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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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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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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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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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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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digital.ahrq.gov/medical-condition/thromboembolism
January 01, 2024 - , hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis … , hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis … Support System
Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant … Ronilda
Drug-drug interaction between dexamethasone and direct-acting oral anticoagulants … Drug-drug interaction between dexamethasone and direct-acting oral anticoagulants: A nested case-control
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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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digital.ahrq.gov/technology/fast-healthcare-interoperability-resources-fhir
August 01, 2024 - , hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis … , hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis … Ozaydin, Bunyamin
Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant … DDInteract, a shared decision making clinical decision support tool that aims to reduce harm from oral anticoagulant
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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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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