-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Insulin Administration
2
2
0
Peri-Op Proton Pump Inhibitor
1
1
0
Peri-Op VTE Prophylaxis
-
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
-
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
-
www.ahrq.gov/news/newsletters/e-newsletter/886.html
October 01, 2023 - Comparison of guideline concordant antibiotic prophylaxis in Veterans Affairs and non-Veterans Affairs
-
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/research/findings/studies/index.html?page=121
January 01, 2024 - Department, Screening, Prevention
Pennington KM , Dykhoff HJ , Yao X The impact of antifungal prophylaxis … This study evaluated the effect of antifungal prophylaxis on all-cause mortality and invasive fungal … All-cause mortality was found to be significantly lower in those receiving antifungal prophylaxis compared … Patients receiving antifungal prophylaxis also had a lower rate of IFI, but it was not statistically … The impact of antifungal prophylaxis in lung transplant recipients.
-
www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb4_qualitytrends.html
June 01, 2018 - drug event to warfarin, age 18 and over
53.547
1.441
2011
Hospital patients who received an anticoagulant … intervention, age 40 and over
3.068
1.011
2014
Stroke patients who received venous thromboembolism prophylaxis … repair, age 18 and over
-40.142
-2.249
2014
Stroke patients who received venous thromboembolism prophylaxis … admitted to the hospital
0
0
2013
Stroke patients who received venous thromboembolism (VTE) prophylaxis … admitted to the hospital
23.554
18.349
2013
Stroke patients who received venous thromboembolism prophylaxis
-
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
-
www.ahrq.gov/research/findings/studies/index.html?page=36
January 01, 2024 - decision algorithm ('pathways') on clinical outcomes in hospitalised patients with COVID-19 treated with anticoagulants … The objective of this study was to assess if delivery of anticoagulant prophylaxis according to an algorithm … improved clinical outcomes in patients hospitalized with COVID-19 in comparison with anticoagulant treatment … decision algorithm ('pathways') on clinical outcomes in hospitalised patients with COVID-19 treated with anticoagulants
-
www.ahrq.gov/research/findings/studies/index.html?page=177
January 01, 2024 - frame increased the risk of gastrointestinal bleeding (GIB) in elderly patients being treated with anticoagulants … analysis used nationwide claims data from privately insured and Medicare Advantage enrollees who received anticoagulant … There was no significant different in the proportion of patients with GIB after anticoagulant or antiplatelet … This study examines the behavior of men who have sex with men (MSM) who use HIV pre-exposure prophylaxis
-
www.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
-
www.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
-
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/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/research/findings/studies/index.html?page=112
January 01, 2024 - The objective of this study was to determine the optimal modality for venous thromboembolism prophylaxis
-
www.ahrq.gov/downloads/pub/advances2/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
-
www.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
-
www.ahrq.gov/research/findings/studies/index.html?page=267
January 01, 2024 - Pannucci CJ , Fleming KI , Agarwal J The impact of once- versus twice-daily enoxaparin prophylaxis … The impact of once- versus twice-daily enoxaparin prophylaxis on risk for venous thromboembolism and
-
www.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
-
www.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