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pbrn.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - and mortality in US hospitals
Significant impact on patients' health, experience, follow-up, cost
Prophylaxis … Looking Back and Looking Forward
Retrospective Reviews
Appropriate Risk Assessment
Chemical Prophylaxis … drug timing, selection, dosing
Mechanical Prophylaxis when chemical contraindicated
Prospective … Decision Support for physicians
Communication of held or missing chemical doses
Utilization of mechanical … prophylaxis
Useful Tools
Improvement Methods (D.1)
Best Practices (D.4)
Gap Analysis (D.5)
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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - Surgical procedure to be performed matches the consent
|___| Surgical site
|___| Has antibiotic prophylaxis
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - fluids
|_| Nothing by mouth
Is this patient receiving deep vein thrombosis/peptic ulcer disease prophylaxis
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pbrn.ahrq.gov/hai/cusp/toolkit/daily-goals.html
December 01, 2012 - __ Nothing by mouth
Is this patient receiving deep vein thrombosis/peptic ulcer disease prophylaxis
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pbrn.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/gap_analysis_tool.docx
November 01, 2019 - pneumonia
☐ Intra-abdominal infections
☐ Skin and soft tissue infection
☐ Bacteremia
☐ Sepsis
☐ Surgical prophylaxis … /A
➕Are guidelines available in operating rooms detailing specific recommendations for surgical prophylaxis … pneumonia
☐ Intra-abdominal infections
☐ Skin and soft tissue infection
☐ Bacteremia
☐ Sepsis
☐ Surgical prophylaxis
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pbrn.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
May 01, 2017 - __| Patient's name
|___| Surgical procedure to be performed
|___| Surgical site
|___| Antibiotic prophylaxis
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - diagnosis code for “acute postprocedural respiratory failure” OR procedure codes for
intubation and mechanical … DVT/PE prophylaxis can be mistaken for treatment of confirmed DVT/PE; document reason for
the intervention … Intubation and mechanical ventilation
utilized during surgery should not be
coded. … Intubation and mechanical ventilation
utilized during surgery should not be
coded. … PSI 12 Perioperative Pulmonary
Embolism or Deep Vein
Thrombosis (DVT)
X DVT/PE prophylaxis can be
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pbrn.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Deep vein thrombosis prophylaxis.
Warmers.
Lab/radiology review. … Deep vein thrombosis (DVT) prophylaxis - 100% Yes.
Glycemic control - 40% Yes.
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pbrn.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 prophylaxis … This section also includes an item to prompt the team to discuss antibiotic prophylaxis administration … , and if it is needed, confirmation that the prophylaxis is completely infused. … Documenting known allergies, doing essential imaging, and administering antibiotic prophylaxis are examples … Antibiotic prophylaxis is a good candidate for a surgical checklist because the team cannot see if the
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - For example, it does not reflect some of the U.S. standards of practice, like venous thromboembolism prophylaxis … This section also includes an item to prompt the team to discuss antibiotic prophylaxis administration … , and if it is needed, confirmation that the prophylaxis is completely infused. … Documenting known allergies, doing essential imaging, and administering antibiotic prophylaxis are examples … Antibiotic prophylaxis is a good candidate for a surgical checklist because the team cannot see if the
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - correct (Yes/No)
Cord gases labeled (Yes/NA)
Specimens labeled (Yes/NA)
Deep vein thrombosis (DVT) prophylaxis … correct (Yes/No)
Cord gases labeled (Yes/NA)
Specimens labeled (Yes/NA)
Deep vein thrombosis (DVT) prophylaxis … Yes
|_| No
Cord gases labeled:
|_| Yes
|_| NA
Specimens labeled:
|_| Yes
|_| NA
Deep vein thrombosis prophylaxis
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Diagnosis
Documentation/communication
Infection
Medication
Palliative care
Procedures
Prophylaxis … Safety
8 Tool D.4n
IQI 17 Acute Stroke Mortality Rate
• STK-1 Venous Thromboembolism (VTE) Prophylaxis
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - ’s name
Planned surgical procedure matches listing on the consent form
Surgical site
Has antibiotic prophylaxis … Known allergies
Essential imaging
Antibiotic prophylaxis
Is it a safety step you might not have … Iodine/tinted prep – Doesn’t belong on a checklist
Antibiotic prophylaxis – Does belong on a checklist
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pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
May 17, 2016 - bronchopulmonary dysphasia)
○ History of maternal premature rupture of membranes
○ Necrotizing enterocolitis
○ Mechanical … with vaginal-rectal screening for GBS colonization at 35-37
weeks.16
• Give intrapartum antibiotic prophylaxis
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pbrn.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
December 01, 2017 - For instance, check how often patients are appropriately redosed with the antibiotic prophylaxis.
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pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/indwelling-urinary-catheter-use/catheter-care/slides.html
March 01, 2017 - change catheters or drainage bags at routine, fixed intervals
Don't administer routine antimicrobial prophylaxis