-
psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - The patient was not placed on venous thromboembolism prophylaxis prior to surgery. … February 13, 2019
WebM&M Cases
New Oral Anticoagulants
-
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/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
-
psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - The patient was started on a direct oral anticoagulant (DOAC). … appreciation of disease severity, they considered her to be low-risk and initiated therapy with a direct oral anticoagulant … occurs in up to 7% of patients, with 1.3% developing PE. 3-5 Despite this increased risk, routine VTE 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
-
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
-
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
-
psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality
October 01, 2004 - For example, an initiative designed to increase the use of venous thromboembolism prophylaxis that did … intramuscular injections, the risk does not appear to be significantly increased among patients on anticoagulants
-
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/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
-
cds.ahrq.gov/sites/default/files/workgroups/231/apr-2017-cholesterol-wg-notes.docx
January 01, 2017 - .
· Inpatient DVT prophylaxis efforts and eCQMs may have compiled bleeding disorder specifications. … this is not indicated for individuals at high risk of bleeding (as outlined in the exclusion logic)”
· Anticoagulants
-
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
-
digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - can be prevented by following
recommendations of the American College of Chest
Physicians for use of anticoagulants … Use of
antimicrobial prophylaxis for major surgery:
baseline results from the National Surgical
Infection
-
digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - Proportion of admitted patients with pharmacologic VTE
prophylaxis
Proctor’s E et al Adm Policy … Order Set
Open the VTE
Prophylaxis
(Medical) order
set.
45
IMPROVE-DD VTE CDS … Workflow #1:
VTE Prophylaxis Order Set (Cont’d)
Click the
checkbox to
launch the
IMPROVE-DD … An Ideal RAM for DVT Prophylaxis in Medical Inpatients
External Validation of VTE RAMs in Medically … Order Set
IMPROVE-DD VTE CDS Workflow #1: VTE Prophylaxis Order Set (Cont’d)
IMPROVE-DD VTE CDS
-
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
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - Over
20 million Americans take warfarin, an anticoagulant, in the ambulatory setting to protect against … thrombosis
Mitral/aortic valve replacement
Hypercoagulation
Pulmonary arterial hypertension
Orthopedic prophylaxis … A Method to Determine the Optimal
Intensity of Oral Anticoagulant Therapy.
-
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.uspreventiveservicestaskforce.org/uspstf/document/published-comments-and-response/aspirin-for-the-prevention-of-cardiovascular-disease-preventive-medication-2009
October 15, 2009 - Mohan and colleagues regarding the USPSTF recommendation on aspirin prophylaxis for the prevention of
-
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
-
cds.ahrq.gov/sites/default/files/cds/artifact/26/2024_CDS_Connect_IG_Aspirin_Therapy.pdf
January 01, 2024 - Patient is on another anticoagulant.
6
f. Patient has allergy or intolerance to aspirin.
g. … alanine transaminase (ALT) result is >150
OR diagnosis of thrombocytopenia
OR currently receiving an anticoagulant … OR “other medical condition”
OR use of medications that increase bleeding risk:
Concurrent use of anticoagulant … This new guideline changes
the inclusion age range to 40 – 59; the CVD prophylaxis recommendations to