-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/planning.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/conversation.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/introduction.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/meeting.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/accountability.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/clabsi-tools-revised.pdf
January 01, 2013 - ICUs are at an
increased risk for CLABSI because 48 percent of ICU patients have indwelling central venous … The Johns Hopkins Vascular Access
Device Policy and the Johns Hopkins Central Venous Access Device Dressing … Risk of infection due to central venous
catheters: effect of site of placement and catheter type. … Prevention of central venous catheter-related
infections by using maximal sterile barrier precautions … of povidone-iodine,
alcohol, and chlorhexidine for prevention of infection associated with central venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/videos/compensation.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Patient Safety PSI 03 Pressure Ulcer
PSI 06 Iatrogenic Pneumothorax
PSI 07 Central Venous Catheter-Related … Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate
PDI 12 Central Venous
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pbrn.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - Adverse Events Pressure Ulcers
Surgical Site Infections Ventilator-Associated Pneumonias
(Post-op) Venous … Infections
290,000 8.8
CLABSIs MPSMS (2013) Blood Stream
Infections Associated
With Central Venous … Prevention of venous thromboembolism: the Seventh ACCP Conference on
Antithrombotic and Thrombolytic … Preventing hospital-acquired venous thromboembolism: a guide for effective quality
improvement. … Optimizing prevention of hospital-acquired venous thromboembolism
(VTE): prospective validation of
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - made some progress in the past by implementing
CLABSI reduction programs, such as the use of
central venous … -
Assessment (Tool A.3)
• Improvement Methods Overview
(Tool D.1)
• Best Practices for Central Venous … Two tools were critical to gaining physician support: Best Practices for Central Venous Catheter
(CVC
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - 21.8
Surgical Site Infections 73,000 2.5
Ventilator-Associated Pneumonias 36,000 1.2
(Post-op) Venous … 10
20
30
40
50
60
70
80
90
100
2014
Baseline
2015 2016 2017
All Other HACs
(Post-op) Venous … Infections 2.5 2.5 2.5 2.7 8%
Ventilator-Associated
Pneumonias
1.2 0.9 0.9 1.0 -13%
(Post-op) Venous … procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE MPSMS Postoperative Venous … 6,000 8%
Ventilator-Associated
Pneumonias
36,000 28,000 26,000 31,000 -5,000 -13%
(Post-op) Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apc.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Infections
250,000
7.6
CLABSIs
MPSMS (2014)
Blood Stream Infections Associated With Central Venous … MPSMS (2014)
Ventilator-Associated Pneumonia
38,000
1.2
VTEs
MPSMS (2014)
Postoperative Venous … Antibiotic-Associated C. difficile
93,000
2.8
MPSMS (2014)
Mechanical Complications Associated With Central Venous … - Associated Pneumonias
38,000
38,000
0
0%
$0
0
(Post-op) Venous … 50%
25%
10,000
$21,000
.144
$210,000,000
1,438
(Post-op) Venous
-
pbrn.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - current analysis is based in part on a set of charts in which patients with an ICD-9 coded diagnosis of venous … Infections
270,000
8.2
CLABSIs
MPSMS (2015)
Blood Stream Infections Associated With Central Venous … MPSMS (2015)
Ventilator-Associated Pneumonia
29,000
0.89
VTEs
MPSMS (2015)
Postoperative Venous … Antibiotic-Associated C. difficile
100,000
3.1
MPSMS (2015)
Mechanical Complications Associated With Central Venous … Pneumonias
40,000
50%
50%
25%
10,000
$21,000
.144
$210,000,000
1,438
(Post-op) Venous
-
pbrn.ahrq.gov/patient-safety/resources/simulation.html
January 01, 2023 - Some examples of this work include inserting ultrasound-guided central venous catheters, diagnosing skin
-
pbrn.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apg.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/settings/hospital/fall-prevention/webinars/index.html
September 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous
-
pbrn.ahrq.gov/patient-safety/resources/simulation/terms.html
June 01, 2022 - Some examples of this simulation work include inserting ultrasound-guided central venous catheters, diagnosing
-
pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - HACs
2014 Total HACs per
1,000 Discharges
Ventilator-Associated Pneumonias 36,000 1.2
(Post-op) Venous … 2.5 2.5 2.5 2.5 0% 2.0
Ventilator-
Associated
Pneumonias
1.2 0.9 0.9 1.0 -13% 1.0
(Post-op) Venous … 17 procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE MPSMS Postoperative Venous … Surgical Site Infections 2.5 2.5 2.5 2.5 2.0
Ventilator-Associated Pneumonias 1.2 0.9 0.9 1.0 1.0
Venous … Associated
35,894 1.21 27,548 0.93 25,695 0.86 31,213 1.05
Pneumonia
VTE MPSMS Postoperative
Venous