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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/implementation.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
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 01, 2013 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
January 01, 2013 - measured in
terms of use of appropriate peri-
operative antibiotic prophylaxis,
beta-blockade, and venous … thromboembolism prophylaxis.
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu.html
December 01, 2017 - results in C. diff , which results in a pressure ulcer, increased length of stay, immobility, and venous … thromboembolism.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - Healthcare-Associated Infection, Medication or Other Substance, Perinatal, Pressure Ulcer, Surgery or
Anesthesia, and Venous … Thromboembolism
iii As of September 2023, the total number of reports held by the PSOPPC that were
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - or more falls during stay Fall
Stays with one or more pressure ulcer adverse events Pressure Ulcer
Venous … thromboembolism/pulmonary embolism
(VTE/PE) not related to procedure
Venous Thromboembolism
VTE … /PE following listed procedure (no VTE prior to
procedure)
Venous Thromboembolism
One or more adverse
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ce.effectivehealthcare.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/redtool4.html
March 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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - To decrease surgical-site infections and other complications, like venous thromboembolism, pneumonia,
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
June 01, 2013 - Patient Safety Through Enhanced Provider Communication'
‘Improving Warfarin Management'
‘Interactive Venous … Thromboembolism Safety Toolkit for Providers and Patients'
‘Is Our Pharmacy Meeting Patients' Needs
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - goals of the safety program are–
To decrease surgical-site infections and other complications, like venous … thromboembolism, pneumonia, and readmissions, because these complications are a major driver for readmissions
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/implementation-guide/appendix-f.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/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - hospital discharge
Facilitate smoking cessation if
appropriate
(SSI prevention)
Preoperative VTE … prophylaxis before
incision or 1 hour after epidural
placement, if applicable
(VTE prevention) … urinary catheter placement for
procedures less than 2 hours
(CAUTI prevention)
Risk-stratified VTE … prophylaxis
(VTE prevention)
Mobilize to a chair Education by enterostomal therapist
about ostomy … , if applicable
Resume small amounts of oral intake
SSI = surgical site infection; VTE = venous thromboembolism
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - And so if you could look at the 30-day venous
thromboembolism, it’s 0 to 3.4 percent, 30-day admission
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ce.effectivehealthcare.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
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
February 26, 2008 - that the KBNI process has been used for other topics, such as delirium, activity
intolerance, and venous … thromboembolism, to name a few.
2
The KBNI process begins by identifying a “phenomenon” of concern
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/perinatal/chipra-mc4-fullreport.pdf
July 01, 2016 - The risk of venous thromboembolism for each obese woman should be evaluated.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Adams-Pizarro_109.pdf
January 08, 2008 - Using the AHRQ Hospital Survey on Patient Safety Culture as an Intervention Tool for Regional Clinical Improvement Collaboratives
Using the AHRQ Hospital Survey on Patient Safety
Culture as an Intervention Tool for Regional Clinical
Improvement Collaboratives
Inga Adams-Pizarro, MHS; ZeAmma Walker, MHSA, PMP;
Jan…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
December 01, 2017 - goals of the safety program are–
To decrease surgical-site infections and other complications, like venous … thromboembolism, pneumonia, and readmissions, because these complications are a major driver for readmissions
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/practices.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