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www.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
April 01, 2018 - Peri-Op Insulin Administration
2
2
0
Peri-Op Proton Pump Inhibitor
1
1
0
Peri-Op VTE
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www.ahrq.gov/research/findings/final-reports/index.html?page=5
January 01, 2024 - Patient Safety Publication Date: April 2019
Patient-centered Approach to Reducing Harm from VTE
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/progress-update-2024-slides.pdf
January 01, 2024 - Deterioration
Experience
A Widow’s Perspective
on Patient Safety
Our Family 2009
Charles’ HA-VTE … Patient Safety
Our Family 2009
Yogiraj Charles Bates’ Relationships and Accomplishments
Charles’ HA-VTE
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Foundation
Cleveland, Ohio
R01 HS22883
[Grant]
Patient-Centered
Approach to
Reducing Harm From
VTE … Cleveland Clinic to create
tools that physicians can use to assess an individual patient’s risk of both venous … thromboembolism (VTE) and bleeding and to weigh those risks. … Key Findings/Impact: Investigators indicated that they could create a risk
prediction model for VTE … Their decision analytic
model identified a threshold for prophylaxis based on VTE risk.
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/genitourinary-symptoms-protocol_0.pdf
July 10, 2023 - Systemic adverse events: chronic pain, stroke; VTE (DVT or PE);
death; hot flashes; headache; breast … floor muscle
training; RCT=randomized controlled trial; SERM=selective estrogen receptor modulator; VTE … = venous thromboembolism
9
B. … SR Systematic Review
TOO Task Order Officer
US United States
VMI Vaginal Maturation Indices
VTE … Venous thromboembolism
WMD Weighted mean differences
VII.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
January 01, 2021 - number (232) of CFER-H V1.2
Venous Thromboembolism reports received was deemed insufficient for any … The Venous
Thromboembolism EVENT TYPE was added in CFER-H V1.2. … This was unexpected, as pressure ulcers,
like HAIs and venous thromboembolism (VTE), result in harm … Thromboembolism (VTE)
Asymptomatic VTE (i.e., DVT and/or PE identified on screening exam or incidentally … Thromboembolism (VTE)
Other
DATA LIMITATIONS:
-
www.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Venous Thromboembolism.
Ventilator-Associated Pneumonia. … Thromboembolism
Clostridium difficile Infections
Discussion
Limitations
… Thromboembolism
Clostridium difficile Infections
In this report, we present the findings of our … Thromboembolism (VTE)
Ventilator-Associated Pneumonia (VAP)
Clostridium difficile Infections (CDI … Venous Thromboembolism (VTE)
A deep vein thrombosis (DVT) or pulmonary embolism (PE) developing among
-
www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - "[MeSH Terms]) OR ("venous thromboembolism/economics"[MeSH Terms]) OR ("venous thrombosis/economics"[ … Venous thromboembolism after thoracic/thoracolumbar spinal fusion. … Costs of venous thromboembolism, catheter-associated urinary tract infection, and pressure ulcer. … Venous thromboembolism after major cancer surgery: temporal trends and patterns of care. … Liver cirrhosis is associated with venous thromboembolism among hospitalized patients in a nationwide
-
www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - , as they are
particularly vulnerable and experience patient safety issues in the domains of fall, venous … thromboembolism
(VTE), diagnostic and medication errors, and HAIs.
4.2.1. … Both Outcome VTE within 30 days of index ED visit63
Diagnostic safety UTI Process No urine culture … We did not see differences
in in repeat falls, VTE, newly prescribed fall risk-increasing drugs, or … Venous thromboembolism in patients with
acute leukemia: incidence, risk factors, and effect on survival
-
hcup-us.ahrq.gov/reports/methods/2011_05.pdf
January 01, 2011 - • A study of two claims-based approaches to identify hospital-acquired venous
thromboembolism (VTE … showed that POA indicators
provide high positive predictive value (PPV) relative to ICD-9-CM codes for VTE … , but the
overall number of hospital-acquired VTE events was underestimated by using POA
indicators … Identifying in-hospital venous thromboembolism
(VTE): a comparison of claims-based approaches with the … Rochester Epidemiology
Project VTE cohort.
-
psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
July 01, 2004 - The patient was not placed on venous thromboembolism prophylaxis prior to surgery. … Studies have shown that comanagement reduces the incidence of venous thromboembolism as well as the incidence … View More
Related Resources
Just what the doctor ordered: missed ordering of venous … thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery … August 21, 2013
The CMS ruling on venous thromboembolism after total knee or hip
-
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
-
effectivehealthcare.ahrq.gov/products/cancer-venous-thrombosis-anticoagulation/abstract
-
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.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/cancer-ovarian-contraceptives_research-protocol.pdf
March 13, 2012 - none
• Final outcomes: diagnosis of breast cancer, cervical cancer, venous
thromboembolic event (VTE … mortality of:
• Endometrial cancer
• Colorectal cancer
Other Harms
Incidence and mortality
of:
• Venous … thromboembolism
• Breast cancer
• Cervical cancer
• Stroke
• Myocardial infarction
Primary Outcomes … OCs also increase the risk of
certain short-term (e.g., venous thromboembolism) and long-term (e.g., … KQ 5:
o Final outcomes: diagnosis of breast cancer, cervical cancer, venous
thromboembolic event (VTE
-
psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - November 15, 2023
Just what the doctor ordered: missed ordering of venous thromboembolism … chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients.
-
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