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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - rate:
Include any other outcome measures you have data for at your institution (e.g., superficial SSI, venous … thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI):
*The Gap Analysis and Goal … SSI, VTE Prevention
Processes for SSI, VTE prevention (antibiotic administration, skin preparation, sterile … technique, maintenance of normothermia, and VTE prophylaxis if not already administered)
Anesthesia … Prophylaxis
Process for patients to receive VTE prophylaxis (if not already administered)
ISCR at [
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
June 01, 2023 - patients, leading to reduced length of stay and fewer adverse events such as surgical site infections, venous … thromboembolism (VTE), and catheter-associated urinary tract infection (CAUTI).1
Use of multimodal
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
May 01, 2017 - imaging available
|___| Risk of hypothermia if the operation is longer than 1 hour
|___| Risk of venous … thromboembolism
|___| Anesthesia safety check is completed
|___| Type of anesthesia
|___| Anticipated
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www.ahrq.gov/hai/pfp/interimhac2013-ap2.html
December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms
Interim Update on 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013
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Table of Contents
Efforts To Improve Patient Safety Result in 1.3 Mill…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-checklist.docx
June 02, 2025 - Essential imaging available
· Risk of hypothermia if the operation is longer than 1 hour
· Risk of venous … thromboembolism
· Anesthesia safety check is completed
· Type of anesthesia
· Anticipated airway and
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-apa.html
April 01, 2018 - Safety Through Enhanced Provider Communication'
'Improving Warfarin Management'
'Interactive Venous … Thromboembolism Safety Toolkit for Providers and Patients'
'Is Our Pharmacy Meeting Patients'
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www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - First, the definition of venous thromboembolism events has been expanded beyond post-operative events … 0.059)
0.028
VAP
$47,238 ($21,890–$72,587)
$22,898
0.140 (-0.110–0.730)
0.144
VTE … did observe differences in estimated additional cost for other HACs: some increases (CAUTI, CLABSI, VTE … This difference in excess mortality for VTE may be related to the change in definition to include all … hospital-acquired VTE—not just postoperative VTE events.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
June 01, 2023 - teamwork, and change management
Technical
Clinical elements to reduce surgical site infections (SSI), venous … thromboembolism (VTE), and urinary tract infections (UTI)
AHRQ Safety Program for Improving Surgical … Decreased complications, LOS, pain, SSI
Postoperative components resulted in:
Decreased LOS, VTE … Perioperative components resulted in:
Early surgery (within 24–48 hours of admission) beneficial
Resulted in VTE
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www.ahrq.gov/research/findings/final-reports/index.html?page=11
January 01, 2024 - Publication Date: February 2012
Illinois Surgical Quality Improvement Collaboration Conference: Venous … Thromboembolism ( application/pdf 93747 ) Principal Investigators: Eskandari and Raval Grant Number
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/6-gap-analysis-goal.docx
June 01, 2023 - day readmission rate (post-discharge):
All-cause inpatient mortality rate:
Optional outcome measures
Venous … thromboembolism (VTE) rate:
Patient satisfaction:
Completed by:
Department/unit:
Date:
Section
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www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - The use of anticoagulant therapy for the prevention and treatment of venous
thromboembolism (VTE) and … Seasonal Variation in International Normalized Ratio Among Venous Thromboembolism
Patients on Warfarin … The implementation of a mandatory assessment of risk for venous thromboembolism (VTE) in a
health system's … Seasonal variation in international normalized ratio among venous thromboembolism
patients on warfarin … Clinical decision support to improve venous thromboembolism risk assessment, prophylaxis, and prevention
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www.ahrq.gov/research/findings/final-reports/index.html?page=1
January 01, 2024 - Improve Patient Safety Publication Date: March 2022
Individualized Performance Feedback on Venous … Thromboembolism Prevention Practice ( application/pdf 326210 ) Principal Investigators: Haut, et
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4f_combo_psi09-postophemorrhage-bestpractices.pdf
May 20, 2016 - Rosemont, IL: American Academy of Orthopaedic
Surgeons. http://www.aaos.org/Research/guidelines/VTE/ … http://www.aaos.org/Research/guidelines/VTE/VTE_summary_of_recs.pdf
Selected Best Practices and Suggestions
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - neuraxial regional pain control, providers must be aware of the concurrent use of anticoagulation (even venous … thromboembolism prophylaxis) because it can potentially cause devastating neurological injury in the
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section4.html
October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
Preventing Device-Associated Infections
Previous Page Next Page
Table of Contents
Resident Physicians as Champions in Preventing Device-Associated Infections
Preamble and Summary
Epidemiology of Invasive Devices and Comp…
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www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-patient-safety.html
May 01, 2024 - Leveraging Evidence-based Practices for Ambulatory VTE Patients to be Safe with Direct Oral Anticoagulants … Care Transitions to elaborate the steps required to ensure a safe transition of care in ambulatory venous … thromboembolism (VTE) patients.
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www.ahrq.gov/news/newsletters/e-newsletter/902.html
February 01, 2024 - prescribed for stroke prevention in atrial fibrillation and for treatment and secondary prevention of venous … thromboembolism, while aspirin may still be used to prevent primary cardiovascular events among high-risk
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www.ahrq.gov/research/findings/final-reports/stpra/stpraaparef.html
September 01, 2018 - Andersen, FA, Frederick SA, Risk factors for venous thromboembolism, Circulation , I-9 – I-16, 2003.
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www.ahrq.gov/news/newsletters/e-newsletter/967.html
July 01, 2025 - oversees Harborview’s QI efforts, “Because we're a trauma center, our highest level of PSI was for venous … thromboembolism, or blood clots, so we started by looking at those.”
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www.ahrq.gov/sites/default/files/2025-02/weekes-report.pdf
January 01, 2025 - Secondary outcomes were nonfatal bleeding,
recurrence of venous thromboembolism, and hypoxia requiring … Secondary
outcomes were nonfatal bleeding, recurrence of venous thromboembolism, and hypoxia
requiring … outcome included all components of the primary composite outcome plus major
bleeding, recurrence of venous … thromboembolism (VTE), or subsequent hospitalization within 30
days of the index PE. … Admission rates for emergency department
patients with venous thromboembolism and estimation of the proportion