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www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency
105
Fundamentals of Medicare Patient
Safety Surveillance: Intent, Relevance,
and Transparency
David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder,
Lisa J. Jaser, Nancy Safer, Paul Davern
Abstract
The Medicar…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - Fundamentals of Medicare Patient Safety Surveillance: Intent, Relevance, and Transparency
105
Fundamentals of Medicare Patient
Safety Surveillance: Intent, Relevance,
and Transparency
David R. Hunt, Nancy Verzier, Susan L. Abend, Courtney Lyder,
Lisa J. Jaser, Nancy Safer, Paul Davern
Abstract
The Medicar…
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/module2-transcript.pdf
June 01, 2017 - We look at VTE [venous thromboembolism] risk
screening and VTE treatment. … When we get a
CLABSI, CAUTI, VTE fallout, skin breakdown, or a fall with injury, it is presented as … And
we haven't had a VTE fallout for a year and a half.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/pstools/patient-safety-tools-flyer.pdf
March 01, 2019 - Web: ahrq.gov/fallprevtraining
Preventing Hospital-Associated
Venous Thromboembolism:
A Guide for … outlines the
latest evidence on how to lead
a quality improvement effort to
prevent hospital-acquired venous … thromboembolism.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
-
www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
September 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections
AHRQ Safety Program for Reducing CAUTI in Hospitals
Resident Physicians as Champions in Preventing
Device-Associated Infections
Focus on Reducing Catheter-Associated Urinary Tract Infections
Contents
Preamble .........................…
-
www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/impact/ahrq-works.pdf
April 01, 2017 - central line-associated blood
stream infections,
ventilator-associated
pneumonia, and post-
operative venous … thromboembolism.
-
www.ahrq.gov/sites/default/files/wysiwyg/chain/practice-tools/warfarin-1-slides.pdf
March 19, 2017 - Slide 6
Principal Reasons for
Warfarin Therapy
•Atrial fibrillation
– stroke prevention
•Venous … thromboembolism treatment and
prevention
– Deep venous thrombosis (DVT)
– Pulmonary embolism (PE)
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pptx
March 04, 2016 - The rates of venous thromboembolism (44%), surgical site infections (17%), and obstetric events (4%)
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www.ahrq.gov/research/findings/studies/index.html?page=114
January 01, 2024 - The objectives of this study were to assess the incidence of missed doses of inpatient venous thromboembolism … (VTE) chemoprophylaxis after colectomy in a statewide patient cohort and to examine the association … between missed chemoprophylaxis doses and postoperative VTE. … among patients at high risk for VTE. … Association between missed doses of chemoprophylaxis and VTE incidence in a statewide colectomy cohort
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
June 01, 2023 - such as:
· Surgical site infections (SSI)
· Catheter-associated urinary tract infections (CAUTI)
· Venous … thromboembolism (VTE) events
· Reduced opioid use
· Patient experience with any existing surveys your … that need improvement to help focus the meeting discussions (e.g., Mobility, surgical site infections, venous … thromboembolism, LOS)
Use the Gap Analysis and Goal Setting Form to show your hospital’s baseline outcome
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - The rates of venous
thromboembolism (44%), surgical site infections (17%), and obstetric events (4%
-
www.ahrq.gov/sites/default/files/2024-09/halpern-report.pdf
January 01, 2024 - associated with slight increases in patient
mortality and substantial decreases in appropriate use of venous … thromboembolism prophylaxis. … multivariable logistic regression to examine the relationships
between ICU capacity strain and appropriate venous … thromboembolism prophylaxis (VTEP) and stress
ulcer prophylaxis (SUP).
-
www.ahrq.gov/cpi/about/20timeline.html
March 01, 2020 - 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
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/measspec-3.pdf
January 01, 2017 - 2017 National Healthcare Quality and Disparities Report Measure Specifications
Agency for Healthcare Research and Quality
2017 National Healthcare Quality and Disparities Report Measure Specifications | 3-1
Chapter 3. Patient Safety
3.1. Healthcare-Associated Infections ..........................................…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - How valid is the ICD-9-CM based AHRQ patient
safety indicator for postoperative venous thromboembolism
-
www.ahrq.gov/research/findings/studies/index.html?page=47
January 01, 2024 - diabetes and fractures, but increased for gallbladder disease over 7.1 years, stroke over 7.2 years, venous … thromboembolism over 7.2 years and urinary incontinence over 1 year. … was also an increased risk of harms significantly for invasive breast cancer, gallbladder disease, venous … thromboembolism, probable dementia, and urinary incontinence.
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
November 01, 2021 - Medication or other substance 98 17
Perinatal 37 15
Pressure ulcer 74 12
Surgery or anesthesia 76 34
Venous … thromboembolism 0 0
Other 3,322 132
Total 5,498 320
Methodological Limitations
The sampling was
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Improve Hospital Quality and Safety
8 Tool D.4n
IQI 17 Acute Stroke Mortality Rate
• STK-1 Venous … Thromboembolism (VTE) Prophylaxis
• STK-2 Discharged on Antithrombotic Therapy
• STK-3 Anticoagulation