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www.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
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www.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
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www.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.
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www.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
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www.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
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www.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 … Provide decision support regarding those who would benefit from combination mechanical and anticoagulant … 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 … Specific options for anticoagulant choices, dosing, and timing are presented in the actual order sets
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www.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
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www.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.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
January 01, 2020 - spinal lesion at high risk of bleeding, recent major operation at high risk for bleeding, systemic anticoagulant … prophylaxis. … Variation: For scores of 3–4, offer only anticoagulant, or only IPC, depending on the population the … prophylaxis. … prophylaxis.
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www.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.
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www.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).
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www.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).
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide2.html
February 01, 2016 - the role of new anticoagulants in prophylaxis continues to evolve. … For example, simply listing options for prophylaxis does not provide adequate guidance. … Prophylaxis gets missed or changed on transfer to a perioperative setting. … Correct prophylaxis is ordered but not administered (or the patient refuses treatment). … Prophylaxis is stopped at discharge even though the patient has indications for extended duration prophylaxis
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/practices.html
April 01, 2020 - Carbapenem-Resistant Enterobacteriaceae ( PDF , 1.4 MB)
Contact Precautions
Harms Due to Anticoagulants … Intervention
TCM: Transitional Care Model
Venous Thromboembolism ( PDF , 1.4 MB)
Postsurgical Prophylaxis
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www.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
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 -
Airway risk
Access issues
Bleeding concerns (e.g., anticoagulant …
Allergies
Glycemic control
Deep vein thrombosis prophylaxis
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Bleeding concerns (e.g., anticoagulant use).
Blood availability.
Allergies. … Deep vein thrombosis prophylaxis.
Warmers.
Lab/radiology review. … Deep vein thrombosis (DVT) prophylaxis - 100% Yes.
Glycemic control - 40% Yes. … Anticoagulant use - 10% Yes.
Access issues - 20% Yes.
Airway risk - 20% Yes.
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www.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
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - Warmer in place
|___| Risk of venous thromboembolism
- Compression boots and/or anticoagulants … Surgical procedure to be performed matches the consent
|___| Surgical site
|___| Has antibiotic prophylaxis
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www.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