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Showing results for "mechanical prophylaxis".

1. Chapter 7. Layering Interventions and Moving Toward Excellence | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide7.html
   May 01, 2016 - 56 percent with errors when combination mechanical and anticoagulation prophylaxis were ordered. … prophylaxis with the nursing documentation that the mechanical prophylaxis is on and in place. … whether the mechanical prophylaxis is being administered on a regular basis. … Patients on mechanical prophylaxis may also be subject to scrutiny. … Mechanical prophylaxis is often not an acceptable form of prophylaxis in the absence of contraindications

2. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
   October 01, 2022 - AND Mechanical prophylaxis. Medical Patients LMWH or UFH. … (Mechanical prophylaxis if contraindication to chemoprophylaxis). … OR Mechanical prophylaxis. Low Minor medical illness. … Surgical Consider mechanical prophylaxis. Medical No prophylaxis. … OR Mechanical prophylaxis. Trauma Patients LMWH or UFH.

3. 48-Prep-Colorectal-Facilitator (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/48-prep-colorectal-facilitator.docx
   June 01, 2023 - bowel prep in the absence of intravenous antibiotic prophylaxis. … regimen with a flawed oral preoperative regimen and saw a significant difference favoring intravenous prophylaxis … all patients getting intravenous prophylaxis and none getting oral antibiotics, and these trials, once … antibiotic prophylaxis before incision. … and intravenous antibiotic prophylaxis before incision is associated with the lowest risk of surgical

4. Appendix C: VTE Measurement and Tracking | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appc.html
   May 01, 2016 - Please answer 1 and 2 if no Mechanical prophylaxis; Please answer 1-3 if no Pharmacologic or Mechanical … Mechanical Prophylaxis? 1. Low Risk? 2. Pharmacologic Contraindication? 3. … Mechanical Contraindication? Category Adequate Prophylaxis? … Mechanical Contraindicated Does patient have any obvious contraindication to mechanical prophylaxis … Yellow (mechanical prophylaxis) and Red (no prophylaxis) patients are rapidly identified for closer scrutiny

5. Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
   January 01, 2024 - Mechanical prophylaxis was used in 43% of patients. … , 46 were placed on anticoagulation prophylaxis only or anticoagulation and mechanical prophylaxis. … alone or anticoagulation with mechanical prophylaxis. … mechanical prophylaxis only. … , mechanical prophylaxis should be utilized.

6. Chapter 3. Outline the Evidence and Identify Best Practices | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
   February 01, 2016 - Mechanical prophylaxis is usually not offered as a first choice for prophylaxis in medical patients in … In AT8 and other guidelines, anticoagulant prophylaxis is preferred over mechanical prophylaxis. 6,13 … In AT9, pharmacologic prophylaxis with UFH or LMWH or mechanical prophylaxis are deemed acceptable … Mechanical prophylaxis as a sole agent in the absence of bleeding risk is not suggested. … , while nursing staff could focus on best practices regarding adherence to mechanical prophylaxis, improving

7. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
   March 01, 2020 - in combination with other mechanical prophylaxis methods. … Aspirin may be the sole prophylaxis method or in combination with mechanical prophylaxis. … Both groups also received mechanical prophylaxis. … mechanical prophylaxis in preventing VTE following TKA. … All patients also received mechanical prophylaxis.

8. PowerPoint Presentation
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
   June 01, 2023 - 2 Oral Antibiotics and Mechanical Bowel Prep 3 1980s 1970s Antibiotic and Mechanical Bowel Prep … Comparison between systemic and oral antimicrobial prophylaxis in colorectal surgery. … Use of antimicrobial prophylaxis for major surgery: baseline results from the National Surgical Infection … Antimicrobial prophylaxis for colorectal surgery. … Antibiotic prophylaxis for colorectal surgery.

9. Chapter 6. Track Performance with Metrics | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide6.html
   May 01, 2016 - mechanical agent: Does the patient have a documented contraindication for mechanical prophylaxis? … A review could quickly identify whether a patient is on an anticoagulant, mechanical prophylaxis, both … In its simplest version, the proactive review ends if either anticoagulant or mechanical prophylaxis … see if there is justification for the lack of prophylaxis (e.g., low risk, bleeding, mechanical prophylaxis … A more indepth review could also be performed for patients on mechanical prophylaxis alone to determine

10. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
    July 01, 2018 - (e.g., the percentage of patients with mechanical prophylaxis who actually have the mechanical device … Can we use mechanical prophylaxis as a sole agent for prophylaxis? … mechanical prophylaxis should not be relied on unless there are extenuating circumstances regarding … In surgical patients, some moderate-risk patients can have either mechanical or pharmaco-prophylaxis, … with the caveat that it is difficult to administer mechanical prophylaxis reliably and that pharmaco-prophylaxis

11. 44-Sample-Pathway-Checklist (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
    June 01, 2023 - · Yes · No · N/A VTE prophylaxis administered? … [Fill in risk assessment information, mechanical prophylaxis, chemoprophylaxis medications, and any other … · Yes · No · N/A Mechanical bowel preparation completed at home (for procedures with planned bowel … [Fill in risk assessment information, mechanical prophylaxis, chemoprophylaxis medications and any other … considerations for VTE prophylaxis, based on your pathway] N/A if patient at high risk of bleeding

12. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
    May 20, 2016 - o Focus on reaching VTE prophylaxis targets and reporting to key medical staff committees. … patient is immobile because of the effects of treatment (e.g., pain, sedation, neuromuscular blockade, mechanical … pharmacologic prophylaxis3,6 • Physical therapists to assess and assist in patient mobility Equipment • Mechanical … mandating protocol for all providers3 • Clinical support personnel dedicated to ensure and document that mechanical … prophylaxis is worn by patients • Nurses empowered to initiate contact with providers if prophylaxis

13. Chapter 4. Choose the Model To Assess VTE and Bleeding Risk | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
    October 01, 2022 - Provide decision support regarding those who would benefit from combination mechanical and anticoagulant … Patients are targeted for interventions to prevent VTE (anticoagulant or mechanical prophylaxis and efforts … service focused on total hip replacement might have default orders for their preferred anticoagulant and mechanical … of the spectrum, patients with major, high-risk surgeries qualify for combination anticoagulant and mechanical … prophylaxis.

14. 18-Template-Iscr-Pathway (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/18-template-ISCR-pathway.docx
    June 01, 2023 - For example, if your pathway includes venous thromboembolism (VTE) prophylaxis administered in the preop … area and possible epidurals for regional analgesia, include timing of preoperative VTE prophylaxis for … Modify and add details: Examples: Mechanical bowel preparation, including oral antibiotics regimen Skin … preparation Modify and add details: Examples: Preop VTE prophylaxis Preop multimodal analgesia bundle … VTE prophylaxis (if not given in preop period) Analgesic and anti-nausea medications given at end of

15. New York Hospitals Use AHRQ Toolkit to Revise Protocol for Preventing Blood Clots | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/ktcquips99.html
    October 01, 2014 - As a result, VTE risk assessments increased from 10 to 80 percent, and VTE prophylaxis increased from … VTE, the EMR order set triggers the provider to select the appropriate option for pharmacologic or mechanical … prophylaxis, or both. … The 1,171-bed academic hospital also implemented concurrent review of VTE prophylaxis to identify and … intervene with patients who are not receiving appropriate VTE prophylaxis.

16. References | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
    July 01, 2018 - Venous thromboembolism prophylaxis and risk assessment in medical patients. … Testing the effect of a targeted intervention on nurses' compliance with "best practice" mechanical venous … pneumatic compression devices: an observational study found frequent errors in the application of these mechanical … Mechanical and suboptimal pharmacologic prophylaxis and delayed mobilization but not morbid obesity are … Feasibility of physical and occupational therapy beginning from initiation of mechanical ventilation.

17. 17-Engaging-Stakeholders-Data (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
    June 01, 2023 - here Regional anesthesia - Enter here - Enter here Preop or intraoperative (intraop) anti-emetic prophylaxis … to Data Sharing Preoperative VTE chemoprophylaxis - Enter here - Enter here Preoperative mechanical … to Data Sharing Preoperative VTE chemoprophylaxis - Enter here - Enter here Preoperative mechanical … Approach to Data Sharing Intraoperative tranexamic acid use - Enter here - Enter here VTE prophylaxis

18. 45-Iscr-Pathway-Audit-Tool (xls file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
    June 01, 2023 - Venous thromboembolism prophylaxis administered 0 0 ERROR:#DIV/0! … Mechanical bowel preparation completed at home 0 0 ERROR:#DIV/0! … Preoperative antiemetic prophylaxis administered 0 0 ERROR:#DIV/0! … Intraoperative antiemetic prophylaxis administered 0 0 ERROR:#DIV/0! … Number of ERAS-Eligible Patients Compliance Percentage = (Column B/Column C)X100 Venous Thromboembolism prophylaxis

19. UChicago Medicine Reduces Perioperative Venous Thromboembolism with AHRQ's Toolkit | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
    February 01, 2024 - The aims of the taskforce were to strengthen established chemical and mechanical prophylaxis and ambulation … It was concluded that the aims of the taskforce would be to strengthen established chemical and mechanical … prophylaxis and ambulation processes. 08/18/22–10/20/22 Nursing units and surgical services

20. 43-Pathway-Worksheet (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
    June 01, 2023 - prophylaxis initiated upon presentation. … a risk assessment tool for patients on presentation to stratify VTE risk1 · Mechanical prophylaxis ( … For colorectal patients receiving mechanical bowel preparation: intake of clear liquids until 2 hours … For colorectal patients not receiving mechanical bowel preparation: intake of solids until 6 hours prior … Tip: Include VTE prophylaxis in admission order sets and have policy in place to prescribe VTE prophylaxis