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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - operational event or situation that you would not want to happen again—an unsafe condition, a patient fall, a venous … thromboembolism, a medication error, a surgical site infection, wrong-site surgery, missing equipment
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - Over time, they will add the device/
health information technology, perinatal, and venous
thromboembolism
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/notes.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety ( PDF , 134 KB ) Brenda
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
January 01, 2017 - It could be a patient fall, a venous thromboembolism, a medication error, ventilator associated pneumonia
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-3/slides.html
September 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advancing/index.html
July 01, 2022 - Your Guide to Preventing and Treating Blood Clots for consumers and Preventing Hospital-Acquired Venous … Thromboembolism: A Guide for Effective Quality Improvement: A Guide for Effective Quality Improvement
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ce.effectivehealthcare.ahrq.gov/cpi/about/35th-anniversary/index.html
April 01, 2024 - projects include Your Guide to Preventing and Treating Blood Clots and Preventing Hospital-Associated Venous … Thromboembolism: A Guide for Effective Quality Improvement .
2008
AHRQ Promotes Project RED
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/sustainability.html
January 01, 2013 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/overview-cusp-mvp-facguide.html
February 01, 2017 - It could be a patient fall, a venous thromboembolism, a medication error, ventilator-associated pneumonia
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/ready-change.html
January 01, 2013 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu3a.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-core-measures-quality.pdf
January 01, 2019 - adverse events in adults receiving knee
replacement (MPSMS)
2.6% in 2014 2.5% in 2017 0.1 0.996
Venous … Thromboembolism
Adult surgery patients with postoperative venous
thromboembolic events (MPSMS)
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes6.html
August 01, 2022 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/put5.html
October 01, 2014 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - CHARTBOOK
ON
PATIENT SAFETY
Updated October 2018
National Healthcare Quality and Disparities Report
This document is in the public domain and may be used and reprinted without permission.
Citation of the source is appreciated. Suggested citation: National Healthcare Quality and
Disparities Report chartbook on …
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-slides.html
October 01, 2020 - Essential imaging available
Risk of hypothermia - operation >1 hour
Warmer in place
Risk of venous … thromboembolism
Boots and/or anticoagulants in place
Anesthesia safety check is completed
Type