-
www.ahrq.gov/action-alliance/resources/type-harm.html
September 01, 2025 - Never Events Opioid Safety Pressure Ulcers Readmissions Sepsis Surgical Safety Transitions in Care Venous … Thromboembolism Diagnostic Safety AHRQ Diagnostic Stewardship as a Model to Improve the Quality and … Hospitals can use the toolkit to prevent complications such as surgical site infections, venous thromboembolism … Back to Contents Venous Thromboembolism (VTE) AHRQ Your Guide to Preventing and Treating Blood Clots
-
www.ahrq.gov/sites/default/files/2024-07/col-report.pdf
January 01, 2024 - decreasing in
popularity due to its known risks of CVD, breast cancer, and venous thrombotic events (VTE … individual requires careful assessment of the woman’s symptoms, risks for CVD, osteoporosis, breast cancer,
VTE … However, because some treatments
have severe side effects (e.g., stroke, coronary heart disease (CHD), VTE
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kizer1.pdf
April 01, 2004 - upon admission, and periodically thereafter, for the risk of developing
deep vein thrombosis (DVT)/venous … thromboembolism (VTE). … Use clinically appropriate
methods to prevent DVT/VTE.
18.
-
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
-
www.ahrq.gov/ncepcr/reports/2025-annual-report/appendixb.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
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 -
1
intra-op drugs on paper anesthesia record
D
Electronic
1
Peri-Op VTE
-
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
-
www.ahrq.gov/sites/default/files/2025-02/nishimi2-report.pdf
January 01, 2025 - As an ancillary activity to the project to develop measures for prevention and
treatment of venous thromboembolism … (VTE) (previously referred to as the
project on deep vein thrombosis), Sanofi-Aventis has approached … VTE Performance Measures
The Steering Committee and TAP held their initial meetings, and a second Call … recommendations for practices
Appendix A
and policies for prevention, treatment, and diagnosis of VTE
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
March 01, 2013 - problems that occur approximately once per 100
hospitalizations as “common;” examples include falls,
venous … thromboembolism (VTE), potential adverse drug
events, or pressure ulcers. … Examples include
most fall prevention programs, VTE prophylaxis, and
medical history abbreviations … Moderate
(pneumonia)
Moderate Little/Not difficult
Strategies to increase appropriate
prophylaxis for venous … thromboembolism; brief review
Common/
Moderate
High Moderate
(bleeding)
Low Little/Moderate
Preventing
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - had been identified by pharmacy as
receiving enoxaparin for treatment of a venous thrombotic event (VTE … Venous
thromboembolism in children. Circulation 2006; 113:
12-16.
12. … Incidence of venous
thromboembolism in infants and children: Data from
the National Hospital Discharge
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - several issues surrounding it (i.e. immobility, CAUTI, pressure ulcers), that could lead to Falls and VTE
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2023-adverse-event-data-report.pdf
January 01, 2023 - Thromboembolism
- Other
Adverse events Static set of AEs Dynamic. … Thromboembolism (VTE)
Fall
Surgery or Anesthesia AE
Hospital-Acquired Infections
Medication AEs … Venous
Thromboembolism (VTE)
Deep-vein thrombosis (DVT) without pulmonary
embolism (PE)
PE without … Thromboembolism
3.8 2.6–5.0 16.2 2.7 1.8–3.6 17.4 1.9 1.1–2.7 20.6
Other AEs 2.5 1.5–3.4 19.0 1.9 … Thromboembolism 18,219 9,579,302 1.9 1.1 – 2.7 20.6
Deep vein thrombosis (DVT)
without pulmonary
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - The nurse may remove central VAD for patients on anticoagulants for Venous Thromboembolism
(VTE) Prophylaxis … The following are considered prophylactic dosing for VTE:
Drug Usual prophylaxis dose
Heparin 5000
-
www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - Specifically, PSI #5: Foreign Body identified one or more cases in only 15 hospitals [6.2%]), and PSI #12:
VTE … pregnancy related conditions
Yes
2.5189 + 2.0959, 1.9240 (0-
13.2257)
PSI #12: Post-operative VTE … VTE See AHRQ PSI #12 Potential MQI—No
Monitor for prevalence
Potential MHSI
Hospital Level
0.00015
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/appendix-c.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.
-
www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
October 27, 2014 - Prevention of venous thromboembolism: the Seventh ACCP Conference on
Antithrombotic and Thrombolytic … Preventing hospital-acquired venous thromboembolism: a guide for effective quality
improvement. … Optimizing prevention of hospital-acquired venous thromboembolism
(VTE): prospective validation of … a VTE risk assessment model. … Direct medical costs of venous thromboembolism and subsequent hospital readmission
rates: an administrative
-
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/2025-03/sapirstein-report.pdf
January 01, 2025 - VTE events, CLABSI, VAP, and hand hygiene rates were extracted from
the hospital’s epidemiology and … 1’ if the
patient received a central line bundle, mobility therapy, mechanical and pharmacological venous … thromboembolism (VTE) therapy, ventilation therapy, tilting the head of the bed more than 30
degrees
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
April 30, 2025 - Hopkins
University
Baltimore, Maryland
R18 HS27415
[Grant]
Disseminating a Patient-
Centered Venous … Thromboembolism
Prevention Bundle
2020-2025
$1,969,169
Purpose: To scale a venous thromboembolism … (VTE) intervention that empowers
patients to make informed decisions about their VTE preventive care … and improve
adherence to VTE prophylaxis medication regimens in hospitalized patients in
heterogeneous
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - cardiopulmonary risk assessment as
well as recommendations regarding medications, endocarditis, and venous … thromboembolism (VTE) prophylaxis where appropriate.