-
www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - Medication-use data were retrospectively collected on 1,716 patients who
received anticoagulants for … The most common indications for anticoagulant use were VTE prophylaxis (67.5% of cases),
ACS (13.5% … Overall, the anticoagulant regimen used was consistent with national prescribing guidelines in 67.5% … Reported anticoagulant-related adverse events during the
study period mainly involved minor or major … Effectiveness of VTE Prophylaxis Intervention
Purpose.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - time
Beta blockers
Airway risk
Access issues
Bleeding concerns (e.g., anticoagulant … Blood availability
Allergies
Glycemic control
Deep vein thrombosis prophylaxis
-
psnet.ahrq.gov/web-mm/central-line-clot
August 04, 2021 - However, other factors also put children at risk including congenital or acquired abnormalities of anticoagulant … the adult population.( 17,18 ) However, there have been no clinical trials evaluating LMWH for DVT prophylaxis … For adolescents, evidence-based recommendations for prophylaxis, diagnosis, and management that are available … states with disseminated intravascular coagulation
Hereditary or acquired abnormalities of anticoagulant … ) May be dangerous in small children at high doses due to amount of heparin exposure
LMWH prophylaxis
-
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
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/mhs-IV-high-risk-drugs-rapid-response.pdf
January 01, 2024 - safe transitions and continuation of anticoagulants. … treatment and
prophylaxis of venous thromboembolism in
patients with cancer. … : Focus on new
anticoagulant agents. … Description String
#1 General
Anticoagulants
"Anticoagulants"[Majr] OR "anti coagula*"[ti] OR anticoagula … Effectiveness of antithrombotic prophylaxis in
hospitalised patients with SARS-CoV-2 infection.
-
psnet.ahrq.gov/node/49400/psn-pdf
May 01, 2003 - However, other factors also put children at risk including congenital or acquired abnormalities of
anticoagulant … to the adult population.(17,18) However, there have
been no clinical trials evaluating LMWH for DVT prophylaxis … For adolescents, evidence-based
recommendations for prophylaxis, diagnosis, and management that are … other acute states with disseminated intravascular coagulation
Hereditary or acquired abnormalities of anticoagulant … (15,16) May be dangerous in small children at high doses due to
amount of heparin exposure
LMWH
prophylaxis
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/vte-prophyalaxis_disposition-comments.pdf
May 29, 2013 - including KQ1
Reviewer 7 Discussion For KQ2, a double-blind RCT of early vs delayed initiation of anticoagulant … Discussion For KQ7, I don’t agree with the recommendation to do RCTs of weight-based or BMI-
based anticoagulant … This data will provide the basis for proof of concept
for trials with the new oral anticoagulants. … burns, antiplatelet therapy, renal failure, and bariatric surgery is clear to me since the
risks of anticoagulant … While this is not a method of prophylaxis it certainly is part of a
comprehensive VTE prophylaxis program
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/vte-prophyalaxis_disposition-comments.pdf
May 29, 2013 - including KQ1
Reviewer 7 Discussion For KQ2, a double-blind RCT of early vs delayed initiation of anticoagulant … Discussion For KQ7, I don’t agree with the recommendation to do RCTs of weight-based or BMI-
based anticoagulant … This data will provide the basis for proof of concept
for trials with the new oral anticoagulants. … burns, antiplatelet therapy, renal failure, and bariatric surgery is clear to me since the
risks of anticoagulant … While this is not a method of prophylaxis it certainly is part of a
comprehensive VTE prophylaxis program
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_executive.pdf
August 01, 2013 - New anticoagulants are challenging the predominance of
VKAs for stroke prophylaxis in AF. … The evolution of newer anticoagulation agents, like those
studied in the large trials above, as well … agents compared with warfarin. … agents
compared with warfarin (low strength of evidence). … agents (dabigatran, rivaroxaban, apixaban).
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/stroke-atrial-fibrillation_executive.pdf
August 01, 2013 - New anticoagulants are challenging the predominance of
VKAs for stroke prophylaxis in AF. … The evolution of newer anticoagulation agents, like those
studied in the large trials above, as well … agents compared with warfarin. … agents
compared with warfarin (low strength of evidence). … agents (dabigatran, rivaroxaban, apixaban).
-
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
-
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
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/thromboembolism-update-disposition.pdf
June 22, 2017 - not take
into account all of the serious events that
can occur as a result of administration of
anticoagulation … agents because the vast
majority of the selected studies carry
significant exclusion criteria not … agents for
prevention of VTE following total joint
arthroplasty came up with different
conclusions … I have
2 suggestions:
In sections relating to anticoagulant
dose, a distinction is made between … Potent
anticoagulants are associated with a
higher all-cause mortality rate after THA
and TKA [20]
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/thromboembolism-update-disposition.pdf
June 22, 2017 - not take
into account all of the serious events that
can occur as a result of administration of
anticoagulation … agents because the vast
majority of the selected studies carry
significant exclusion criteria not … agents for
prevention of VTE following total joint
arthroplasty came up with different
conclusions … I have
2 suggestions:
In sections relating to anticoagulant
dose, a distinction is made between … Potent
anticoagulants are associated with a
higher all-cause mortality rate after THA
and TKA [20]
-
ce.effectivehealthcare.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
-
www.ahrq.gov/news/newsroom/case-studies/ktcquips98.html
October 01, 2014 - "Our hospital has been successful in increasing VTE prophylaxis rates in our hospital thanks to the framework … As a result, prevalence of appropriate VTE prophylaxis increased from 55 to 100 percent for surgical … prophylaxis and 100 percent for patients admitted to the hospitalist service between March and August … As a result of these interventions, appropriate VTE prophylaxis increased from 0 to 100 percent, and … The dashboard appears in green if the patient is on pharmacological prophylaxis, in yellow if the patient
-
psnet.ahrq.gov/web-mm/ounce-prevention
February 17, 2011 - Appreciate interventions that may increase system-wide use of VTE prophylaxis Case & Commentary … Despite detailed North American guidelines, VTE prophylaxis continues to be underutilized. … VTE prophylaxis recommendations differ for the various surgical settings ( Table ). … Low-molecular-weight heparin (LMWH) is recommended as pharmacologic prophylaxis. … Continue prophylaxis for 28-35 days after surgery.
-
ce.effectivehealthcare.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
-
psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
January 01, 2024 - their response to unfractionated heparin—with some patients requiring large doses to achieve adequate prophylaxis … time (PTT) or activated factor X levels, has been proposed as a means to monitor the effectiveness of prophylaxis … injured patients, ordering clinicians must carefully weigh the risks and benefits of pharmacologic prophylaxis … Early pharmacological venous thromboembolism prophylaxis is safe after operative fixation of traumatic
-
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