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psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - The ICU team decided that the patient required central venous catheter placement in order to administer … Establishing central venous access in this patient was challenging. … miscommunication.( 15 ) In this case, although the ICU confirmed their intention to place a central venous … communicating physicians may have had adequate knowledge to identify the potential danger of placing a central venous … which neither junior team member felt empowered to ask for help prior to the placement of the central venous
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psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - therapy is increasingly utilized in the inpatient setting to reduce the incidence of hospital-acquired
venous … extremely high risk (40%-60% risk of thrombosis in the first 1-2 weeks after
surgery) of postoperative venous … neuraxial methods result in fewer postoperative cardiac events,
pulmonary complications, and cases of venous … Take-Home Points
Pharmacologic prophylaxis for venous thromboembolism and neuraxial anesthesia are effective … Prevention of venous thromboembolism: the Seventh ACCP
Conference on Antithrombotic and Thrombolytic
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psnet.ahrq.gov/node/49663/psn-pdf
September 01, 2012 - There has been substantial focus on the risks associated with central venous catheters including catheter … placing peripheral IV catheters, multiple attempts may be required, especially for
those with difficult venous … Risk factors for infusion-related phlebitis with small peripheral venous catheters. … Clinically-indicated replacement versus routine replacement of
peripheral venous catheters. … Prevention of peripheral venous catheter complications
with an intravenous therapy team: a randomized
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psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
January 01, 2022 - large intestines from multiple potential etiologies involving
interruptions of either the arterial or venous … Obstruction of the venous mesenteric outflow occurs as a
result of venous thrombosis of the superior … Mesenteric arterial and venous thrombosis accounts for 15-25%
and 5% of all mesenteric ischemia, respectively … – Risk factors for venous thrombosis include infection, inflammation, and
hypercoagulable states … this disease process depend on the etiology, with higher mortality in
arterial (50-70%) compared to venous
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - recent Achilles tendon surgery
• Achilles tendon rupture has been associated with a higher risk for venous … High incidence of deep venous thrombosis after Achilles tendon rupture: a prospective study. … American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of … Symptomatic venous thromboembolism and mortality in orthopaedic surgery - an observational study of 45 … J Vasc Surg Venous Lymphat Disord. 2019;7(4):493-500. doi:10.1016/j.jvsv.2018.11.014.
43.
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - track incidents involving
pressure ulcers, falls, urinary infections in patients with catheters, and venous
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psnet.ahrq.gov/node/866247/psn-pdf
July 10, 2024 - Most incidents
were medication-related, followed by patient falls, and incidents related to venous thromboembolism
-
psnet.ahrq.gov/node/33665/psn-pdf
March 01, 2008 - Residents were expected to independently perform
and teach most medical procedures (central venous line … Central venous lines (CVL) and thoracenteses are
performed under the direct supervision of interventional … Staff in 2006(Go to table citation in commentary)
N (%)
Total Procedures
1174 (1)
Central venous … Internal Medicine Residency 2007–2008 Procedural Competency
Guidelines for Interns Performing Central Venous … Sample Portion of the Self-Assessment Quiz for Central Venous Line Placement.
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psnet.ahrq.gov/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - Correct hypotension prior to inserting an arterial or central venous catheter In some cases, it is appropriate … Ultrasound can be helpful to prevent inadvertent arterial cannulation during central venous catheter … Display arterial and central venous pressures on the monitor Displaying the pressure measured at the … can be turned while looking at the pressure trace on the monitor to confirm that the line is truly venous … Ultrasound can be helpful to prevent inadvertent arterial cannulation during central venous catheter
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psnet.ahrq.gov/issue/detection-postoperative-respiratory-failure-how-predictive-agency-healthcare-research-and
January 13, 2010 - Author(s)
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … 2011
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous
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psnet.ahrq.gov/issue/prescribing-errors-low-molecular-weight-heparins
July 26, 2017 - March 12, 2011
Electronic alerts to prevent venous thromboembolism among hospitalized … , 2010
Minimizing errors of omission: Behavioural rEenforcement of Heparin to Avert Venous
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psnet.ahrq.gov/issue/national-profile-patient-safety-us-hospitals
April 11, 2011 - 2010
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … October 12, 2022
Modes of failure in venous thromboembolism prophylaxis.
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psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
June 21, 2016 - Related Resources From the Same Author(s)
Preventability of hospital-acquired venous … preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - therapy is increasingly utilized in the inpatient setting to reduce the incidence of hospital-acquired venous … extremely high risk (40%-60% risk of thrombosis in the first 1-2 weeks after surgery) of postoperative venous … neuraxial methods result in fewer postoperative cardiac events, pulmonary complications, and cases of venous … Take-Home Points Pharmacologic prophylaxis for venous thromboembolism and neuraxial anesthesia are … Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic
-
psnet.ahrq.gov/node/838020/psn-pdf
September 07, 2022 - qualitative study
explored the perspectives of parents with children living at home with a central venous
-
psnet.ahrq.gov/taxonomy/term/3475
proven medication with major benefits for an eligible patient (e.g., low-dose unfractionated heparin as venous
-
psnet.ahrq.gov/node/41879/psn-pdf
January 18, 2013 - A case of a broken peripherally inserted central venous catheter
(PICC) that required surgical removal
-
psnet.ahrq.gov/node/39394/psn-pdf
May 25, 2010 - iatrogenic-events-contributing-icu-admission-prospective-study
https://psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
-
psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - https://psnet.ahrq.gov/issue/matching-michigan-2-year-stepped-interventional-programme-minimise-central-venous-catheter
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - Although she did not have a personal or family history of venous thromboembolism (VTE), pulmonary embolism … High incidence of deep venous thrombosis after Achilles tendon rupture: a prospective study. … American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of … Symptomatic venous thromboembolism and mortality in orthopaedic surgery - an observational study of 45 … J Vasc Surg Venous Lymphat Disord . 2019;7(4):493-500. doi:10.1016/j.jvsv.2018.11.014.