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psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis
October 19, 2022 - Study
Modes of failure in venous thromboembolism prophylaxis. … Modes of failure in venous thromboembolism prophylaxis. … Modes of failure in venous thromboembolism prophylaxis. … June 5, 2013
Reducing anticoagulant medication adverse events and avoidable patient harm … See More About The Topic
Hospitals
Quality and Safety Professionals
Hematology
Anticoagulants
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psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
May 19, 2021 - Study
Reducing anticoagulant medication adverse events and avoidable patient harm … Reducing anticoagulant medication adverse vents and avoidable patient harm. … Hospitalized patients receiving anticoagulants such as warfarin are at high risk for adverse drug events … Reducing anticoagulant medication adverse vents and avoidable patient harm. … View More
Related Resources
Modes of failure in venous thromboembolism prophylaxis
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psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative
November 21, 2018 - Review
Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized … Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative … clinical consequences of potentially inappropriate inpatient prescribing of DOACs and how pharmacists and anticoagulant … August 30, 2023
Modes of failure in venous thromboembolism prophylaxis. … December 30, 2014
Reducing anticoagulant medication adverse events and avoidable patient
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psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
December 02, 2020 - was complicated by an acute pulmonary embolism (PE), which was treated with rivaroxaban (a new oral anticoagulant … Direct oral anticoagulants (such as rivaroxaban) were developed to overcome the myriad of known risks … in a patient with atrial fibrillation or at risk for DVT or pulmonary embolism (prophylaxis requires … Could his PE have been prevented had he been given DVT/PE prophylaxis in the hospital? … September 30, 2020
WebM&M Cases
Direct Oral Anticoagulants
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psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
September 27, 2023 - the last dose of LMWH. 20 By contrast, both ACOG and ACCP list LMWH as their preferred prophylactic anticoagulant … Second, there should be discussion about which prophylactic anticoagulant may be best for each patient … Each of these checklists should be adapted as needed, and review of anticoagulant name, dose, and timing … Obstetric venous thromboembolism prophylaxis: what obstetricians should know about anesthesia guidelines … Epidural hematoma following low molecular weight heparin prophylaxis and spinal anesthesia for cesarean
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - their response to unfractionated heparin—with some patients requiring large doses to achieve adequate prophylaxis … or activated factor X levels, has been proposed as a means to monitor the effectiveness of heparin prophylaxis … injured patients, ordering clinicians must carefully weigh the risks and benefits of pharmacologic prophylaxis … Early pharmacological venous thromboembolism prophylaxis is safe after operative fixation of traumatic
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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - note also stated that the patient would receive subcutaneous heparin for venous thromboembolism (VTE) prophylaxis … resident and attending, and the patient was ultimately discharged having never received the intended VTE prophylaxis—despite … medication record from the previous hospitalization, was it realized that the patient never received any VTE prophylaxis … medicine: the use of clinical decision support to remind the physician to carry out things like VTE prophylaxis … Related Resources
WebM&M Cases
Direct Oral Anticoagulants
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psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis
August 07, 2019 - April 20, 2016
Improved prophylaxis and decreased rates of preventable harm with the … use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - 4, the ICU team and the neurosurgeon decided it would be safe to start deep venous thrombosis (DVT) prophylaxis … collectively decided that, if the CT scan that day remained unchanged, the benefits of low-dose DVT prophylaxis … full-dose anticoagulation (rather than lower dose anticoagulation, appropriate for venous thromboembolism prophylaxis
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - to patients and how to administer VTE prophylaxis. … Understand barriers to VTE prophylaxis at the institution. … clinical decision support tool for prophylaxis for venous thromboembolism in trauma. … Venous Thromboembolism Prophylaxis (eCQM). Accessed March 14, 2022. … clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
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psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - The patient was not placed on venous thromboembolism prophylaxis prior to surgery. … February 13, 2019
WebM&M Cases
New Oral Anticoagulants
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - The patient was started on a direct oral anticoagulant (DOAC). … appreciation of disease severity, they considered her to be low-risk and initiated therapy with a direct oral anticoagulant … occurs in up to 7% of patients, with 1.3% developing PE. 3-5 Despite this increased risk, routine VTE prophylaxis
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psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - For example, an initiative designed to increase the use of venous thromboembolism prophylaxis that did … intramuscular injections, the risk does not appear to be significantly increased among patients on anticoagulants