AHRQ Patient Safety Network

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Indwelling Tubes and Catheters

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•Clinical Guideline (1)

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•Quality Improvement Strategies (37)

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•Allied Health Services (2)

•Medicine (68)

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Setting of Care

•Hospitals (71)

1 - 20 of 87

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COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.

Warren DK, Yokoe DS, Climo MW, et al. Infect Control Hosp Epidemiol. 2006;27:8-13.

STUDY

Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port.

Maragakis LL, Bradley KL, Song X, et al. Infect Control Hosp Epidemiol. 2006;27:67-70.

REVIEW

Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.

Johnson JR, Kuskowski MA, Wilt TJ. Ann Intern Med. 2006;144:116-126.

STUDY

Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].

Baxter AD, Allan J, Bedard J, et al. Can J Anaesth. 2005;52:535-541.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

STUDY

An overview of intravenous-related medication administration errors as reported to MEDMARX^(R), a national medication error-reporting program.

Hicks RW, Becker SC. J Infus Nurs. 2006;29:20-27.

COMMENTARY

PCA Overdose

Doyle DJ. AHRQ WebM&M [serial online]. July/August 2005.

ORGANIZATIONAL POLICY/GUIDELINES

Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee.

Simmons D, Phillips MS, Grissinger M, Becker SC. Jt Comm J Qual Patient Saf. 2008;34:293-296.

STUDY

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.

Needham DM, Sinopoli DJ, Thompson DA, et al. Crit Care Med. 2005;33:1701-1707.

REVIEW

Tubing misconnections: normalization of deviance.

Simmons D, Symes L, Guenter P, Graves K. Nutr Clin Pract. 2011;26:286-293.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

REVIEW

Enteral feeding misconnections: an update.

Guenter P, Hicks RW, Simmons D. Nutr Clin Pract. 2009;24:325-334.

COMMENTARY

Urinary Retention Dilemma

Joseph AC. AHRQ WebM&M [serial online]. November 2006.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

STUDY

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.

Marsteller JA, Sexton JB, Hsu YJ, et al. Crit Care Med. 2012;40:2933-2939.

COMMENTARY

Preventing catheter-related bloodstream infections: thinking outside the checklist.

Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

NEWSPAPER/MAGAZINE ARTICLE

Woman who died at Alta Bates may be victim of medical error not medication mistake.

Woodall A. Oakland Tribune. September 27, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Global goal: reduce medical errors.

Szabo L. USA Today. August 23, 2005.

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