-
www.ahrq.gov/downloads/pub/advances2/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
-
www.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
-
www.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.
-
www.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…
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reset-guide.pdf
January 01, 2020 - opportunities for team members to discuss potential safety issues (e.g., patients with
central lines, not on venous … thromboembolism prophylaxis, etc.). … assessed by the Morse score; includes whether the patient is currently on “falls
precautions”
• VTE
-
www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
January 01, 2024 - Dashboard was built around 13 safety domains: Code Status,
Glucose Control, Nutrition, Bowel Regimen, Venous … Thromboembolism (VTE) Prophylaxis, Opioid Management,
Antibiotic Management, Pressure Ulcer Prevention … For VTE prophylaxis and central line use, effects were neutral or
negative.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-mvpguide.pdf
January 01, 2017 - defect is
anything you do not want to happen again, such as an unsafe condition, a patient fall, a venous … thromboembolism, a medication error, missing equipment, or a ventilator-associated event. 86
There
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/actioniii-2016-summaries-revised.pdf
January 01, 2016 - • Venous thromboembolism (all, not just ICU).
• Clostridium difficile Infections.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/daily-care-processes-guide.pdf
January 01, 2017 - A defect is anything you don’t want to happen again–an
unsafe condition, a patient fall, a venous thromboembolism
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - not address quality or safety issues related to surgical site infection,
maternal or newborn sepsis, venous … thromboembolism, or pregnancy-induced hypertension.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - Venous thromboembolism or pulmonary embolism per 1,000 delivery discharges for 9
states, by race/ethnicity … • In 2021, overall, the rate of venous thromboembolism or pulmonary embolism was 0.30 per
1,000 delivery
-
www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - Computerized
physician order entry with
medication error detection
Example: Use of prophylaxis
for venous … thromboembolism in
appropriate patients
Example: Postoperative
deep vein thrombosis
or pulmonary
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/measspec-6.pdf
January 01, 2020 - 6-23
6.2.5 Stroke
Measure ID
QIO_18, 60205011
Measure Title
Stroke patients who received venous … thromboembolism (VTE) prophylaxis
Measure Source
Centers for Medicare & Medicaid Services (CMS) … CDW) for HIQR Program
Denominator
All stroke patients
Numerator
Stroke patients who received VTE
-
www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
March 01, 2016 - Computerized
physician order entry with
medication error detection
Example: Use of prophylaxis
for venous … thromboembolism in
appropriate patients
Example: Postoperative
deep vein thrombosis
or pulmonary
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternity.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.
-
www.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0082maternity.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085maternitycare.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084maternity.pdf
February 23, 2012 - (III-B)
9.The risk of venous thromboembolism for each obese woman should be
evaluated.