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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/18-template-ISCR-pathway.docx
June 01, 2023 - For example, if your pathway includes venous thromboembolism (VTE) prophylaxis administered in the preop … area and possible epidurals for regional analgesia, include timing of preoperative VTE prophylaxis for … and add details:
Examples:
Standard anesthesia protocol (list key points)
Antibiotic prophylaxis
VTE … anti-nausea medications given at end of case
Regional analgesia
Modify and add details:
Examples:
VTE … = venous thromboembolism
AHRQ Pub.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - · Yes
· No
· N/A
VTE prophylaxis administered? … information, mechanical prophylaxis, chemoprophylaxis medications, and any other considerations for VTE … *Follow hospital protocol for diabetic patients
Abbreviations: N/A = not applicable; VTE = venous thromboembolism … First postoperative VTE chemoprophylaxis dose
Date:
Time:
· Yes
· No
Multimodal pain management … = venous thromboembolism
COMMENTS OR ISSUES (for process improvement):
AHRQ Pub.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - rate:
Include any other outcome measures you have data for at your institution (e.g., superficial SSI, venous … thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI):
*The Gap Analysis and Goal … SSI, VTE Prevention
Processes for SSI, VTE prevention (antibiotic administration, skin preparation, sterile … technique, maintenance of normothermia, and VTE prophylaxis if not already administered)
Anesthesia … Prophylaxis
Process for patients to receive VTE prophylaxis (if not already administered)
ISCR at [
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - “Because we're a trauma center, our highest level of PSI was for venous thromboembolism (VTE), or blood … This team reviews every VTE case each month to determine that all patients received guideline-directed … prophylaxis; for example, the patient received the right drug at the right dose every day prior to the VTE … Systematic improvements made from PSI case reviews have improved compliance with daily guideline-directed VTE
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/umich-slides.ppt
May 20, 2012 - HHCEB Presentation
*
VTE Prevention:
An Institution-wide Initiative
University of Michigan
Caprini … VTE risk assessment
May 20, 2012
Marc Moote, PA-C
Chief Physician Assistant
University of Michigan Health … System
*
*
Key Strategies
Scope: ALL adult inpatients
Standardized VTE Protocol – Caprini model … prophylaxis included as peer review (OPPE) indicator for many services
Review of EVERY VTE event that … occurs in the health system for preventability
*
Closing the Gap…
VTE Risk Assessment embedded
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www.ahrq.gov/sites/default/files/wysiwyg/news/events/ahrq-research-summit/carayon-summit2016.pdf
June 02, 2025 - Tools
Organization
EnvironmentTasks
Person
Health IT-supported process for
preventing and managing VTE … AHRQ Grant 1R01HS022086
Human-centered design
Analysis of cognitive and team work in VTE
diagnosis … information
Physical environment
Team interactions, roles
Primary data collection method on VTE … Klein et al., 1989)
Physicians, APP and nurses in 3 EDs
5
Developing Requirements of
CDS for VTE … Cues for VTE diagnosis
Table of cues
Comparative analysis of cues across 3 EDs
and roles
3.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - reviewed: [provide details on any other measures that were reviewed, for example, superficial SSI, VTE … SSI, VTE Prevention
Processes for SSI, VTE prevention (antibiotic administration, skin preparation, sterile … technique, maintenance of normothermia, and VTE prophylaxis if not already administered)
Anesthesia … Prophylaxis
Process for patients to receive VTE prophylaxis (if not already administered)
Slide 14 … Prophylaxis
Process for VTE prophylaxis
Discharge Planning
What is your multidisciplinary approach for
-
www.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - Read the impact story: University of Chicago Medicine
UChicago Medicine reduced venous thromboembolism … (VTE) incidence by 30% in the perioperative patient population across their institution with the use … of AHRQ’s Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement … Their experience using this tool is summarized in "UChicago Medicine Reduces Perioperative VTE With AHRQ
-
www.ahrq.gov/topics/blood-clots.html
Blood Clots
AHRQ has resources for healthcare providers to prevent venous thromboembolism … Tools Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement … assists quality improvement practitioners in leading an effort to improve prevention of hospital-acquired VTE … Studies on venous thromboembolism range from venous thromboembolism after trauma and use of multidisciplinary … rounds for venous thromboembolism prevention to postsurgical pulmonary embolism.
-
www.ahrq.gov/hai/pfp/haccost2017-discuss.html
November 01, 2017 - First, the definition of venous thromboembolism events has been expanded beyond post-operative events … 0.059)
0.028
VAP
$47,238 ($21,890–$72,587)
$22,898
0.140 (-0.110–0.730)
0.144
VTE … did observe differences in estimated additional cost for other HACs: some increases (CAUTI, CLABSI, VTE … This difference in excess mortality for VTE may be related to the change in definition to include all … hospital-acquired VTE—not just postoperative VTE events.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/vtguide/hopkinsinternalmed-slides.ppt
January 01, 2013 - Am J Hematol. 2013; 88:545-549
Major Risk Factors
Age > 60
Cancer
Previous VTE
Acute CVA w/ paresis … contraindications
2 - Contraindications
3 - Systemic Anticoagulation
6 - No Risk Factors
*Major VTE … w/o contraindications
Yes (0)
No (1)
Yes (2)
Yes (3)
No (1)
Yes (3)
Yes (2)
No (6)
General Medicine VTE
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
June 01, 2023 - years and older)a
- Enter here
- Enter here
Postoperative (postop) venous thromboembolic event (VTE … Additional Colorectal Process Measures
Relevant Stakeholders
Approach to Data Sharing
Preoperative VTE … Additional Gynecology Process Measures
Relevant Stakeholders
Approach to Data Sharing
Preoperative VTE … Stakeholders
Approach to Data Sharing
Intraoperative tranexamic acid use
- Enter here
- Enter here
VTE … - Enter here
Urinary tract infectiona
- Enter here
- Enter here
Venous thromboembolic event (VTE
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - Thromboembolism Prophylaxis
Preoperative administration of a single dose of venous thromboembolism ( … All ISCR Pathways
Preoperative Venous Thromboembolism (VTE) Prophylaxis
Choose your approach:
· Use … In: Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement … Thromboembolism Prophylaxis
Combined mechanical and chemoprophylaxis for venous thromboembolism (VTE … All ISCR Pathways
Postoperative Venous Thromboembolism (VTE) Prophylaxis
Choose your approach:
Use
-
www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
January 01, 2024 - The use of anticoagulant therapy for the prevention and treatment of venous
thromboembolism (VTE) and … Seasonal Variation in International Normalized Ratio Among Venous Thromboembolism
Patients on Warfarin … The implementation of a mandatory assessment of risk for venous thromboembolism (VTE) in a
health system's … Seasonal variation in international normalized ratio among venous thromboembolism
patients on warfarin … Clinical decision support to improve venous thromboembolism risk assessment, prophylaxis, and prevention
-
www.ahrq.gov/hai/pfp/haccost2017-results.html
November 01, 2017 - Ventilator-Associated Pneumonia (VAP)
5
$19,325–$80,013
$47,238 ($21,890–$72,587)
Venous … Thromboembolism (VTE)
4
$11,011–$31,687
$17,367 ($11,837–$22,898)
C. difficile Infections … Thromboembolism (VTE)
9
1.01–13.63
3.15 (2.02–4.91)
0.020
0.043 (0.040–0.078)
C. difficile … Eleven studies were included in our review for VTE. … VTE event.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
June 01, 2023 - teamwork, and change management
Technical
Clinical elements to reduce surgical site infections (SSI), venous … thromboembolism (VTE), and urinary tract infections (UTI)
AHRQ Safety Program for Improving Surgical … Decreased complications, LOS, pain, SSI
Postoperative components resulted in:
Decreased LOS, VTE … Perioperative components resulted in:
Early surgery (within 24–48 hours of admission) beneficial
Resulted in VTE
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - Surgeon asks Susan if she has family history of venous thromboembolism (VTE). … The hospital does not have a standard VTE risk assessment protocol. … Unaware of what VTE is, Susan answers that she has no family history of VTE.
-
www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
January 01, 2025 - Health
Administration
National Voluntary Consensus Standards for Prevention and Care of Venous … Thromboembolism (VTE)
Program Director: Melinda Murphy, RN, MS, CAN
Brief Description: Venous thromboembolism … (VTE), which encompasses deep
vein thrombosis (DVT) and pulmonary embolism (PE), is the most common … 2002, Update published March 2007
National Voluntary Consensus Standards for Prevention and Care of Venous … Thromboembolism (VTE)
Venous thromboembolism (VTE), which encompasses deep vein thrombosis
(DVT)
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/170-cusp-science-safety-notes.docx
October 01, 2024 - He knew he should assess the patient for her venous thromboembolism (VTE) risk, but he didn’t have much … The hospital didn’t have a standardized protocol for VTE risk assessment. … Simon asked Susan if anyone in her family had a history of VTE. … Susan wasn’t sure what VTE was, so she said “no” and Simon didn’t press further. … challenge the surgeon's authority and lacking clear protocols for post-surgical complications like VTE
-
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.