-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - adverse events in adults receiving knee
replacement (MPSMS)
2.6% in 2014 2.5% in 2017 0.1 0.996
Venous … Thromboembolism
Adult surgery patients with postoperative venous
thromboembolic events (MPSMS)
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - measured in terms
of use of appropriate peri-
operative antibiotic
prophylaxis, beta-blockade,
and venous … thromboembolism
prophylaxis.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Essential imaging available
Risk of hypothermia - operation >1 hour
Warmer in place
Risk of venous … thromboembolism
Boots and/or anticoagulants in place
Anesthesia safety check is completed
-
www.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - It could be a patient fall, a venous thromboembolism, a medication error, ventilator-associated pneumonia
-
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 - and size
Essential imaging available
Risk of hypothermia - operation >1 hour
Warmer in place
Risk of venous … thromboembolism
Boots and/or anticoagulants in place
Anesthesia safety check is completed
Type of anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
September 30, 2024 - important variables in the RegCox model were prior
GIB, atrial fibrillation, ischemic heart disease, and venous … thromboembolism combined
and use of gastroprotective agents. … Hopkins
University
Baltimore,
Maryland
R18 HS27415
[Grant]
Disseminating
a Patient
Centered Venous … Thromboembolism
Prevention Bundle
2020-2025
$400,000
Purpose: Empower patients to make informed … decisions about their venous
thromboembolism (VTE) preventive care, increase VTE prophylaxis medication
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - or more falls during stay Fall
Stays with one or more pressure ulcer adverse events Pressure Ulcer
Venous … thromboembolism/pulmonary embolism (VTE/PE)
not related to procedure
Venous Thromboembolism
VTE … /PE following listed procedure (no VTE prior to
procedure)
Venous Thromboembolism
One or more adverse
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - or more falls during stay Fall
Stays with one or more pressure ulcer adverse events Pressure Ulcer
Venous … thromboembolism/pulmonary embolism
(VTE/PE) not related to procedure
Venous Thromboembolism
VTE … /PE following listed procedure (no VTE prior to
procedure)
Venous Thromboembolism
One or more adverse
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - goals of the safety program are–
To decrease surgical-site infections and other complications, like venous … thromboembolism, pneumonia, and readmissions, because these complications are a major driver for readmissions
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure Ulcer, Surgery or
Anesthesia, and Venous … Thromboembolism
iii As of September 2023, the total number of reports held by the PSOPPC that were
-
www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - , as they are
particularly vulnerable and experience patient safety issues in the domains of fall, venous … thromboembolism
(VTE), diagnostic and medication errors, and HAIs.
4.2.1. … Both Outcome VTE within 30 days of index ED visit63
Diagnostic safety UTI Process No urine culture … We did not see differences
in in repeat falls, VTE, newly prescribed fall risk-increasing drugs, or … Venous thromboembolism in patients with
acute leukemia: incidence, risk factors, and effect on survival
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 01, 2025 - Hopkins
University
Baltimore, Maryland
R18 HS27415
[Grant]
Disseminating a Patient-
Centered Venous … Thromboembolism
Prevention Bundle
2020-2025
$1,969,169
Purpose: To scale a venous thromboembolism … (VTE) intervention that empowers
patients to make informed decisions about their VTE preventive care … and improve
adherence to VTE prophylaxis medication regimens in hospitalized patients in
heterogeneous
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.html
May 01, 2024 - Leveraging Evidence-based Practices for Ambulatory VTE Patients to be Safe with Direct Oral Anticoagulants … Care Transitions to elaborate the steps required to ensure a safe transition of care in ambulatory venous … thromboembolism (VTE) patients.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Foundation
Cleveland, Ohio
R01 HS22883
[Grant]
Patient-Centered
Approach to
Reducing Harm From
VTE … Cleveland Clinic to create
tools that physicians can use to assess an individual patient’s risk of both venous … thromboembolism (VTE) and bleeding and to weigh those risks. … Key Findings/Impact: Investigators indicated that they could create a risk
prediction model for VTE … Their decision analytic
model identified a threshold for prophylaxis based on VTE risk.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
December 01, 2017 - results in C. diff , which results in a pressure ulcer, increased length of stay, immobility, and venous … thromboembolism.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-icu-transcript.doc
May 13, 2014 - which results in C. diff, which results in a pressure ulcer, increased length of stay, immobility, and venous … thromboembolism.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - For example, it does not reflect some of the U.S. standards of practice, like venous thromboembolism
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.