-
teamstepps.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - Infections (physician diagnosed)
CLABSI
MPSMS
Blood Stream Infections Associated With Central Venous … based on CDC NHSN data
VAP
MPSMS
Ventilator-Associated Pneumonia
VTE
MPSMS
Postoperative Venous … Replacements
1.02
3.62
0.28
All Other HACs
Mechanical Complications Associated With Central Venous … 401,139
32,750,000
12.249
CLABSI
MPSMS
Blood Stream Infections Associated With Central Venous … difficile
86,916
32,750,000
2.654
MPSMS
Mechanical Complications Associated With Central Venous
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4d_combo_psi07-crbsi-bestpractices.pdf
May 20, 2016 - Safety
1 Tool D.4d
Selected Best Practices and Suggestions for Improvement
PSI 07: Central Venous … estimated to occur
annually, if entire hospitals are assessed.2
• Recent data reveal that central venous … • Starting in 2015, the central venous catheter-related bloodstream infection PSI will be
one of … Central venous catheter insertion kit. … Central venous catheters (triple lumens, swans, PICCs, etc.).
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - Central venous catheter insertion kit. … for insertion:
○ The time-sequenced protocol includes the following for all insertions of central venous … Ideally, umbilical artery catheters should not
stay in place for more than 5 days and umbilical venous … Central Venous Catheters Insertion – Assisting. … Bizzarro MJ, Noonan M, Bonfiglio MP, et al., and Central Venous Catheter Initiative
Committee.
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - Infections
370,000 11.30 350,000 10.58
CLABSI MPSMS Blood Stream
Infections Associated
With Central Venous … 2.51
VAP MPSMS Ventilator-Associated
Pneumonia
35,000 1.07 34,000 1.02
VTE MPSMS Postoperative
Venous … Measured
HACs per
1,000
Discharge
s
MPSMS Mechanical
Complications
Associated With
Central Venous
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/clabsitools/clabsitoolsap5.doc
December 11, 2012 - from each lumen (to avoid air embolism and ensure intravascular placement)
Transduce central venous … pressure or estimate central venous pressure by fluid column (to avoid arterial placement)
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Adverse Events
Pressure Ulcers
Surgical Site Infections
Ventilator-Associated Pneumonias
(Post-op) Venous … Adverse Events
Pressure Ulcers
Surgical Site Infections
Ventilator-Associated Pneumonias
(Post-op) Venous … Adverse Events Pressure Ulcers
Surgical Site Infections Ventilator-Associated Pneumonias
(Post-op) Venous … Infections
250,000 7.6
CLABSIs MPSMS
(2014)
Blood Stream
Infections Associated
With Central Venous … on 2010 Baseline)
PfP Measured HACs
per 1,000 Discharges
VTEs MPSMS
(2014)
Postoperative
Venous
-
teamstepps.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 370,000
11.30
350,000
10.58
CLABSI
MPSMS
Blood Stream Infections Associated With Central Venous … MPSMS
Ventilator-Associated Pneumonia
35,000
1.07
34,000
1.02
VTE
MPSMS
Postoperative Venous … difficile
100,000
3.16
110,000
3.30
MPSMS
Mechanical Complications Associated With Central Venous
-
teamstepps.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Improving Surgical Care and Recovery
Surgical site infections: Toolkit To Promote Safe Surgery
Venous … thromboembolism (VTE): Preventing Hospital-Associated Venous Thromboembolism
Ventilator-associated
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - Events
-3%
Pressure
Ulcers
Surgical
Site
Infections
Ventilator-
Associated
Pneumonias
-13%
Venous
-
teamstepps.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
-
teamstepps.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
-
teamstepps.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - Read the impact story: University of Chicago Medicine
UChicago Medicine reduced venous thromboembolism … patient population across their institution with the use of AHRQ’s Preventing Hospital-Associated Venous
-
teamstepps.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
-
teamstepps.ahrq.gov/patient-safety/settings/hospital/index.html
March 01, 2024 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement outlines … the latest evidence on how to lead a quality improvement effort to prevent hospital-acquired venous
-
teamstepps.ahrq.gov/tools/index.html?page=2
September 01, 2023 - February 2010
Setting of Care: Long-term Care
Preventing Hospital-Associated Venous … latest scientific evidence, includes tools and resources for hospital staff to prevent hospital-acquired venous
-
teamstepps.ahrq.gov/research/publications/search.html?page=7
August 01, 2016 - August 2016
Publication Number: A1516-EHC019-A
Preventing Hospital-Associated Venous … This guide assists quality improvement practitioners in improving prevention of hospital-acquired venous
-
teamstepps.ahrq.gov/hai/clabsi-tools/appendix-5.html
March 01, 2018 - lumen (to avoid air embolism and ensure intravascular placement)
Transduce central venous … pressure or estimate central venous pressure by fluid column (to avoid arterial placement)
-
teamstepps.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
-
teamstepps.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
-
teamstepps.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