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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion.pptx
April 01, 2022 - Central Venous Catheter Insertion
Central Venous Catheter Insertion
Avoiding Improper Placement Techniques … including dialysis, tunneled and nontunneled
Detailed safety steps including strategies to verify correct venous … sterile barrier, skin prep) Pre-, during, and after procedure steps
Includes strategies to verify correct venous
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-maintenance.pptx
April 01, 2022 - Central Venous Catheter Maintenance
Central Venous Catheter Maintenance
Maintaining Awareness and Proper … Dunn is admitted to the ICU with urosepsis
A central venous catheter (CVC) is placed for vasopressors … procedures
AHRQ Safety Program for ICUs: Preventing CLABSI and CAUTI
CVC Maintenance ׀ 6
Central Venous … intervals on catheter-related bloodstream infections (RSVP): a randomised, controlled, equivalence (central venous
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives.pptx
April 01, 2022 - Central Venous Catheter Indications and Alternatives
Indwelling Urinary Catheter Alternatives
Avoiding
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications-notes.docx
April 01, 2022 - Central Venous Catheter Indications Facilitator Notes
CLABSI Module:
Central Venous Catheter Indications … and Alternatives
Facilitator Guide
Slide Number and Image
This module, titled “Central Venous Catheter … This module will review when placing a central venous catheter—a CVC—is appropriate by reviewing existing … access for placement of a device, such as a pacemaker;
· Inadequate or difficult peripheral venous … Additionally, not all recommendations account for duration of use and the length of time a venous catheter
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/index.html
February 01, 2024 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Events
Education & Training
Resources
Preventing Hospital-Associated Venous … Thromboembolism
Next Page
Table of Contents
Preventing Hospital-Associated Venous … Pharmacologic methods to prevent venous thromboembolism are safe, effective, cost-effective, and advocated … Preventing hospital-associated venous thromboembolism: a guide for effective quality improvement, 2nd
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-insertion-notes.docx
April 01, 2022 - Central Venous Catheter Insertion Bundle Facilitator Notes
CLABSI Module:
Central Venous Catheter … Insertion
Facilitator Guide
Slide Number and Image
This module, titled Central Venous Catheter Insertion … This module will review supplies necessary for aseptic insertion of a central venous catheter—a CVC—and … A proposed solution is using an approach that incorporates a central venous catheter insertion bundle … Designate someone to serve as the central venous catheter champion.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-alternatives-notes.docx
April 01, 2022 - Central Venous Catheter Indications and Alternatives Facilitator Notes
CAUTI Module:
Indwelling Urinary
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/central-catheter-indications.pptx
April 01, 2022 - Central Venous Catheter Indications and Alternatives: Avoiding Placement and Determining Appropriateness … Central Venous Catheter
Indications and Alternatives
Avoiding Placement and Determining Appropriateness … Central Venous Catheters. In: Irwin RS, Rippe JM, eds. … Quality Improvement Guidelines for Central Venous Access. J Vasc Interv Radiol. 2010;21:976-81. … Intravascular complications of central venous catheterization by insertion site.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapd.html
April 01, 2018 - graft 33511 2 coronary venous grafts 33512 3 coronary venous grafts 33513 4 coronary venous grafts … 33514 5 coronary venous grafts
OR (CPT BETWEEN '33516' AND '33519') 33516 Coronary artery bypass … , vein only; 6 or more coronary venous grafts 33517 Coronary artery bypass, using venous graft(s) and … graft(s); 2 venous grafts 33519 Coronary artery bypass, using venous graft(s) and arterial graft(s) … ; 3 venous grafts
OR (CPT IN (33521,33522,33523)) 33521 4 venous grafts 33522 5 venous grafts 33523
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
July 01, 2018 - patients are at high risk for venous thromboembolism (VTE). … Incidence of venous thromboembolism in hospitalized patients vs.community residents. … A Validation of a Retrospective Venous Thromboembolism Risk Scoring Method. … Oral rivaroxaban for symptomatic venous thromboembolism. … Economic burden of venous thromboembolism in hospitalized patients.
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/skin-soft-tissue-guide.docx
September 01, 2022 - In addition, impaired venous and lymphatic drainage can predispose to cellulitis. … Slide 6
Moment 1: Mimics—Venous Stasis Dermatitis
SAY:
Venous stasis dermatitis can be distinguished … Patients have less pain with venous stasis dermatitis than with cellulitis and should not have fever … Venous stasis dermatitis can be treated with elevation of the extremity, compression, and topical steroids … If the cellulitis is associated with venous stasis or lymphedema, these conditions must be managed at
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www.qualitymeasures.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
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/pocket-cards-4x6-skin-infections.pdf
June 01, 2021 - or
abscess
• Fever, tachycardia present
Causes of Noninfectious Skin Findings
• Venous … pain but no
warmth
• Gout: redness and warmth associated with underlying joint inflammation
• Deep venous
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/one-pager-cellulitis.docx
June 01, 2021 - disruption due to recent trauma, tinea pedis, cutaneous ulcer, past saphenous venectomy, or impaired venous … The most common is venous stasis dermatitis, which is often bilateral and associated with skin hyperpigmentation … Venous stasis dermatitis presents with minimal pain and without fevers.6
Treatment
· Elevate the affected
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-6-10.pdf
April 17, 2019 - unspecified site
(includes cavernous malformation)
228.00
Phlebitis/thrombophlebitis of
intracranial venous … Cerebral aneurysm, nonruptured 437.3
Moyamoya disease 437.5
Nonpyogenic thrombosis of intracranial
venous … includes anteriovenous malformation)
Cerebrovascular anomalies 747.81
Other (aneurysm) 747.89
Other venous