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Showing results for "anticoagulant prophylaxis".

1. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
   October 01, 2022 - Variation: Add in start time for anticoagulant prophylaxis post op. … Balances default to prophylaxis with explicit efforts to minimize anticoagulant prophylaxis for those … Concurrent use of anticoagulants known to increase the risk of bleeding (such as warfarin with international … Anticoagulant prophylaxis posed as preferred prophylaxis in cases at risk for VTE and no anticoagulant … Anticoagulant prophylaxis is preferred prophylaxis in cases at risk for VTE and no anticoagulant contraindication

2. Appendix C: VTE Measurement and Tracking | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
   May 01, 2016 - If patient is at moderate or high risk and is not receiving anticoagulant prophylaxis: Does patient have … Bleeding Risk Factors and Contraindications to Anticoagulant Prophylaxis Active bleeding. … Blue represents patients on combination mechanical and anticoagulant prophylaxis, while gray represents … Customize the list of anticoagulants and doses as required, based on your formulary, and whether you … Which anticoagulants to include may vary by protocol and the underlying focus of the improvement team

3. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
   May 01, 2016 - attributable to anticoagulant prophylaxis. … that justifies using alternatives to anticoagulant prophylaxis? … In its simplest version, the proactive review ends if either anticoagulant or mechanical prophylaxis … In addition, not everyone with HA-VTE will be readmitted; newer oral anticoagulants and low-molecular-weight … limits how aggressively anticoagulant prophylaxis can be used.

4. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
   October 01, 2022 - Bleeding risk tools and guidance for the timing of administering anticoagulant prophylaxis around surgical … Patients are targeted for interventions to prevent VTE (anticoagulant or mechanical prophylaxis and efforts … This approach has an automatic default of anticoagulant prophylaxis and assumes the great majority of … IPCD AND LMWH or other anticoagulant * * For those at moderate or high risk and contraindications … Specific options for anticoagulant choices, dosing, and timing are presented in the actual order sets

5. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
   May 01, 2016 - orders for each patient on the ward as "green" (therapeutic or prophylactic anticoagulant ordered), … to anticoagulants at a prophylactic level. … The patient in 601B has SCDs and a documented lab contraindication to anticoagulant. … level, impaired mobility, and no contraindication for anticoagulant captured in the laboratory. … Finally, potential over-prophylaxis is identified by "green" patients on anticoagulant who are ambulating

6. Chapter 5. Implement the VTE Prevention Protocol | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
   October 01, 2022 - Age, body mass index, creatinine clearance, already prescribed antiplatelet or anticoagulant agents, … a given LMWH or oral anticoagulant. … prophylaxis. … prophylaxis. … Opting out of anticoagulant prophylaxis for moderate- or high-risk patients led to capture of anticoagulant

7. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
   February 01, 2016 - (Nonsurgical) Acutely ill hospitalized patients at risk for thrombosis are likely candidates for anticoagulant … (preferably with IPCD) and anticoagulant prophylaxis is suggested for these high-risk patients. … In AT8 and other guidelines, anticoagulant prophylaxis is preferred over mechanical prophylaxis. 6,13 … arthroplasty and total knee arthroplasty, LMWH is favored by AT9. 4 For hip fracture surgery, the anticoagulant … of anticoagulants in different situations, further complicate the issues.

8. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
   January 01, 2024 - manifest DVT alone, whereas one third of patients manifest PE.1 The recurrent rate of VTE, despite anticoagulant … Improve the use of prophylaxis. … for patients eligible to receive prophylactic anticoagulants. … Five were ineligible for prophylactic anticoagulants due to documented contraindications, such as bleeding … mechanical prophylaxis only.

9. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
   July 01, 2018 - Meta-analysis: anticoagulant prophylaxis to prevent symptomatic venous thromboembolism in hospitalized … Convincing trials of anticoagulant prophylaxis against symptomatic UE DVT are currently lacking, but … a recent meta-analysis found that anticoagulant prophylaxis is effective for preventing all CVC-related … DVT, and it seems likely that anticoagulant prophylaxis reduces symptomatic UE DVT to some extent. … In any case, most inpatients with a CVC warrant anticoagulant prophylaxis based on cumulative risk factors

10. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
    March 01, 2020 - Pharmacologic prophylaxis is available via a number of different anticoagulant and antiplatelet drugs … There are two different types of pharmacologic agents available for VTE prophylaxis—anticoagulants and … drugs are associated with a higher incidence of bleeding than prophylaxis agents.4 The review’s key … insufficient evidence to draw conclusion regarding whether aspirin is more or less effective than anticoagulation … agents.

11. Preface | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
    March 01, 2016 - practices, the rates are much higher. 10-12 When patients survive the VTE event and acute course of anticoagulant … Patients and their families relay powerful personal stories related to loss of function, difficulty with anticoagulant … while avoiding over-prophylaxis of those who are not. … Evidence-based protocols that standardize VTE risk assessment and prophylaxis. … (50-60 percent) and pharmacologic prophylaxis (10-20 percent of doses commonly not delivered).

12. Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
    January 01, 2024 - The use of primary prophylaxis has been shown to decrease VTE [8]. … Percent of patients on adequate prophylaxis: Our audits assessed the VTE risk level and adequacy of prophylaxis … Finally, we asked nurses to evaluate patients who were not on therapeutic or prophylactic doses of anticoagulants … assessment to guide choice of VTE prophylaxis is available. … could be merged with a pharmacy-generated listing of patients on any prophylactic or therapeutic anticoagulant

13. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
    May 01, 2007 - adult setting, which contributes t a lack of evidence-based guidelines in the literature for pediatric prophylaxis … As the prevalence of pediatric thromboembolic events increases along with the use of anticoagulants, … These patients could include, but are not limited to, patients who require deep vein thrombosis prophylaxis … Predominant anticoagulants used were enoxaparin, warfarin, and subcutaneous heparin. … Perioperative venous thrombosis in children: Is it time for prophylaxis?

14. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
    September 01, 2008 - The components are as follows: • VTE prophylaxis guidelines. • VTE risk assessment tool. … risk of developing VTE and for recommending the type, dose, timing, and duration of anticoagulants. … by increasing provider knowledge about VTE prophylaxis. … Guide to anticoagulant therapy. Part 1: Heparin. American Heart Association. … Risk of and prophylaxis for venous thromboembolism in hospital patients.

15. Executive Summary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guidesum.html
    March 01, 2016 - While VTE sometimes occurs despite the best available prophylaxis, there are many lost opportunities … to optimize prophylaxis and reduce VTE risk factors in virtually every hospital. … harms, costs, and discomfort associated with prophylactic methods; for some inpatients, the risk of anticoagulant … prophylaxis may outweigh the risk of HA-VTE. … rates, and other parameters (e.g., adherence to prescribed prophylaxis).

16. Tool: OR Briefing and Debriefing Audit Tool (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
    December 01, 2017 - time Beta blockers Airway risk Access issues Bleeding concerns (e.g., anticoagulant … Blood availability Allergies Glycemic control Deep vein thrombosis prophylaxis

17. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
    May 20, 2016 - Selection Appropriate use of prophylaxis for VTE in patients at risk is the number one strategy … o Focus on reaching VTE prophylaxis targets and reporting to key medical staff committees. … o Draft or adopt evidence-based protocols that standardize VTE risk assessment and prophylaxis.6 … Selection • Prompt providers to order VTE prophylaxis when completing admission or transfer orders … .3 • Determine contraindications to pharmacologic prophylaxis and deliver decision support to the

18. UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
    February 01, 2024 - The aims of the taskforce were to strengthen established chemical and mechanical prophylaxis and ambulation … concluded that the aims of the taskforce would be to strengthen established chemical and mechanical prophylaxis

19. Strategy 2: Communicating to Improve Quality (Tool 3) (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/asc-checklist-template.docx
    January 01, 2009 - operation longer than 1 hour · Warmer in place · Risk of venous thromboembolism · Compression boots and/or anticoagulants … s name · Surgical procedure to be performed matches the consent · Surgical site · Has antibiotic prophylaxis

20. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
    July 01, 2018 - Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients. … Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients. … Medication chart intervention improves inpatient thromboembolism prophylaxis. … clinical decision support tool for prophylaxis for venous thromboembolism in trauma. … Venous thromboembolism prophylaxis and risk assessment in medical patients.