-
www.talkingquality.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.talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Preventing Pressure Ulcers in Hospitals
Re-Engineered Discharge Toolkit
QI Toolkit
Venous … Thromboembolism Guide
Designing and Delivering Whole-Person Transitional Care
Hospital … potentially preventable harm events
Slide 63
Harborview's Story
How did improving care for venous … thromboembolism (VTE) become a priority? … Slide 64
Initial Focus: Improving Care for VTE
VTE is a major cause of morbidity and mortality
-
www.talkingquality.ahrq.gov/hai/hac/tools.html
March 01, 2024 - Improving Surgical Care and Recovery
Surgical site infections: Toolkit To Promote Safe Surgery
Venous … thromboembolism (VTE): Preventing Hospital-Associated Venous Thromboembolism
Ventilator-associated
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - postoperative deaths with the following complications: pneumonia,
pulmonary embolism/deep vein thrombosis (VTE … Best practices forms for VTE and sepsis already
exist, and the remaining conditions are too heterogeneous
-
www.talkingquality.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - current analysis is based in part on a set of charts in which patients with an ICD-9 coded diagnosis of venous … thromboembolism (VTE) are underrepresented and another set of charts in which they are overrepresented … It should be noted that for every year from 2010 to 2014, the VTE adverse events contributed less than … Pneumonias
40,000
50%
50%
25%
10,000
$21,000
.144
$210,000,000
1,438
(Post-op) Venous … Thromboembolism
100,000
40%
50%
20%
20,000
$8,000
.104
$160,000,000
2,080
All Other
-
www.talkingquality.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - combined for 17 procedures based on CDC NHSN data
VAP
MPSMS
Ventilator-Associated Pneumonia
VTE … Pressure Ulcers
53.03
62.45
0.85
VAP
Ventilator-Associated Pneumonia
1.30
2.67
0.49
VTE … 32,750,000
2.946
VAP
MPSMS
Ventilator-Associated Pneumonia
37,604
32,750,000
1.148
VTE
-
www.talkingquality.ahrq.gov/data/infographics/hac-rates_2019.html
July 01, 2020 - Post-op VTE: 17% decrease. All other HACs: 14% decrease. Total reductions: 13%.
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
June 01, 2014 - 82,000 2.51 82,000 2.51
VAP MPSMS Ventilator-Associated
Pneumonia
35,000 1.07 34,000 1.02
VTE
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - 17 procedures w/CDC SCIP+5 data 73,158 2.46
VAP MPSMS Ventilator-Associated Pneumonia 35,588 1.20
VTE … 73,212 2.46
VAP MPSMS Ventilator-
Associated
835,58 1.20 30,083 1.01 24,194 0.81
Pneumonia
VTE … 2FQnetTier4&cid=12287
73989482.
17 Our 2015 interim estimate also included data from charts submitted for Venous … Thromboembolism (see Section
2.7 at
https://www.qualitynet.org/dcs/ContentServer? … However, reporting requirements for VTE were also discontinued from the IQR program in 2016.
-
www.talkingquality.ahrq.gov/hai/pfp/hacrate2013-refs.html
October 01, 2015 - Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic … Kucher N, Koo S, Quiroz R, et al Electronic alerts to prevent venous thromboembolism among hospitalized … Preventing hospital-acquired venous thromboembolism: a guide for effective quality improvement. … Optimizing prevention of hospital-acquired venous thromboembolism (VTE): prospective validation of a … Direct medical costs of venous thromboembolism and subsequent hospital readmission rates: an administrative
-
www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/879.html
September 01, 2023 - Articles featured this week include:
Just what the doctor ordered: missed ordering of venous thromboembolism … chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients .
-
www.talkingquality.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 2.51
82,000
2.51
VAP
MPSMS
Ventilator-Associated Pneumonia
35,000
1.07
34,000
1.02
VTE
-
www.talkingquality.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.talkingquality.ahrq.gov/news/newsroom/case-studies/index.html?page=7
January 01, 2016 - and Mapping Tool
(4)
Preventing Falls in Hospitals Toolkit
(4)
Preventing Hospital-Related VTE
-
www.talkingquality.ahrq.gov/news/newsroom/case-studies/index.html
February 01, 2024 - and Mapping Tool
(4)
Preventing Falls in Hospitals Toolkit
(4)
Preventing Hospital-Related VTE
-
www.talkingquality.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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - Infection
NHSN SSIs for 17 procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE … 2.46
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.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-datasources.pdf
December 01, 2022 - or more falls during stay Fall
Stays with one or more pressure ulcer adverse events Pressure Ulcer
Venous … thromboembolism/pulmonary embolism (VTE/PE)
not related to procedure
Venous Thromboembolism
VTE … /PE following listed procedure (no VTE prior to
procedure)
Venous Thromboembolism
One or more adverse
-
www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2023qdr-data-sources.pdf
December 01, 2023 - or more falls during stay Fall
Stays with one or more pressure ulcer adverse events Pressure Ulcer
Venous … thromboembolism/pulmonary embolism
(VTE/PE) not related to procedure
Venous Thromboembolism
VTE … /PE following listed procedure (no VTE prior to
procedure)
Venous Thromboembolism
One or more adverse