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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Item or Unretrieved Device Fragment Count
• PSI 06 Iatrogenic Pneumothorax Rate
• PSI 07 Central Venous … • PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound Dehiscence Rate
• PDI 12 Central Venous
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … PDF [327 KB] PSI05 Foreign Body PDF [133.68 KB] PSI06 Pneumothorax PDF [130.62 KB] PSI07 Central Venous … Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
October 01, 2014 - Impact Case Studies
May 2012
Seven New York hospitals revised their protocol for preventing venous … sessions and technical assistance calls for implementing the AHRQ toolkit Preventing Hospital-Acquired Venous
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/just-in-case-mindset.pdf
April 01, 2022 - Do clinicians know which of their patients have central
venous catheters? … Prevention of central venous line associated
bloodstream infections in adult intensive care units: A
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T2c-SBAR_SST_Final.pdf
June 01, 2014 - Background
¨ No ¨ Yes The resident has diabetes
¨ No ¨ Yes Other active diagnoses (especially, chronic venous
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
May 20, 2016 - o Diminished cardiac output and dropping central venous pressure.
o Reductions in urine output. … AAOS guideline on preventing venous thromboembolic disease in patients undergoing
elective hip and knee
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
January 01, 2019 - number (201) of CFER-H V1.2 Venous
Thromboembolism reports received was deemed insufficient for any … Data
received for the Healthcare-Associated Infection and Venous Thromboembolism modules were not … number (201) of
CFER-H V1.2 Venous Thromboembolism reports received was deemed insufficient for any … The Venous Thromboembolism
EVENT TYPE was added in CFER-H V1.2. … This was unexpected, as pressure ulcers,
like HAIs and venous thromboembolism (VTE), result in harm
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
January 01, 2009 - imaging available
· Risk of hypothermia – operation longer than 1 hour
· Warmer in place
· Risk of venous
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap7.doc
September 03, 2013 - CVC Insertion Risk Factors:
Central Venous Catheter-Associated Laboratory-Confirmed
Blood Stream Infection
-
ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-l.html
October 01, 2015 - immobility (Foley is considered a "one-point restraint), hospital-acquired pressure ulcers, falls, and venous … Enhancing the Safety of Critically Ill Patients by Reducing Urinary and Central Venous Catheter-related
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-final-companion/clabsicomp5c.html
January 01, 2013 - ensure compliance with evidence-based practices, 3) use chlorhexidine impregnated patch for central venous … 8
Does your ICU/Clinical Care Area currently use a chlorhexidine impregnated patch for central venous
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - Capacity building
Manuals
Surgical
site
infections
Perioperative
cardiac
events
Central
venous … The
central venous catheter complications injury indicator showed a significant difference between … feedback + organizational
capacity-building group actually showed an increase in reported central venous … This
might, for example, have accounted for the increase in reported central venous catheter
complications … Central venous catheter (CVC) complications:
• Infection/inflammation due to vascular device, implant
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
July 01, 2016 - Y
PSI 06 Iatrogenic Pneumothorax 0.5 0.6 1 $36,576 $ 36,576 N 2 1 1 Y Y Y Y Y
PSI 7 Central Venous … Postoperative Wound Dehiscence Rate 0.0 1.1 0 $76,737 $ - 0 N 5 5 5 Y Y Y Y Y
PDI 12 Central Venous
-
ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/enhancing-long-desc.html
April 01, 2021 - The display improved provider's awareness of indwelling urinary catheters, central venous catheters, … The improvement in provider awareness of central venous catheters was significant for intervention rooms
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - 0.01602384
PDI11 PDI #11 Postoperative Wound Dehiscence Rate 0 0 - 0.00105441
PDI12 PDI #12 Central Venous … 0 0 - 0.11737129
PSI6 PSI #6 Iatrogenic Pneumothorax Rate 0 207 0 0.00043869
PSI7 PSI #7 Central Venous … Unretrieved Device Fragment Rate 0 -
PSI22 PSI #22 Iatrogenic Pneumothorax Rate 0 -
PSI23 PSI #23 Central Venous … PSI #6 Iatrogenic Pneumothorax
Rate
0 207 0 0.000251 0 0.000439 0 0.000436
PSI #7 Central Venous
-
ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips98.html
October 01, 2014 - Impact Case Studies
May 2012
Five New Mexico hospitals revised their protocol for preventing venous … sessions and technical assistance calls for implementing the AHRQ toolkit Preventing Hospital-Acquired Venous
-
ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi4.html
January 01, 2013 - classified as: peripherally inserted central catheter (PICC), umbilical artery catheter (UAC), umbilical venous … catheter (UVC), Broviac (a surgically placed, tunneled central venous catheter), or "other" (all other
-
ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - or Institutionalized Elders
Sepsis Recognition
Surgery, Anesthesia, and Perioperative Medicine
Venous … Operating Room Integration and Display Systems
(Not reviewed)
Summary of Evidence
(Not reviewed)
Venous … Thromboembolism
Patient Safety Practices
MHS I (2001)
MHS II (2013)
MHS III (2020)
Prevention of Venous
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/early-mobility-tool.docx
January 01, 2017 - Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site)
8. … Central venous catheter dislodgment (not femoral site), including peripherally inserted central catheter … Central venous catheter dislodgement (femoral site)
8.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
January 01, 2023 - CFER-H V1.1 1,557 0.6% 2,617,691
Healthcare-Associated Infection CFER-H V1.2 17,020 0.7% 2,617,691
Venous