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www.ahrq.gov/es/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/resources/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/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/es/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/patient-safety/resources/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/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/es/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/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/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.
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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/es/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/es/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/resources/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/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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.ppt
January 01, 2013 - Factors
*Major VTE Risk Factor
*Contraindications
*Contraindications
TEDs/SCDs
Use mechanical prophylaxis … Review patient status daily
(0,2)
TEDs/SCDs
Use mechanical prophylaxis
until contraindication no longer … Contraindications
High Risk W/ Systemic Anticoagulation
High Risk w/o contraindications
TEDs/SCDs
Use mechanical prophylaxis … Review patient status daily
(6,2)
TEDs/SCDs
Use mechanical prophylaxis
until contraindication no longer … relevant labs imported from database
Mandatory Selections
Risk Factors
Contraindications
Prophylaxis
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www.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?
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www.ahrq.gov/patient-safety/resources/vtguide/guide2.html
February 01, 2016 - Meanwhile, the evidence for or against prophylaxis in certain subpopulations shifts occasionally, and … the role of new anticoagulants in prophylaxis continues to evolve. … 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
-
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
-
www.ahrq.gov/es/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