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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Diagnosis
Documentation/communication
Infection
Medication
Palliative care
Procedures
Prophylaxis … Safety
8 Tool D.4n
IQI 17 Acute Stroke Mortality Rate
• STK-1 Venous Thromboembolism (VTE) Prophylaxis
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Comparison of guideline concordant antibiotic prophylaxis in Veterans Affairs and non-Veterans Affairs
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Peri-Op Insulin Administration
2
2
0
Peri-Op Proton Pump Inhibitor
1
1
0
Peri-Op VTE Prophylaxis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - • Is DVT prophylaxis indicated? If so, what?
• Has the patient received anticoagulants? … meds needed (immediate periop)
• Beta blockers (as required)
• Glycemic control (as required)
• DVT prophylaxis … · Is DVT prophylaxis indicated? If so, what?
· Has the patient received anticoagulants? … meds needed (immediate periop)
· Beta blockers (as required)
· Glycemic control (as required)
· DVT prophylaxis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - Examples include
most fall prevention programs, VTE prophylaxis, and
medical history abbreviations … Patient Safety Target
Adverse Drug Events
High-alert drugs: patient safety practices
for intravenous anticoagulants … Moderate Little/Moderate
Strategies to prevent stress-related
gastrointestinal bleeding (stress ulcer
prophylaxis … Moderate Moderate
(pneumonia)
Moderate Little/Not difficult
Strategies to increase appropriate
prophylaxis … infections
• Use of real-time ultrasound for central line placement
• Interventions to improve prophylaxis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - factors:
• Metastatic bone disease
• Osteoporosis
• Antiplatelet agents (except low-dose aspirin)
• Anticoagulant … fall event
• New medication that increases fall risk (e.g., hypnotic, sedative) or risk for injury
(anticoagulant … osteoporosis have both been associated with
increased risk of fracture.27 The use of antiplatelet therapy or anticoagulant … Anticoagulant-treated
patients who fall and experience loss of consciousness or intracranial bleeding … Low-dose aspirin
prophylaxis and risk of intracranial hemorrhage in
patients older than 60 years of
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - procedure for his or
her risk of surgical site infection (SSI), and implement appropriate antibiotic prophylaxis … all “high alert” drugs (e.g., intravenous adrenergic agonists and antagonists,
chemotherapy agents, anticoagulants
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 -
1
intra-op drugs on paper anesthesia record
D
Electronic
1
Peri-Op VTE Prophylaxis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - INR or a PTT ratio > 1.3, platelets < 50K) or if patient
is on therapeutic dosing of thrombolytics/anticoagulants … The nurse may remove central VAD for patients on anticoagulants for Venous Thromboembolism
(VTE) Prophylaxis … The following are considered prophylactic dosing for VTE:
Drug Usual prophylaxis dose
Heparin 5000
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
February 08, 2008 - include information beyond what the physician might initially consider, such as venous
thromboembolism prophylaxis … Venous thromboembolism
prophylaxis
Sequential compression devices for bilateral lower extremities … Adding DVT prophylaxis, vaccination status, smoking counseling, patient education, etc
Adding safety
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances/index.html
July 01, 2022 - Bartholomew Clark, Bruce Houghton Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
June 10, 2014 - We need intensivists to be engaged in our ICUs and surgeons to help us with improving surgical prophylaxis
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
December 01, 2017 - We need intensivists to be engaged in our ICUs and surgeons to help us with improving surgical prophylaxis