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www.qualitymeasures.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
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www.qualitymeasures.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.
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www.qualitymeasures.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
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www.qualitymeasures.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
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www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/guide5.html
October 01, 2022 - There are at times several acceptable options for prophylaxis, and there are often multiple choices for … Surveying existing order sets impacting VTE prophylaxis as part of the initial needs assessment, and … If nurses were to focus on patients who were not already on prophylaxis, for example, and to use the … same protocol that physicians were using, their redundant check of VTE prophylaxis could be efficient … contraindications and default choices for mechanical prophylaxis.
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www.qualitymeasures.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Relying on order sets alone will not reach desired levels of appropriate VTE prophylaxis. … They can be particularly valuable when assessing adherence to mechanical prophylaxis and developing educational … materials around the subset of patients who may require extended duration prophylaxis. … Key metrics include the prevalence of appropriate VTE prophylaxis and the incidence of HA-VTE. … Even the best order set, however, will fail to achieve near-perfect appropriate prophylaxis.
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www.qualitymeasures.ahrq.gov/pqmp/measures/scd-antibiotic-prophylaxis.html
August 01, 2021 - Pediatric Quality Measures Program
PQMP Measures
Appropriate antibiotic prophylaxis … Implementation & Quality Improvement
PQMP Grantees
Appropriate antibiotic prophylaxis … Sub-Domain: Sickle Cell Treatment PQMP COE: Q-METRIC Associated NQF # and Name: 3166, Antibiotic Prophylaxis … 2021
Page originally created August 2021
Internet Citation: Appropriate antibiotic prophylaxis
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www.qualitymeasures.ahrq.gov/data/visualizations/hiv-prep.html
October 01, 2023 - Home
Data & Analytics
Data Visualizations
Effectiveness of Pre-Exposure Prophylaxis … Go to Data Visualizations
Effectiveness of Pre-Exposure Prophylaxis … pooled estimates of meta-analysis results and individual study estimates of trials of HIV pre-exposure prophylaxis … Pre-Exposure Prophylaxis for the Prevention of HIV Infection: A Systematic Review for the U.S. … Page originally created October 2023
Internet Citation: Effectiveness of Pre-Exposure Prophylaxis
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - 30 Days
4
3
0
Duration of Surgery (min)
6
5
0
Tourniquet Time
2
2
0
Post-Op Mechanical … Peri-Op Insulin Administration
2
2
0
Peri-Op Proton Pump Inhibitor
1
1
0
Peri-Op VTE Prophylaxis … 2
0
Periop allogeneic blood transfusion
3
3
0
Interop vasopressor
3
3
0
preop mechanical
-
www.qualitymeasures.ahrq.gov/pqmp/measures/scd-preventive-antibiotics-newborns.html
August 01, 2021 - Pediatric Quality Measures Program
PQMP Measures
Timeliness of antibiotic prophylaxis … Implementation & Quality Improvement
PQMP Grantees
Timeliness of antibiotic prophylaxis … 2021
Page originally created August 2021
Internet Citation: Timeliness of antibiotic prophylaxis
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-135-fullreport.pdf
February 01, 2017 - Timeliness of Antibiotic Prophylaxis for Children With Sickle Cell Disease
Timeliness of Antibiotic … Prophylaxis for Children
with Sickle Cell Disease
Section 1. … Measure Name
Timeliness of Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. … There are no existing quality measures for antibiotic prophylaxis in children with SCD.
1.D. … Compliance with penicillin prophylaxis in patients with sickle
cell disease.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-fullreport.pdf
April 01, 2018 - Appropriate Antibiotic Prophylaxis for Children With Sickle Cell Disease
1
Appropriate Antibiotic … Prophylaxis for Children with
Sickle Cell Disease
Section 1. … Measure Name
Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease
1.B. … Discontinuing penicillin prophylaxis in children with
sickle cell anemia. … Compliance with penicillin prophylaxis in patients with sickle
cell disease.
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www.qualitymeasures.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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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Surgery related factors:
Type of surgery (surgical procedure)
Surgical factors (e.g., antibiotic prophylaxis … rates were lowest with a combination of ultraclean air, an exhaust ventilated suite, and antibiotic prophylaxis … Appropriate surgical antimicrobial prophylaxis. … metronidazole and ciprofloxacin; antibiotics were re-dosed intraoperatively as needed; antimicrobial prophylaxis … Preoperative mechanical bowel preparation with Phosphosoda (Fleet) and enemas for colorectal surgery
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 - Manual
0
Post-Op Mechanical Ventilation
N
Y
1
chart review
D …
1
intra-op drugs on paper anesthesia record
D
Electronic
1
Peri-Op VTE Prophylaxis … paper anesthesia record
D
Manual
1
Preop mechanical ventilation
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - ; and 1.6/1000 and 10/1000 for arthroscopies performed without antibiotic prophylaxis (Table 2). … The percentage of infections was 0.11% (1 in 933) in the group given antibiotic prophylaxis and 0.16% … (3 in 1847) in the group not given no such prophylaxis. … The authors concluded that although most orthopedic surgeons routinely give antibiotic prophylaxis before … Cefazolin was the most commonly prescribed surgical prophylaxis followed by methicillin.
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - control, providers must be aware of the concurrent use of anticoagulation (even venous thromboembolism prophylaxis
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - The length of hospital stay, preoperative length of stay, antibiotic prophylaxis, drainage, ASA score … just before the operation; 5 minimizing the duration of surgery' 6 appropriate use of antimicrobial prophylaxis … Prophylaxis qualification, rules and type of antibiotics employed were the following: i.v. cefazolina … Correct prophylaxis in a global percentage was of 60% and in the last year this percentage raised to … The variables that presented association with infection were: incorrect prophylaxis, wrong scaring, more
-
www.qualitymeasures.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/prevent/do-dont.html
March 01, 2017 - Don't administer routine antimicrobial prophylaxis .