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www.ahrq.gov/npsd/data/dashboard/info.html
June 01, 2019 - Healthcare-Associated Infection; Medication or Other Substance; Perinatal; Pressure Ulcer; Surgery or Anesthesia; and Venous … Thromboembolism.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Infection
NHSN SSIs for 17 procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE … 2.46
VAP MPSMS Ventilator-
Associated
35,894 1.21 27,548 0.93 25,695 0.86 31,213 1.05
Pneumonia
VTE … $22,898 0.026 (0.009–0.059) 0.028
VAP $47,238 ($21,890–$72,587) $22,898 0.140 (-0.110–0.730) 0.144
VTE
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2024.xlsx
January 01, 2024 - Healthcare-Associated Infection CFER-H V1.1 1,557 0.6%
Healthcare-Associated Infection CFER-H V1.2 17,405 0.7%
Venous … Thromboembolism CFER-H V1.2 247 0.0%
NOTE: Percentage sums to 100% within each 'Version'
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www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Ventilator-Associated Pneumonia (VAP)
5
$19,325–$80,013
$47,238 ($21,890–$72,587)
Venous … Thromboembolism (VTE)
4
$11,011–$31,687
$17,367 ($11,837–$22,898)
C. difficile Infections … Thromboembolism (VTE)
9
1.01–13.63
3.15 (2.02–4.91)
0.020
0.043 (0.040–0.078)
C. difficile … Eleven studies were included in our review for VTE. … VTE event.
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www.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - Saving Lives and Saving Money: Hospital-Acquired Conditions Update
Final Data From National Efforts To Make Care Safer, 2010–2014
Summary
Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions (HACs) since 2010. A cumulative total of 2.1 million fewer HACs were experie…
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - First, the definition of venous thromboembolism events has been expanded beyond post-operative events … 0.059)
0.028
VAP
$47,238 ($21,890–$72,587)
$22,898
0.140 (-0.110–0.730)
0.144
VTE … did observe differences in estimated additional cost for other HACs: some increases (CAUTI, CLABSI, VTE … This difference in excess mortality for VTE may be related to the change in definition to include all … hospital-acquired VTE—not just postoperative VTE events.
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www.ahrq.gov/hai/tools/enhanced-recovery/index.html
June 01, 2023 - Comprehensive Unit-based Safety Program (CUSP) to prevent complications such as surgical site infections, venous … thromboembolism, and urinary tract infection, and improve perioperative safety culture.
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www.ahrq.gov/sites/default/files/2024-10/barnes-report.pdf
January 01, 2024 - thromboembolism (VTE). … DOACs were used for atrial fibrillation
(66.5%) and venous thromboembolism (17.3%) most commonly. … thromboembolism between August 2015 and December 2019. … thromboembolism [VTE]). … Real-life treatment of venous thromboembolism with
direct oral anticoagulants: The influence of recommended
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
June 01, 2023 - patients, leading to reduced length of stay and fewer adverse events such as surgical site infections, venous … thromboembolism (VTE), and catheter-associated urinary tract infection (CAUTI).1
Use of multimodal
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www.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
March 01, 2020 - Most studies reported no statistically significant differences for outcomes (i.e., recurrent venous thromboembolism … (VTE), death, and readmission). … Venous Thromboembolism: Use of aspirin for VTE prophylaxis
Deep vein thrombosis
Pulmonary … than other pharmacologic agents which, combined with its lower cost, makes it an appealing option for VTE … thromboembolism.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - rate:
Include any other outcome measures you have data for at your institution (e.g., superficial SSI, venous … thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI):
*The Gap Analysis and Goal … SSI, VTE Prevention
Processes for SSI, VTE prevention (antibiotic administration, skin preparation, sterile … technique, maintenance of normothermia, and VTE prophylaxis if not already administered)
Anesthesia … Prophylaxis
Process for patients to receive VTE prophylaxis (if not already administered)
ISCR at [
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
June 01, 2023 - day readmission rate (post-discharge):
All-cause inpatient mortality rate:
Optional outcome measures
Venous … thromboembolism (VTE) rate:
Patient satisfaction:
Completed by:
Department/unit:
Date:
Section
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
May 20, 2016 - Rosemont, IL: American Academy of Orthopaedic
Surgeons. http://www.aaos.org/Research/guidelines/VTE/ … http://www.aaos.org/Research/guidelines/VTE/VTE_summary_of_recs.pdf
Selected Best Practices and Suggestions
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www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - Association between surgeon practice knowledge and venous thromboembolism .
-
www.ahrq.gov/cpi/about/impact/index.html
April 01, 2017 - central line-associated blood stream infections, ventilator-associated pneumonia, and post-operative venous … thromboembolism.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - Surgeon asks Susan if she has family history of venous thromboembolism (VTE). … The hospital does not have a standard VTE risk assessment protocol. … Unaware of what VTE is, Susan answers that she has no family history of VTE.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Improve Hospital Quality and Safety
8 Tool D.4n
IQI 17 Acute Stroke Mortality Rate
• STK-1 Venous … Thromboembolism (VTE) Prophylaxis
• STK-2 Discharged on Antithrombotic Therapy
• STK-3 Anticoagulation
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.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.
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - potentially preventable harm events
Slide 63
Harborview's Story
How did improving care for venous … thromboembolism (VTE) become a priority? … Slide 64
Initial Focus: Improving Care for VTE
VTE is a major cause of morbidity and mortality … AHRQ QIs to Hospital Data (B.1)
Prioritization Worksheet (C.1)
This graph shows that VTE … -1 and VTE-2
Improved compliance with Internal Guidelines across services
Harborview