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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - advanced
indicators” of patient safety outcomes such as avoidable deaths due to health care-associated venous … thromboembolism, sepsis, or patient falls; in-hospital pressure ulcers; and ventilator-associated pneumonia
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digital.ahrq.gov/sites/default/files/docs/page/reduction-in-hospital-acquired-complications-and-infections-quick-reference-guide.pdf
January 01, 2010 - Prevention
of venous thromboembolism: the Seventh ACCP
Conference on Antithrombotic and Thrombolytic
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction-2013
September 15, 2013 - general, women taking medications for breast cancer risk reduction are less likely to experience a VTE … Women with a personal or family history of venous thromboembolism are at higher risk for these adverse
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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
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/-TsBkyewVoFpC7htRmzWJa
September 03, 2019 - Project; PE, pulmonary embolism; RR, risk ratio; RUTH, Raloxifene Use for the
Heart; SE, standard error; VTE … , venous thromboembolism.
a Numbers of events reduced for benefits or increased for harms vs comparator
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psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
October 30, 2024 - 2022
Patient Safety Innovations
The Johns Hopkins Venous … Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital … Associated VTE
April 7, 2022
View More
See More About The Topic
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - Electronic Health Record Agnostic Clinical Decision Support Tool:
A case study of the IMPROVE-DD Venous … Thromboembolism CDS Tool
Alex C. … Conducting a large impact analysis with a cluster randomized trial to test
CDS implementation of a venous … thromboembolism (VTE) risk CDS tool.
28 … RAM CDS Tool
IMPROVE-DD VTE CDS Workflow #1: VTE Prophylaxis Order Set
IMPROVE-DD VTE CDS Workflow
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Yc24U4wMLXGoqE5NjwRVA6
April 17, 2018 - thromboembolism)
were included. … thromboembolism, and heart failure outcomes. … thromboembolism, and hospitalization for heart
failure were also reported (stroke: ARD, −0.09% [95% … thromboembolism: ARD, −0.16%
(95% CI, −0.44% to 0.12%); HR,
0.92 (95% CI, 0.79 to 1.07)
Heart failure … The effect of calcium plus vitamin D
supplementation on the risk of venous
thromboembolism: from the
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psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - the patient with full-dose anticoagulation (rather than lower dose anticoagulation, appropriate for venous … thromboembolism prophylaxis).
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www.ahrq.gov/cpi/about/timeline/index.html
March 01, 2025 - projects include Your Guide to Preventing and Treating Blood Clots and Preventing Hospital-Associated Venous … Thromboembolism: A Guide for Effective Quality Improvement . 2008 AHRQ Promotes Project RED.
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digital.ahrq.gov/2020-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2020 - the development of the CDS tool may be applied to other conditions commonly seen in the PICU, such as venous … thromboembolism and traumatic brain injury, and may potentially be generalizable to other healthcare
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www.ahrq.gov/news/newsletters/e-newsletter/902.html
February 01, 2024 - prescribed for stroke prevention in atrial fibrillation and for treatment and secondary prevention of venous … thromboembolism, while aspirin may still be used to prevent primary cardiovascular events among high-risk
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - How valid is the ICD-9-CM based AHRQ patient
safety indicator for postoperative venous thromboembolism
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - problems that occur approximately once per 100
hospitalizations as “common;” examples include falls,
venous … thromboembolism (VTE), potential adverse drug
events, or pressure ulcers. … Examples include
most fall prevention programs, VTE prophylaxis, and
medical history abbreviations … Moderate
(pneumonia)
Moderate Little/Not difficult
Strategies to increase appropriate
prophylaxis for venous … thromboembolism; brief review
Common/
Moderate
High Moderate
(bleeding)
Low Little/Moderate
Preventing
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - Evaluation of the SCaling AcceptabLE cDs (SCALED) Approach of Interoperable Clinical Decision Support for Venous … Thromboembolism Prevention
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Disclaimer details
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - How valid is the ICD-9-CM based AHRQ patient
safety indicator for postoperative venous thromboembolism
-
psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - vascular catheter management, elevation of head of bed in mechanically ventilated patients, prevention of venous … thromboembolism).