-
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/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
-
www.ahrq.gov/action-alliance/resources/type-harm.html
April 01, 2025 - Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous … Thromboembolism Diagnostic Safety AHRQ Diagnostic Stewardship as a Model to Improve the Quality and … Hospitals can use the toolkit to prevent complications such as surgical site infections, venous thromboembolism … Back to Contents Venous Thromboembolism (VTE) AHRQ Preventing Hospital-Associated Venous Thromboembolism … thromboembolism.
-
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/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - Prevention of venous thromboembolism: the Seventh ACCP Conference on
Antithrombotic and Thrombolytic … Preventing hospital-acquired venous thromboembolism: a guide for effective quality
improvement. … Optimizing prevention of hospital-acquired venous thromboembolism
(VTE): prospective validation of … a VTE risk assessment model. … Direct medical costs of venous thromboembolism and subsequent hospital readmission
rates: an administrative
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - several issues surrounding it (i.e. immobility, CAUTI, pressure ulcers), that could lead to Falls and VTE
-
www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - Prevention of venous thromboembolism: the Seventh ACCP Conference on
Antithrombotic and Thrombolytic … Preventing hospital-acquired venous thromboembolism: a guide for effective quality
improvement. … Optimizing prevention of hospital-acquired venous thromboembolism
(VTE): prospective validation of … a VTE risk assessment model. … Direct medical costs of venous thromboembolism and subsequent hospital readmission rates:
an administrative
-
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
-
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/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - ERAS: safety checklists, antibiotics, and VTE prophylaxis . J Surg Oncol. 2017;116(5):601-7.
-
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/hai/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.html
December 01, 2017 - tethering the patient to the bed which leads to increased immobility and therefore, pressure ulcers, VTE
-
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/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - such as:
· Surgical site infections (SSI)
· Catheter-associated urinary tract infections (CAUTI)
· Venous … thromboembolism (VTE) events
· Reduced opioid use
· Patient experience with any existing surveys your … that need improvement to help focus the meeting discussions (e.g., Mobility, surgical site infections, venous … thromboembolism, LOS)
Use the Gap Analysis and Goal Setting Form to show your hospital’s baseline outcome
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-transcript.doc
June 10, 2014 - But I think it’s a very important group to engage in your efforts, whether you’re working on CAUTI, VTE
-
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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-plan-b-transcript.doc
November 04, 2014 - tethering the patient to the bed which leads to increased immobility and therefore, pressure ulcers, VTE
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-transcript.html
December 01, 2017 - But I think it's a very important group to engage in your efforts, whether you're working on CAUTI, VTE