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National Healthcare Disparities Report, 2005

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Mechanical adverse events associated with central vascular catheters (CVCs).

Measure Source

Centers for Medicare & Medicaid Services (CMS), Medicare Patient Safety Monitoring System (MPSMS).

Tables

Data source does not support detailed tables.

Data Source

  1. CMS Medicare Patient Safety Monitoring System inpatient medical records: used for abstracted data related to the index hospital stay.
  2. CMS Medicare Administrative Data: used for 30-day post-procedure mortality.

Denominator

All instances in records from the MPSMS sample of placement of at least 1 vascular access device terminating at, or close to, the heart or in 1 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.

Numerator

Subset of the denominator with CVC-associated mechanical adverse events.

Comments

A CVC-associated mechanical adverse event is defined as the presence in the medical record of at least 1 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.

 

 

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