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psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian
July 19, 2023 - July 19, 2023
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism
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psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
March 01, 2023 - December 13, 2023
National Partnership for Maternal Safety: Consensus Bundle on Venous … Thromboembolism.
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psnet.ahrq.gov/issue/relationship-between-registered-nurses-and-nursing-home-quality-integrative-review-2008-2014
June 03, 2020 - November 12, 2014
Modes of failure in venous thromboembolism prophylaxis.
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psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety
June 09, 2021 - February 1, 2017
National Partnership for Maternal Safety: Consensus Bundle on Venous … Thromboembolism.
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psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial
March 14, 2022 - March 26, 2014
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/artificial-intelligence-and-healthcare-journey-through-history-present-innovations-and-future
August 04, 2021 - April 24, 2018
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism
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psnet.ahrq.gov/issue/payment-innovations-improve-diagnostic-accuracy-and-reduce-diagnostic-error
December 16, 2020 - January 31, 2011
The CMS ruling on venous thromboembolism after total knee or hip arthroplasty
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psnet.ahrq.gov/issue/medication-reconciliation-admission-and-discharge-analysis-prevalence-and-associated-risk
December 02, 2020 - September 9, 2011
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/cost-pneumonia-after-acute-stroke
August 04, 2021 - November 26, 2014
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/attitudes-toward-patient-safety-standards-us-dental-schools-pilot-study
September 23, 2020 - preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous … thromboembolism in trauma.
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psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
March 25, 2020 - November 18, 2016
Preventability of hospital-acquired venous thromboembolism.
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psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
July 26, 2023 - October 19, 2022
Electronic alerts to prevent venous thromboembolism among hospitalized
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psnet.ahrq.gov/issue/triggers-bundles-protocols-and-checklists-what-every-maternal-care-provider-needs-know
October 19, 2022 - July 19, 2023
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism
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psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
June 14, 2023 - December 4, 2016
Clinical validation of the AHRQ postoperative venous thromboembolism
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psnet.ahrq.gov/issue/correlation-between-hospital-rating-agencies-data-analysis-and-recommendation
April 05, 2023 - June 28, 2023
Clinical validation of the AHRQ postoperative venous thromboembolism patient
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - also receive appropriate prophylaxis to reduce the risk for surgical site infection (SSI) ( 10 ) and venous … thromboembolism (VTE).( 6 ) In most institutions, these two areas of prophylaxis are standardized according … In such a scenario, every patient would receive the same SSI and VTE prophylaxis unless a specific contraindication … Thus, the responsibility in this case for ensuring that the patient receives SSI and VTE prophylaxis … Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic
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psnet.ahrq.gov/web-mm/bleeding-risk
November 01, 2003 - of three months of anticoagulation with extended anticoagulation for a first episode of idiopathic venous … thromboembolism.
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psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
September 27, 2023 - on other aspects of safety besides correct diagnosis (e.g., sepsis bundles, or prophylaxis against venous … thromboembolism), shift-based care, a de-emphasis on gathering information directly from the patient … How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
June 16, 2021 - automatically determining a patient’s artificial airway status and history, and displaying orders for venous … thromboembolism (VTE) prophylaxis. … discordance between EHR orders and user-recorded indications for stress ulcer prophylaxis, rate of VTE
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - Infection
NHSN SSIs for 17 procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE … 2.67
VAP MPSMS Ventilator-
Associated
35,894 1.21 27,548 0.93 25,695 0.86 31,213 1.05
Pneumonia
VTE … $22,898 0.026 (0.009–0.059) 0.028
VAP $47,238 ($21,890–$72,587) $22,898 0.140 (-0.110–0.730) 0.144
VTE