This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.
Please go to www.ahrq.gov for current information.
Mechanical adverse events associated with central vascular catheters (CVCs)
Centers for Medicare & Medicaid Services (CMS), Medicare Patient Safety Monitoring System (MPSMS).
Data source does not support detailed tables.
- CMS Medicare Patient Safety Monitoring System inpatient medical records: used for abstracted data related to the index hospital stay.
- CMS Medicare Administrative Data: used for 30-day post-procedure mortality.
All instances in records from the MPSMS sample of placement of at least one vascular access device terminating at, or close to, the heart or in one of the great vessels. The following are considered great vessels for this measure: aorta, vena cava, brachiocephalic veins, iliac vein, internal jugular veins, and subclavian veins.
Subset of the denominator with CVC-associated mechanical adverse events.
A CVC-associated mechanical adverse event is defined as the presence in the medical record of at least one of the following: allergic reaction, tamponade, perforation, pneumothorax, Hematoma, shearing off of the catheter, air embolism, misplaced catheter, thrombosis/embolism, knotting of the pulmonary artery catheter, arrhythmia requiring treatment during insertion, bleeding, equipment malfunction, and pain.