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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients. … Situational awareness improves prevalence of VTE Prophylaxis on multiple nursing units. … Venous thromboembolism risk and prophylaxis in hospitalised medically ill patients. … Medication chart intervention improves inpatient thromboembolism prophylaxis. … Venous thromboembolism prophylaxis and risk assessment in medical patients.
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Relying on order sets alone will not reach desired levels of appropriate VTE prophylaxis. … The most effective improvement strategies focus on improving ordered prophylaxis, monitoring for care … materials around the subset of patients who may require extended duration prophylaxis. … Key metrics include the prevalence of appropriate VTE prophylaxis and the incidence of HA-VTE. … Even the best order set, however, will fail to achieve near-perfect appropriate prophylaxis.
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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - For
more than five decades, warfarin was the only available oral anticoagulant. … 3337 (66%) were possible critical,
and 1033 (21%) were for-your-information alerts for potential VTE prophylaxis … Inappropriate Prescription of Direct Oral Anticoagulant Starter
Packs. … Evaluation of Dose-Reduced
Direct Oral Anticoagulant Therapy. Am J Med 2016;129:1198-204.
3. … Renal function in atrial fibrillation patients switched from warfarin to
a direct oral anticoagulant
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www.ahrq.gov/patient-safety/resources/learning-lab/building-ambulatory-long-desc.html
April 01, 2021 - Pneumocystis jirovecii pneumonia (PJP) prophylaxis patterns among patients with rheumatic diseases receiving … Using health-system-wide data to understand hepatitis B virus prophylaxis and reactivation outcomes in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
April 02, 2025 - improve DVT/PE prevention, including:
• Providing additional education and resources on existing prophylaxis … site;
• Assisting clinical pharmacists in daily identification of all patients not receiving chemical
prophylaxis … ; and
• Shifting chemical prophylaxis dosing to avoid missed doses due to changes in scheduled
surgical … investigation is whether the DVT was preventable (for example, whether
the patient was given the right prophylaxis
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - Diet: Advance as tolerated
· Nothing by mouth (NPO)
· Bowel regimen Yes No
Insert text
Prophylaxis … bed (HOB) greater than 30 degrees _____
Oral care _____
Insert text
DISPOSITION CONTINUED
Prophylaxis
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Evidence of the effect of anticoagulant management services is moderately positive on time to therapeutic … Anticoagulants: Nomograms/Protocols for Novel Oral Anticoagulants
Protocol adherence
Mean time … Anticoagulants: Anticoagulant Care in Transitions Between Hospital and Home
Hemorrhagic events … Venous Thromboembolism: Use of aspirin for VTE prophylaxis
Deep vein thrombosis
Pulmonary … other pharmacologic agents which, combined with its lower cost, makes it an appealing option for VTE prophylaxis
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
April 02, 2025 - to Improve Hospital Quality and Safety
• Providing additional education and resources on existing prophylaxis … • Assisting clinical pharmacists in daily identification of all patients not receiving chemical
prophylaxis … ; and
• Shifting chemical prophylaxis dosing to avoid missed doses due to changes in scheduled
surgical … investigation is whether the DVT was preventable (for example, whether
the patient was given the right prophylaxis
-
www.ahrq.gov/patient-safety/settings/hospital/vtguide/index.html
February 01, 2024 - Maynard also sits on an expert review panel for a phase 3 study on rivaroxaban for VTE prophylaxis in
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Clinical practice guidelines for antimicrobial prophylaxis in surgery. … Postoperative nausea and vomiting prophylaxis:
1. Ondansetron
2. … Options include low molecular weight heparin, vitamin K antagonists, direct oral anticoagulants, or aspirin … Heparin*
Low molecular weight heparin*
Options may also include vitamin K antagonists, direct oral anticoagulants … Tip: Include VTE prophylaxis in admission order sets and have policy in place to prescribe VTE prophylaxis
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www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
January 01, 2025 - Table of Contents Adverse Drug Events (ADEs): General Medication Topics ADEs: Harms Due to Anticoagulants … Evidence Summary of Evidence (Not reviewed) (Not reviewed) Reducing Adverse Drug Events Related to Anticoagulants … Clinical Pharmacists (Not reviewed) Summary of Evidence (Not reviewed) (Not reviewed) ADEs: Harms Due to Anticoagulants … Thromboembolism Summary of Evidence Summary of Evidence (Not reviewed) (Not reviewed) Post-Surgical Prophylaxis
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - hypothermia - operation >1 hour
Warmer in place
Risk of venous thromboembolism
Boots and/or anticoagulants … Has antibiotic prophylaxis been given within the last 60 minutes, if indicated? … Known allergies
Essential imaging
Antibiotic prophylaxis
Is it a safety step you might … Iodine/tinted prep – Doesn't belong on a checklist
Antibiotic prophylaxis – Does belong on a checklist
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - control, providers must be aware of the concurrent use of anticoagulation (even venous thromboembolism prophylaxis
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Risk of hypothermia - operation >1 hour
Warmer in place
Risk of venous thromboembolism
Boots and/or anticoagulants … ’s name
Planned surgical procedure matches listing on the consent form
Surgical site
Has antibiotic prophylaxis … Known allergies
Essential imaging
Antibiotic prophylaxis
Is it a safety step you might not have … Iodine/tinted prep – Doesn’t belong on a checklist
Antibiotic prophylaxis – Does belong on a checklist
-
www.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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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
September 30, 2024 - However, one systematic review has been published reporting on evidence for
ambulation as a prophylaxis … Researchers concluded that ambulation
should not be considered an adequate prophylaxis for VTE, nor … an adequate reason to
discontinue pharmacologic prophylaxis for VTE during a patient’s hospital admission … $1,486,943
Purpose: Evaluate the implementation of a population health approach to ensuring
appropriate anticoagulant … Intervention practices improved on two anticoagulant CQMs compared with control
practices; control group
-
www.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
-
www.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
-
www.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
-
www.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