-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-removal.pptx
April 01, 2022 - Central Venous Catheter Removal
Central Venous Catheter
Removal
Prompting Removal of Unnecessary Catheters … 2022
AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI
1
Case 1: Central Venous … Rigo was admitted to the intensive care unit (ICU) with sepsis 3 days ago
He required a central venous … The PA catheter was converted to a central venous catheter for fluids. … Do clinicians know which of their patients have central venous catheters?
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance-notes.docx
April 01, 2022 - Central Venous Catheter Maintenance Facilitator Notes
CLABSI Module:
Central Venous Catheter Maintenance … Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Maintenance … This module will review the interventions in a central venous catheter maintenance bundle and will also … explain the importance of proper care of a central venous catheter (CVC) as a means to prevent infection … The physicians and nurses in the ICU realize that her central venous catheter could have been removed
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www.cpsi.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/prevention-modules.html
April 01, 2022 - CLABSI:
Central Venous Catheter Indications and Alternatives (PowerPoint, 4.6 MB; Facilitator's Notes … , Word, 667 KB)
Central Venous Catheter Insertion Bundle (PowerPoint, 4.2 MB; Facilitator's Notes … , Word, 1 MB)
Central Venous Catheter Maintenance (PowerPoint, 4.9 MB; Facilitator's Notes , Word … , 928.7 KB)
Central Venous Catheter Removal (PowerPoint, 4.3 MB; Facilitator's Notes , Word, 62.4
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www.cpsi.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
-
www.cpsi.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.).
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4j_pdi12-crbsi-bestpractices.pdf
May 17, 2016 - and Safety
1 Tool D.4j
Selected Best Practices and Suggestions for Improvement
PDI 12: Central Venous … units (ICUs), the pooled mean rate was 3.0
CLABSIs per 1,000 central line days.2
• Overall, central venous … Central venous catheter insertion kit. … o The time-sequenced protocol includes the following for all insertions of central venous
catheters: … Central Venous Catheters Insertion – Assisting.
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www.cpsi.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.
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www.cpsi.ahrq.gov/sites/default/files/publications/files/10-tips-for-hospitals.pdf
December 01, 2009 - preventing central line-
associated blood stream
infections by taking five steps
every time a central venous … Prevent venous
thromboembolism. … Eliminate
hospital-acquired venous
thromboembolism (VTE), the
most common cause of
preventable hospital … Ordering
information for Preventing Hospital-Acquired Venous
Thromboembolism: A Guide for Effective Quality
-
www.cpsi.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - Infections
290,000
8.8
CLABSis
MPSMS (2013)
Blood Stream Infections Associated With Central Venous … MPSMS (2013)
Ventilator-Associated Pneumonia
37,000
1.1
VTEs
MPSMS (2013)
Postoperative Venous … 479
Ventilator-Associated Pneumonias
38,000
37,000
1,000
3%
$21,000,000
144
(Post-op) Venous … $21,000
Ventilator-Associated Pneumonias
40,000
50%
50%
25%
10,000
$21,000
(Post-op) Venous … .028
$161,700,000
217
Ventilator-Associated Pneumonias
.144
$210,000,000
1,438
(Post-op) Venous
-
www.cpsi.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
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www.cpsi.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)
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www.cpsi.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Venous Thromboembolisms (post-surgery)
AHRQ Health Care Innovations Exchange. … Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic … Kucher N, Koo S, Quiroz R, et al Electronic alerts to prevent venous thromboembolism among hospitalized … Preventing hospital-acquired venous thromboembolism: a guide for effective quality improvement. … Optimizing prevention of hospital-acquired venous thromboembolism (VTE): prospective validation of a
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www.cpsi.ahrq.gov/patients-consumers/diagnosis-treatment/hospitals-clinics/10-tips/index.html
June 01, 2018 - preventing central line-associated blood stream infections by taking five steps every time a central venous … taking these steps can help reduce potentially preventable readmissions by 30 percent. ii
Prevent venous … Eliminate hospital-acquired venous thromboembolism (VTE), the most common cause of preventable hospital … Preventing Hospital-Acquired Venous Thromboembolism: A Guide for Effective Quality Improvement (AHRQ
-
www.cpsi.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - 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 … MPSMS
(2014)
Ventilator-Associated
Pneumonia
38,000 1.2
VTEs MPSMS
(2014)
Postoperative
Venous
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - 21.6 17.3
Surgical Site Infections (SSIs) 2.5 2.0
Ventilator-Associated Pneumonias (VAPs) 1.2 1.0
Venous … MPSMS Clostridium difficile Infections
CLABSI MPSMS Blood Stream Infections Associated With Central Venous … 17 procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE MPSMS Postoperative Venous … 5 data 73,158 2.46
VAP MPSMS Ventilator-Associated Pneumonia 35,588 1.20
VTE MPSMS Postoperative Venous … 0%
Ventilator-
Associated
Pneumonias
36,000 30,000 24,000 -6,000 -15% -11,000 -32%
(Post-Op) Venous
-
www.cpsi.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
-
www.cpsi.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
-
www.cpsi.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
-
www.cpsi.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
-
www.cpsi.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