-
psnet.ahrq.gov/node/43711/psn-pdf
November 26, 2014 - discharge of six
HACs—severe pressure ulcers, fractures, catheter-associated urinary tract infections, venous … catheter-
related infections, surgical site infections, and post-surgical venous thromboembolism.
-
psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - This commentary examines factors that contribute to central venous catheterization mistakes and applies … The authors suggest steps before, during, and after central venous catheter placement to support safe
-
psnet.ahrq.gov/node/866995/psn-pdf
October 30, 2024 - patient had been started on 7500 units of unfractionated heparin
every 8 hours due to his risk of venous … The patient in the case was clearly at risk for
venous thromboembolism as a complication. … As for many rare but serious risks associated with anticoagulation,
studies of patients at risk for venous … Early chemoprophylaxis is associated with decreased
venous thromboembolism risk without concomitant … Early pharmacological venous thromboembolism prophylaxis
is safe after operative fixation of traumatic
-
psnet.ahrq.gov/node/45511/psn-pdf
July 21, 2017 - Investigators compared a global measure of safety, which
included pressure ulcers, venous thromboembolism … ://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
-
psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - HMS has also focused on risk assessment and therapies for patients at risk for venous thromboembolism … Inpatient venous access practices: PICC culture and the kidney patient. … A clinical pathway for the management of difficult venous access. BMC Nurs. 2017;16:64. … Ultrasound-guided peripheral venous access: a meta-analysis and systematic review. … central venous lines: a systematic review of the literature.
-
psnet.ahrq.gov/node/49679/psn-pdf
March 01, 2013 - The nurse's lack of
familiarity with the specific type of central venous catheter (CVC) and improper … Central venous catheters are placed directly into the central veins, usually the subclavian, internal … Evidence-based practice: improving outcomes for patients with a central venous access
device. … National survey of central venous catheter flushing in the intensive care
unit. … How to obtain a specimen from a central venous catheter. Nursing. 2000;30:14. [go to PubMed]
10.
-
psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
June 22, 2022 - the highest cost per event, whereas urinary tract infection, superficial surgical site infection, and venous … June 3, 2020
Preventability of hospital-acquired venous thromboembolism.
-
psnet.ahrq.gov/issue/effects-computerized-decision-support-system-implementations-patient-outcomes-inpatient-care
November 06, 2019 - was found to be most effective for managing blood glucose and blood transfusions and for preventing venous … 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous
-
psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study
July 29, 2020 - qualitative study explored the perspectives of parents with children living at home with a central venous … June 8, 2016
Elimination of central-venous-catheter-related bloodstream infections from
-
psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - other conditions of the
chest or neck that increase risk of complications with use of other central venous … When the catheter size exceeds 50% of
the diameter of the vein, the risk of venous thrombosis increases … Fibrin sheath enhances central venous catheter
infection. Crit Care Med. 2002;30:908-912. … The relationship between the thrombotic
and infectious complications of central venous catheters. … Central venous catheters in home infusion
care: outcomes analysis in 50,470 patients.
-
psnet.ahrq.gov/web-mm/danger-10-intravenous-calcium-chloride-extravasation
April 24, 2024 - After resuscitation and stabilization, he was noted to have venous congestion and soft tissue damage … retrospective cohort study evaluated the safety of 10% calcium chloride administration via peripheral venous … IRAE rates between 1% and 17%. 3 Therefore, administration of 10% calcium chloride via peripheral venous … Erosion of the venous wall may be induced by endovascular inflammation from movement of the catheter … During infusion of fluids, IV catheters can become dislodged and/or penetrate through the venous wall
-
psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - Venous thromboembolism as a cause of severe maternal morbidity and mortality in the United States. … Venous thromboembolic disease and pregnancy. … National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. … Risk of first venous thromboembolism in pregnant women in hospital: population-based cohort study from … Venous thromboembolism during pregnancy and postpartum period.
-
psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2012
November 02, 2012 - calculation for identifying "Top Performers" included three new accountability measure sets: stroke, venous … for heart attacks, pneumonia, surgical care, children's asthma care, inpatient psychiatric services, venous
-
psnet.ahrq.gov/node/45533/psn-pdf
November 02, 2016 - nationwide quality improvement project in the United Kingdom to
address four patient safety issues: venous … survey-hospital-quality-improvement-activities
https://psnet.ahrq.gov/issue/preventability-hospital-acquired-venous-thromboembolism
-
psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - At the community hospital, a central venous catheter was placed in the patient's right internal jugular … Patients should be placed in the Trendelenburg or, at minimum, supine position (to elevate central venous … Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123-1133. … Guidelines on the insertion and management of central venous access devices in adults. … Central venous catheter removal: procedures and rationale. Br J Nurs. 2000;9:2304-2315.
-
psnet.ahrq.gov/node/848109/psn-pdf
April 26, 2023 - After resuscitation and stabilization, he was
noted to have venous congestion and soft tissue damage … retrospective cohort study evaluated the safety of 10% calcium chloride administration via
peripheral venous … of IRAE
rates between 1% and 17%.3 Therefore, administration of 10% calcium chloride via peripheral venous … Erosion of the venous wall may be induced by endovascular inflammation from movement of
the catheter … During infusion of fluids, IV catheters can become dislodged and/or penetrate through the venous
wall
-
psnet.ahrq.gov/web-mm/unfamiliar-catheter
November 01, 2006 - The nurse's lack of familiarity with the specific type of central venous catheter (CVC) and improper … Evidence-based practice: improving outcomes for patients with a central venous access device. … National survey of central venous catheter flushing in the intensive care unit. … How to obtain a specimen from a central venous catheter. Nursing. 2000;30:14. … A simulation-based "just in time" and "just in place" central venous catheter education program.
-
psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - microliter) with marked generalized petechiae and bruising was scheduled for implantation of a
central venous … (18% vs 64%).3 Although the patient population in that study had a different indication for central venous … External Jugular Cutdown Technique for
Totally Implantable Venous Access Devices: a Single-Centre Study … Hickman central venous catheters in children: open versus percutaneous
technique. … Prospective analysis of percutaneous central venous
catheterization in infants <4.0 kg undergoing cardiac
-
psnet.ahrq.gov/issue/diagnosis-ectopic-pregnancy
April 26, 2023 - Resources From the Same Author(s)
Safety Risk of Air Embolus Associated with Central Venous … April 5, 2023
Investigation into Management of Venous Thromboembolism Risk in Patients
-
psnet.ahrq.gov/issue/decade-preventing-harm
July 10, 2008 - pressure ulcers , adverse drug events , falls with injury , health care–associated infections , and venous … July 10, 2008
Clinical validation of the AHRQ postoperative venous thromboembolism patient