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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.
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psnet.ahrq.gov/node/836843/psn-pdf
April 07, 2022 - 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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psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - The patient's nurse noticed that there were no orders for venous
thromboembolism (VTE) prophylaxis, … despite the patient being at high risk for VTE. … The intern assumed that VTE prophylaxis was contraindicated, since the fellow had not
ordered VTE prophylaxis … recalled an incident during medical school where a surgery intern had
been chastised for starting VTE … Therefore, the patient
was not prescribed VTE prophylaxis.
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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.
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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
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psnet.ahrq.gov/web-mm/copy-and-paste
December 10, 2014 - of the intern's admitting note also stated that the patient would receive subcutaneous heparin for venous … thromboembolism (VTE) prophylaxis, although this was never actually ordered. … resident and attending, and the patient was ultimately discharged having never received the intended VTE … Electronic alerts to prevent venous thromboembolism among hospitalized patients. … December 1, 2012
Electronic alerts to prevent venous thromboembolism among hospitalized
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psnet.ahrq.gov/node/49542/psn-pdf
August 21, 2007 - of the intern's admitting note also stated that the patient would receive subcutaneous heparin for
venous … thromboembolism (VTE) prophylaxis, although this was never actually ordered. … resident and attending, and the
patient was ultimately discharged having never received the intended VTE … in
medicine: the use of clinical decision support to remind the physician to carry out things like VTE … Electronic alerts to prevent venous thromboembolism among
hospitalized patients.
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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
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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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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - receive bridging anticoagulation,
while patients at the lowest risk (e.g., single VTE event >12 months … For patients on
OAC due to VTE, use of prophylaxis-dose anticoagulation may be an efficacious and safer … warfarin therapy with conventional-intensity warfarin
therapy for long-term prevention of recurrent venous … thromboembolism. … HIGH (Atrial fibrillation with
CHADS score 5-6, mechanical
mitral valve, VTE within 3
months)
Low
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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
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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
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digital.ahrq.gov/principal-investigator/carayon-pascale
January 25, 2018 - Pascale
Team adaptation to complex clinical situations: The case of VTE … Team adaptation to complex clinical situations: The case of VTE prophylaxis in hospitalized patients. … and Managing Venous Thromboembolism - Final Report
Citation
Carayon P. … Health Information Technology-Supported Process for Preventing and Managing Venous Thromboembolism - … complex situations: the case of venous thromboembolism prophylaxis.
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psnet.ahrq.gov/node/49696/psn-pdf
December 01, 2013 - Rivaroxaban is also approved for the treatment and
prevention of venous thromboembolism, such as in … thromboembolism, and have
similar, if not lower rates, of serious hemorrhagic complications (e.g., … Efficacy and safety of novel oral
anticoagulants for treatment of acute venous thromboembolism: direct … mg po BID for the first
3 weeks of VTE, then 20
mg po daily
Prevention of
VTE after
arthroplasty … venous thromboembolism.
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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.
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digital.ahrq.gov/principal-investigator/tignanelli-christopher-j
January 01, 2024 - pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous … thromboembolism prophylaxis for patients with traumatic brain injury. … thromboembolism prophylaxis for patients with traumatic brain injury. … Approach for the Implementation of Interoperable Clinical Decision Support for Venous Thromboembolism … thromboembolism (VTE) to those with traumatic brain injury, scale it using an implementation strategy
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psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
April 01, 2008 - receive bridging anticoagulation, while patients at the lowest risk (e.g., single VTE event >12 months … For patients on OAC due to VTE, use of prophylaxis-dose anticoagulation may be an efficacious and safer … warfarin therapy with conventional-intensity warfarin therapy for long-term prevention of recurrent venous … thromboembolism. … (Atrial fibrillation with CHADS score of 3-4, bileaflet mechanical aortic valve and CHF, recurrent VTE
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digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
January 01, 2019 - developed design requirements for a computerized CDS tool to enhance the prevention and diagnosis of venous … thromboembolism (VTE). … technology in the workplace, resulted in greater usability for clinicians when compared to a pre-existing VTE
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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
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psnet.ahrq.gov/node/837198/psn-pdf
May 25, 2022 - This study compares the incidence of PSI-12 (perioperative venous
thromboembolism (VTE)) in patients … patient-safety-indicators-overview
https://psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator … https://psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator