared
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
April 01, 2022 - Central Venous Catheter Indications Facilitator Notes
CLABSI Module:
Central Venous Catheter Indications … In cases of a vascular or urinary catheter, we begin with understanding the clinical indications for … The guideline also reviews indications for CVC, as noted in this table. … Slide 6
Using these indications can be challenging because each patient is different. … Educate staff on appropriate indications and on the use and benefits of alternatives.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-indications-notes.docx
April 01, 2022 - Indwelling Urinary Catheter Indications Facilitator Notes
CAUTI Module:
Indwelling Urinary Catheter … Indications
Facilitator Guide
Slide Number and Image
This module, titled “Indwelling Urinary Catheter … Indications” is part of the Agency for Healthcare Research and Quality’s Safety Program for Intensive … While it provided important guidance and highlighted examples of appropriate and inappropriate indications … Slide 9
Having a table of appropriate and inappropriate urinary catheter indications is an important
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - Central Venous Catheter Indications and Alternatives
Indwelling Urinary Catheter Alternatives
Avoiding … Basics
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
IUC Alternatives ׀ 5
5
Indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes
CAUTI Module:
Indwelling Urinary … indwelling urinary catheters are appropriate in the ICU setting by reviewing existing guidelines on general indications … Slide 5
The indications shown here summarize important uses for the condom catheter in addition to … Intermittent straight catheters (ISC) are appropriate for the following indications:
· Acute urinary … Education on alternatives and their indications is critical and needs to be provided to all stakeholders
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - Central Venous Catheter Indications and Alternatives: Avoiding Placement and Determining Appropriateness … Central Venous Catheter
Indications and Alternatives
Avoiding Placement and Determining Appropriateness … AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
CVC Appropriateness ׀ 3
3
Clinical Indications … device
Inadequate/difficult peripheral venous access when ultrasound guidance has failed
Diagnostic indications … and alternatives
Educate staff on appropriate indications, including the use and benefits of alternatives
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www.qualitymeasures.ahrq.gov/hai/tools/cauti-hospitals/toolkit-impl.html
October 01, 2020 - Poster on Indications for Urinary Catheters ( PDF , 298 KB) (Appendix D of Toolkit for Reducing Catheter-Associated … Urinary Tract Infections in Hospital Units: Implementation Guide)
Educate staff on the appropriate indications … Poster on Urinary Catheter Risks and Indications ( PDF , 570 KB) (Appendix E of Toolkit for Reducing … Infections in Hospital Units: Implementation Guide)
Educate and motivate staff regarding the risks, indications … urinary catheters, alternate solutions for incontinence, an algorithm for proper catheter use, and indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-technicalspecs.pdf
October 16, 2019 - evaluated with imaging of the head (computed tomography
[CT] or magnetic resonance imaging [MRI]) without indications … children diagnosed with simple
febrile seizure who are evaluated with imaging of the
head without indications … intracranial pressure
o Abnormal neurologic exam between the time of diagnosis and the time of
imaging (indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Lack of awareness/unnecessary use
Half of central venous catheters have no documentation related to indications … premature line removal may later necessitate line reinsertion
Lack of—
Staff support for consistent use of indications … leadership,
Nurses Technical
Review your ICU’s maintenance policies and checklists (ensure they included indications … CLABSI and CAUTI
14
Summary of Strategies To Overcome Challenges20-26
Educate staff on appropriate indications … assessment for line removal opportunities with rounds or documentation
Educate staff on appropriate indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.pdf
April 01, 2022 - Select Yes, No, or Uncertain.
1) Did the patient meet clinical indications for insertion? … Yes No Uncertain
If yes, which indications apply? … Culture appropriate: Off
Less than 5 days: Off
Placed under sterile conditions: Off
1 meet clinical indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
April 01, 2022 - Preventing CLABSI and CAUTI
Urine Culturing Stewardship ׀ 6
6
Survey of Doctors and Nurses for Indications … feedback
Require clinical indication when placing order Build hard stops in EHR that require entering indications … UA or urine culture test is finalized:
Modify the electronic medical record to include appropriate indications … the United States
Urine culture diagnostic stewardship practices
Intervention % Present
Published indications … for ordering urine cultures 44%
Indications entered into EHR 17%
Labs offered reflex cultures at
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
January 01, 2012 - Clinical
guidelines
(from agencies
or groups)
NHLBI guidelines suggest that indications for
hydroxyurea … Clinical
guidelines
“Indications for hydroxyurea therapy are not
universally agreed upon, but with … (p. 368) The authors
identify two strong potential indications for
hydroxyurea therapy: frequent painful … Moderate indications are acute
chest syndrome, elevated transcranial Doppler
velocities, stroke prophylaxis
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing-notes.docx
April 01, 2022 - The first step is to develop unit or institutional evidence-based guidelines for UC indications, collection … This means prework before the culture is drawn to ensure correct indications are used. … Consider modifying your EHR to include appropriate indications for UA and urine cultures that clearly … Only 44 percent of facilities had published indications for ordering urine cultures, and only 17 percent … of them integrated the indications into the EHR.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cauti-learning-from-defects.docx
April 01, 2022 - Circle or highlight Yes, No, or Uncertain.
1) Did the patient meet clinical indications for insertion … Yes No Uncertain
If yes, which indications apply?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix2-comments.xlsx
October 12, 2022 - , without FDA-approval for marketing for these indications. … Deeply concerned about CMS’ employment of CED for FDA-approved drugs – whether for on-label indications … or other medically accepted indications. … , without FDA-approval for marketing for these indications. … or other medically accepted indications Patient access barriers under CED (equity) No clear pathway
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www.qualitymeasures.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/prevention-modules.html
April 01, 2022 - CLABSI:
Central Venous Catheter Indications and Alternatives (PowerPoint, 4.6 MB; Facilitator's Notes … (PowerPoint, 4.3 MB; Facilitator's Notes , Word, 62.4 MB)
CAUTI:
Indwelling Urinary Catheter Indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - The Indwelling Urinary Catheter Indications module discusses step 0 in detail. … However, if an indwelling urinary catheter is needed, based on appropriate indications discussed in previous … When indications are not automatically built into a medical record, organizational policies should reflect … appropriate indications for a urinary catheter. … Some organizations will post checklists of indications on the urinary catheter kit.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
April 01, 2022 - This module will review when to promptly remove unnecessary indwelling catheters by reviewing clinical indications … These reminders may also prompt the staff about appropriate indications to continue catheterization, … and the need to discontinue the urinary catheter if indications were no longer met. … Also, embed appropriate indications for urinary catheter use into existing or new checklists or forms … local leadership, and quality staff or infection preventionist to review, remind about, and reinforce indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-i.docx
August 07, 2015 - Documented Medical Need for Indwelling Urinary Catheter
Prevention strategies must focus on clear indications
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - You may also post or print and share checklists for CVC indications to use as a guide during the daily … The use of these indications should become part of your daily patient care, so discuss with your team … For patients who have been assessed and continue to meet the indications for CVC necessity, evidence-based … existing EMR charting that remind staff to assess for CVC line necessity and remove the central line if indications