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www.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
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Mechanical bowel preparation with oral antibiotics.
Standardization of skin preparation. … Was Cefotetan used as antibiotic prophylaxis? If NO, skip to question 16. … Utilization of mechanical bowel preparation with oral antibiotics. … intervals for commonly used antimicrobials for surgery prophylaxis for adults and pediatrics. … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
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www.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.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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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022086-carayon-final-report-2019.pdf
January 01, 2019 - of
prophylaxis, and (6) role and responsibilities in the prophylaxis process. … RESULTS
3.1 VTE Prophylaxis for Hospitalized patients
3.1.1 Role Network Analysis of VTE Prophylaxis … Results of the VTE Prophylaxis Survey
3.1.2.1 Perceptions of VTE Prophylaxis
10 … In-person AND electronic communication
Consider use of chemical and/or mechanical
prophylaxis. … , ensuring placement of VTE prophylaxis order and ensuring
adherence of VTE prophylaxis treatment.
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - 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
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psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
June 19, 2024 - to patients and how to administer VTE prophylaxis. … Understand barriers to VTE prophylaxis at the institution. … clinical decision support tool for prophylaxis for venous thromboembolism in trauma. … Venous Thromboembolism Prophylaxis (eCQM). Accessed March 14, 2022. … clinical decision support tool for prophylaxis for venous thromboembolism in trauma.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - including antibiotic redosing and weight-based dosing, maintenance of normoglycemia, the use of selected mechanical … Also, the guidelines advocate the use of mechanical bowel preparation with oral antibiotics for colon … Slide 24: Antimicrobial Prophylaxis in Surgery
Say:
This is the table, and it indicates whether … For example, previous guidelines recommended redosing cefotetan as routine prophylaxis for colon surgery … Cefoxitin is a SCIP-approved antibiotic for colon prophylaxis.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-supported-process-preventing-and-managing-venous-thromboembolism
January 01, 2023 - research were as follows:
Evaluate the cognitive and team work involved in VTE prevention (i.e., prophylaxis … For the first aim, focused on understanding the VTE prophylaxis process in the hospital, the investigators … The study team developed two lists of design requirements for VTE prophylaxis and VTE diagnosis, and … Interview Population: Physician
Team adaptation to complex clinical situations: The case of VTE prophylaxis … Team adaptation to complex clinical situations: The case of VTE prophylaxis in hospitalized patients.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-scaled-scaling-acceptable-cds-approach-implementation-interoperable-cds-venous
January 01, 2024 - researchers plan to scale and evaluate the implementation of a CDS tool for venous thromboembolism (VTE) prophylaxis … The researchers plan to widely disseminate this new VTE prophylaxis in TBI tool with U.S. trauma societies … , hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis … , hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis … The researchers plan to widely disseminate this new VTE prophylaxis CDS tool for TBI patients to U.S.
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digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - IMPROVE-DD tool
for VTE risk assessment was used on discharge
Proportion of admitted patients with mechanical … VTE
prophylaxis
Proportion of admitted patients with pharmacologic VTE
prophylaxis
Proctor … Order Set
Open the VTE
Prophylaxis
(Medical) order
set.
45
IMPROVE-DD VTE CDS … Workflow #1:
VTE Prophylaxis Order Set (Cont’d)
Click the
checkbox to
launch the
IMPROVE-DD … Order Set
IMPROVE-DD VTE CDS Workflow #1: VTE Prophylaxis Order Set (Cont’d)
IMPROVE-DD VTE CDS
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cds.ahrq.gov/sites/default/files/cds/artifact/711/Anthrax%20Post%20Exposure%20Prophylaxis%20Implementation%20Guide%20v2.0%2020190607.pdf
June 07, 2019 - Anthrax Clinical Decision Support Project
Task Order No. 200-2016-F-89363
Anthrax Post-Exposure Prophylaxis … Centers for Disease Control and Prevention
Anthrax Post-Exposure Prophylaxis
Implementation Guide … Centers for Disease Control and Prevention
Anthrax Post-Exposure Prophylaxis
Implementation Guide … Anthrax Post-Exposure Prophylaxis Clinical Quality Language Dependency Graph .. 14
Figure 3. … Knowledge Level of Anthrax Post-Exposure Prophylaxis Clinical Decision Support
Artifact (image source
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - 12 events in this
population may be less preventable due to safety concerns with
pharmacological prophylaxis … complication
Hospital readmission within 30 to 90-days of the
discharge after a PSI 08 event for a mechanical … PSI 10
Tracheostomy Received a tracheostomy due to extended need for
mechanical ventilation and/or
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/042-vap-prevention-slides.pptx
October 01, 2024 - affects approximately 1 in 1001 patients overall and 5 to 20 percent1,3,5 of patients receiving invasive mechanical … mechanically ventilated patients are treated for VAP1
Associated with—1,5,7,8,10-14
Increased duration of mechanical … Dysphagia and aspiration
Screening tools
Management
Early mobilization
Consider fall risk
Stress ulcer prophylaxis … Stress ulcer prophylaxis in hospitalized patients not in intensive care units.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/115-daily-goals-icu-checklist.docx
October 01, 2024 - Diet: Advance as tolerated
· Nothing by mouth (NPO)
· Bowel regimen Yes No
Insert text
Prophylaxis … bed (HOB) greater than 30 degrees _____
Oral care _____
Insert text
DISPOSITION CONTINUED
Prophylaxis
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integrationacademy.ahrq.gov/news-and-events/news/integrating-harm-reduction-primary-care-practices
April 22, 2024 - and viral hepatitis — including antiretroviral therapy for hepatitis C virus and HIV, pre-exposure prophylaxis … (PrEP), post-exposure prophylaxis (PEP), prevention of mother-to-child transmission, and partner services
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - their response to unfractionated heparin—with some patients requiring large doses to achieve adequate prophylaxis … or activated factor X levels, has been proposed as a means to monitor the effectiveness of heparin prophylaxis … injured patients, ordering clinicians must carefully weigh the risks and benefits of pharmacologic prophylaxis … Early pharmacological venous thromboembolism prophylaxis is safe after operative fixation of traumatic
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www.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
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digital.ahrq.gov/sites/default/files/docs/page/SuccessStoryMold.pdf
January 01, 2012 - – More users with chronic health conditions
received pneumonia prophylaxis (83 percent
compared … – More users at risk for developing pneumonia
based on their age received pneumonia
prophylaxis
-
www.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