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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/vaesurveillance-slides.pptx
January 01, 2017 - Mechanically Ventilated Patients
4
Connect the Safety Dots
Ventilator Harm
Immobility
Atelectasis
Pulmonary … VAP2
CONDITION ETIOLOGY OF VAC (N=44) ETIOLOGY OF VAP (N=18)
Any pulmonary complication 26 (59%) 11 … (61%)
Pneumonia 10 (23%) 6 (33%)
Pulmonary edema 8 (18%) 4 (22%)
Acute respiratory distress syndrome … embolus 1 (2%) 0
Radiation pneumonitis 1 (2%) 0
Sepsis syndrome 1 (2%) 0
Poor pulmonary toilet 1 … Ventilated Patients
VAE Prevention Techniques
Prevent pneumonia by implementing HOB elevation
Avoid pulmonary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/hmv-protocol-appendixa.pdf
October 11, 2017 - Fibrosis/ 4848
10 *Lung Diseases, Interstitial/ 9590
11 *Pulmonary Fibrosis/ 17843
12 *Idiopathic … Pulmonary Fibrosis/ 4848
13 *Kyphosis/ 5811
14 *Obesity/ 256788
15 *Respiratory Insufficiency/ 25610 … Hypoventilation Syndrome/ 991
19 *respiratory failure/ 29488
20 *Lung Diseases, Obstructive/ 44536
21 *Pulmonary … or "Myotonic Disorder*" or "Neuromuscular Disease*" or
Obesity or "obstructive lung disease*" or "Pulmonary … or "Myotonic Disorder*" or
"Neuromuscular Disease*" or Obesity or "obstructive lung disease*" or "Pulmonary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/asp-pneumonitis-one-page.pdf
November 01, 2019 - Pulmonary aspiration of gastric
contents. Am Rev Respir Dis. 1976 Dec;114(6):1129-36. … Antimicrobial therapy in pulmonary
aspiration. Am J Med. 1979 Feb;66(2):188-90.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-1-table-1.pdf
June 28, 2017 - depression; developmental
mental or developmental condition that can be expected to delay and chronic pulmonary … hematologic, immunologic, mental health, metabolic,
musculoskeletal, neurologic, ophthalmologic, otologic,
pulmonary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-resource-guide.pdf
November 16, 2022 - American Association of Cardiovascular and Pulmonary Rehabilitation. … American Association of Cardiovascular and Pulmonary Rehabilitation. … American Association of Cardiovascular and Pulmonary Rehabilitation. … American Association of
Cardiovascular and Pulmonary Rehabilitation.
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-slides.html
February 01, 2017 - Pulmonary contusion.
Pulmonary vasculitis.
**Indirect lung insults:
Sepsis. … Forest plot showing LTVV significantly reduces the incidence of pulmonary infection. … LTVV significantly reduces the incidence of pulmonary infection. … For every 26 patients who received LTVV, on pulmonary infection was prevented.
6. … Pulmonary infection:
One trial with 103 patients.
RR = 0.20; 95% CI 0.04 to 0.99.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guideref.html
July 01, 2018 - Relative impact of risk factors for deep vein thrombosis and pulmonary embolism. … Oral rivaroxaban for the treatment of symptomatic pulmonary embolism. … Incidence of chronic thromboembolic pulmonary hypertension after pulmonary embolism. … Pulmonary Embolism Prevention (PEP) Trial Collaborative Group. … Prevention of pulmonary embolism and deep vein thrombosis with low dose aspirin: Pulmonary Embolism Prevention
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Safety
Tool D.4i 1
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative Pulmonary … • Together deep vein thrombosis (DVT) and pulmonary embolism (PE) constitute the largest
cause of preventable … In 2008 the Centers for
Medicaid and Medicare Services (CMS) identified deep vein thrombosis and pulmonary … Venous thromboembolism:
reducing the risk of venous thromboembolism (deep vein thrombosis and pulmonary … full-guideline-243920125
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative Pulmonary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-intro-facguide.docx
January 01, 2017 - Many patients receive mechanical ventilation because they have some sort of pulmonary failure or ALI. … Direct pulmonary insult includes pneumonia, aspiration, toxic inhalation, pulmonary contusion, or pulmonary … Indirect pulmonary insult includes extrapulmonary sepsis, systemic inflammatory response syndrome from … One parameter involved mechanically ventilated patients who developed a pulmonary infection. … Based on the data, pulmonary damage can occur within a few hours or minutes of mechanical ventilation
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-intro-slides.pptx
January 01, 2017 - 1970s
Ventilation was primarily volume controlled
Ventilation was completely independent of patient’s pulmonary … insult**
Ventilator-
Induced
Lung Injury
Direct lung insult*
Pneumonia
Aspiration
Toxic inhalation
Pulmonary … RCT Surgical 103 12 5 6 5 Trend for decreased pulmonary infections and decrease in MG duration
Gajic … infection
For every 26 patients who received LTVV, 1 pulmonary infection was prevented
FAVORS LOW … in a variety of parameters when compared to standard tidal ventilations
Postoperative complications
Pulmonary
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Reducing the Risk of Venous Thromboembolism (Deep Vein Thrombosis and Pulmonary Embolism) in Patients … Prevention of Deep Vein Thrombosis and Pulmonary Embolism. 11
ACOG
2007
Covers obstetrics and … Patients undergoing thoracic surgeries, including pneumonectomy, extended pulmonary resection, esophagectomy … for the use of aspirin (acetylsalicylic acid, or ASA) in major orthopedic procedures, citing the 2000 Pulmonary … Age, obesity, and comorbidities such as infection and pulmonary disease are additive risk factors, just
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
February 01, 2017 - Many patients receive mechanical ventilation because they have some sort of pulmonary failure or ALI. … Direct pulmonary insult includes pneumonia, aspiration, toxic inhalation, pulmonary contusion, or pulmonary … Indirect pulmonary insult includes extrapulmonary sepsis, systemic inflammatory response syndrome from … One parameter involved mechanically ventilated patients who developed a pulmonary infection. … Based on the data, pulmonary damage can occur within a few hours or minutes of mechanical ventilation
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ce.effectivehealthcare.ahrq.gov/takeheart/beyond/index.html
December 01, 2022 - latest research, policy, and payment news available from the American Association of Cardiovascular and Pulmonary … multidisciplinary professional association comprised of health professionals who serve in the field of cardiac and pulmonary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - for midnight
|_| Net even
|_| Net positive
|_| Net neg:_____ w/_____
|_| Patient-determined
· Pulmonary … :
· Ventilator: (vent bundle; head of bed elevated), (ready to wean)
|_| Out of bed
|_| Pulmonary toilet
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/dxpages.pdf
February 14, 2013 - Examples of Diagnosis Pages
Congestive Heart Failure
Pneumonia
Chronic Obstructive Pulmonary Disease
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
January 01, 2024 - Diagnosis of pulmonary embolism. CMAJ 2003;168:183-94.
4. Wells PS, Hirsh J, Anderson DR, et al. … Diagnostic value of D-dimer in patients with suspected
pulmonary embolism: results from a multicentre … in outpatients with
suspected deep vein thrombosis or pulmonary embolism: how many tests do we need? … D-dimer for the exclusion of acute venous thrombosis
and pulmonary embolism: a systematic review. … Diagnostic pathways in acute pulmonary embolism:
recommendations of the PIOPED II investigators.
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/carecoordination/measure1.html
June 01, 2018 - 17.3
12.8
Jan-Jun 2013
21.2
19.0
16.2
15.8
12.0
Key: COPD = chronic obstructive pulmonary … in 2013 was 21.2% among patients with heart failure, 19.0% among patients with chronic obstructive pulmonary … 23.5
20.9
18.3
17.8
15.3
Key: AMI = acute myocardial infarction; COPD = chronic obstructive pulmonary … 23.3
20.8
18.2
17.6
14.6
Key: AMI = acute myocardial infarction; COPD = chronic obstructive pulmonary … hospitals with high Medicaid patient share was highest for heart failure (23.3%) and chronic obstructive pulmonary
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - ventilation.5
· Ventilation with low tidal volumes is associated with a lower risk of development of pulmonary … Lung-protective ventilation with low tidal volumes and the occurrence of pulmonary complications in patients
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/red/toolkit/dxpages.pdf
February 14, 2013 - Examples of Diagnosis Pages
Congestive Heart Failure
Pneumonia
Chronic Obstructive Pulmonary Disease
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-section1.pdf
May 17, 2019 - 753.19, 753.20,
753.21, 753.22, 753.23, 753.29, 753.3, 753.4, 753.6, 753.7,
753.8, 753.9, 756.71
Pulmonary