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psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
March 13, 2013 - December 18, 2013
Venous thromboembolism after trauma: a never event?
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psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
December 14, 2011 - August 14, 2014
Electronic alerts to prevent venous thromboembolism among hospitalized
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psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
March 09, 2019 - January 22, 2016
Using multidisciplinary rounds to improve patient safety through venous … thromboembolism prevention awareness.
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psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
June 01, 2011 - Special or Theme Issue
Patient Safety: An Old and New Issue.
Citation Text:
Patient Safety: An Old and New Issue. Bagnara S; Tartaglia R, eds. Theor Issues Ergon Sci. 2023;8(5):365-507.
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psnet.ahrq.gov/issue/taking-heat-or-taking-temperature-qualitative-study-large-scale-exercise-seeking-measure
November 02, 2016 - incidence of pressure ulcers , harm from falls , catheter-associated urinary tract infection , and venous … thromboembolism , with the goal of informing local improvement efforts.
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psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach
January 23, 2019 - nationwide quality improvement project in the United Kingdom to address four patient safety issues: venous … thromboembolism , pressure ulcers , catheter–associated urinary tract infections , and falls .
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psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
February 14, 2024 - April 26, 2023
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism
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psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - low-dose aspirin (75-100 mg) once daily. 2
In this case, a prescription was written for acute venous … thromboembolism (VTE) doses of rivaroxaban (even though this patient had a recent arterial thrombosis … treatment, or VTE prevention), level of renal function, body weight/body mass index, and age. … DOAC Dosing for Venous Thromboembolism
a Data adopted from apixaban package … Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report.
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digital.ahrq.gov/sites/default/files/docs/citation/r03hs027247-trikalinos-final-report-2020.pdf
January 01, 2020 - Retro- Venous Systematically review the
spective Thromboembolis comparative effectiveness for
m (VTE … 46 0.026* 38
Retro res no KTs 0.11 (11/96) 0.01 87
Retro res no neg KTs 0.28 (27/96) 0.03 36
VTE … = venous thromboembolism. … Finally, in the Venous Thromboembolism (VTE) dataset, there was a significant difference among key
questions … Subgroup analysis for retrospective datasets: Venous Thromboembolism.
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psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
June 05, 2019 - November 18, 2016
Preventability of hospital-acquired venous thromboembolism.
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digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-tool-preventing-falls
January 01, 2023 - Evaluation of the SCaling AcceptabLE cDs (SCALED) Approach of Interoperable Clinical Decision Support for Venous … Thromboembolism Prevention
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psnet.ahrq.gov/issue/differences-rates-patient-safety-events-payer-implications-providers-and-policymakers
November 16, 2022 - 2012
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous … thromboembolism?
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psnet.ahrq.gov/issue/incidence-and-predictors-opioid-prescription-discharge-after-traumatic-injury
July 02, 2019 - 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/systematic-review-evidence-links-between-patient-experience-and-clinical-safety-and
May 01, 2019 - March 5, 2014
Practices to prevent venous thromboembolism: a brief review.
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www.ahrq.gov/ncepcr/reports/2025-annual-report/patient-safety.html
August 01, 2025 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and … an advanced, data-driven electronic clinical quality measure to measure timely, delayed, and missed venous … thromboembolism (VTE) diagnoses in ambulatory and urgent care settings. … Uses EHR data and stakeholder expertise to understand risk factors for VTE diagnostic errors, disparities … learning tools to identify and address vulnerabilities in workflows to help reduce delayed and missed VTE
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/high-risk-drugs-protocol.pdf
July 27, 2023 - anticoagulants for preventing and treating
blood clots in conditions that have a higher risk of leading to venous … thromboembolism
and stroke (e.g., chronic atrial fibrillation, artificial heart valves, antiphospholipid … guidelines including guidance for direct oral anticoagulants in the treatment and
prophylaxis of venous … thromboembolism in patients with cancer. … thromboembolism and stroke (e.g., chronic atrial fibrillation, artificial heart valves, antipho...
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psnet.ahrq.gov/node/45769/psn-pdf
December 21, 2016 - National Scorecard on Rates of Hospital-Acquired
Conditions 2010 to 2015: Interim Data From National
Efforts to Make Health Care Safer.
December 21, 2016
Rockville, MD: Agency for Healthcare Research and Quality; December 2016.
https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…
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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - with low-dose aspirin (75-100 mg) once daily.2
In this case, a prescription was written for acute venous … thromboembolism (VTE) doses of rivaroxaban
(even though this patient had a recent arterial thrombosis … treatment, or VTE prevention), level of
renal function, body weight/body mass index, and age. … DOAC Dosing for Venous Thromboembolism
aData adopted from apixaban package insert20
bData adopted … Antithrombotic Therapy for VTE Disease: CHEST Guideline and Expert Panel Report.
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www.ahrq.gov/news/blog/ahrqviews/womens-health-week-2023.html
May 01, 2023 - rising rates of severe maternal morbidity, eclampsia/preeclampsia, severe postpartum hemorrhage, and venous … thromboembolism or pulmonary embolism.
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psnet.ahrq.gov/issue/lost-information-during-handover-critically-injured-trauma-patients-mixed-methods-study
October 04, 2023 - January 15, 2025
Venous thromboembolism after trauma: a never event?