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ce.effectivehealthcare.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 … prophylaxis
Preop multimodal analgesia bundle
Regional analgesia
Modify and add details:
Examples … :
Standard anesthesia protocol (list key points)
Antibiotic prophylaxis
VTE prophylaxis (if not given … = venous thromboembolism
AHRQ Pub.
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ce.effectivehealthcare.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 … prophylaxis included as peer review (OPPE) indicator for many services
Review of EVERY VTE event that … Service specific data to facilitate discussions
Point total calculated for user, prophylaxis recommendation … *
Order Recommended prophylaxis unless contraindicated
VTE Risk Level, contraindications (if present … ) and ordered prophylaxis capture for analysis
*
*
*
*
*
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - thromboembolism (VTE), catheter-associated urinary tract infection (CAUTI):
*The Gap Analysis and Goal … Prophylaxis
For specific surgeries (see pathway), process for patients to receive VTE prophylaxis before … 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 [ … Prophylaxis
Process for VTE prophylaxis
Discharge Planning
What is your multidisciplinary approach
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - Prophylaxis
For specific surgeries (see pathway), process for patients to receive VTE prophylaxis before … 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
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ce.effectivehealthcare.ahrq.gov/patient-safety/about/uni-chicago-medicine.html
February 01, 2024 - Thromboembolism with AHRQ's Toolkit
UChicago Medicine (UCM) reduced venous thromboembolism ( … Venous Thromboembolism Toolkit . … The aims of the taskforce were to strengthen established chemical and mechanical prophylaxis and ambulation … concluded that the aims of the taskforce would be to strengthen established chemical and mechanical prophylaxis … Thromboembolism with AHRQ's Toolkit.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/index.html
February 01, 2024 - Thromboembolism
Next Page
Table of Contents
Preventing Hospital-Associated Venous … thromboembolism (VTE). … Maynard also sits on an expert review panel for a phase 3 study on rivaroxaban for VTE prophylaxis in … Preventing hospital-associated venous thromboembolism: a guide for effective quality improvement, 2nd … Thromboembolism
(PDF, 3 MB)
Related Publications
University of Chicago Medicine Reduces VTE and
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ce.effectivehealthcare.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 … Thromboembolism Prophylaxis
Combined mechanical and chemoprophylaxis for venous thromboembolism (VTE … All ISCR Pathways
Postoperative Venous Thromboembolism (VTE) Prophylaxis
Choose your approach:
Use … American Society of Hematology 2018 guidelines for management of venous thromboembolism: prophylaxis
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/17-engaging-stakeholders-data.docx
June 01, 2023 - here
Regional anesthesia
- Enter here
- Enter here
Preop or intraoperative (intraop) anti-emetic prophylaxis … 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 … prophylaxis for 28 days postop
- Enter here
- Enter here
Other:
- Enter here
- Enter here
Outcome … - Enter here
Urinary tract infectiona
- Enter here
- Enter here
Venous thromboembolic event (VTE
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ce.effectivehealthcare.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
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Risk Factors for Venous Thromboembolism Andersen, FA, Frederick SA, Circulation , pp I-9–I-16, 2003 … Results
Risk factors for Venous Thromboembolism (VTE) include malignancy, myocardial infection, congestive … Additional Risk Factors include prior VTE, age (patients >40 are at significantly increased risk compared … veins; pregnancy and puerperium; oral contraceptives; Antiphospholipid Antibody Syndrome; hereditary VTE … (3 in 1847) in the group not given no such prophylaxis.
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ce.effectivehealthcare.ahrq.gov/topics/blood-clots.html
Tools Preventing Hospital-Associated Venous Thromboembolism: A Guide for Effective Quality Improvement … Studies on venous thromboembolism range from venous thromboembolism after trauma and use of multidisciplinary … rounds for venous thromboembolism prevention to postsurgical pulmonary embolism. … Low anti-factor Xa level predicts 90-day symptomatic venous thromboembolism in surgical patients receiving … enoxaparin prophylaxis: a pooled analysis of eight clinical trials.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - fall rate < 1/1000 patient days
11 Facilities focusing on fall reduction
100% compliance with DVT prophylaxis … high functioning teams
Requiring more prescriptive measures of success
Sepsis, Falls with Injury, VTE … Prophylaxis, Specimen Handling, and Oxytocin Protocol Compliance
TEAMSTEPPS 05.2
Mod 1 05.2 Page
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapj.html
April 01, 2018 - Insulin Administration
Y
Y
Peri-Op Proton Pump Inhibitor
Y
Y
Peri-Op VTE … Prophylaxis
Y
Y
No. of Personnel in OR
Y
Y
Trainee (Lowest Level
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/4-overview-facilitator-guide.docx
January 01, 2019 - methods of CUSP to improve outcomes and reduce complications such as surgical site infections (SSI), venous … thromboembolism (VTE), and urinary tract infections (UTI). … include patient and family education, use of multimodal pain management, avoidance of drains and tubes, VTE … prophylaxis, early alimentation and ambulation, and early discharge planning by a multidisciplinary … The postoperative interventions resulted in decreased length of stay, decreased overall venous thromboembolism
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - The utilization of beta-blocker prophylaxis was
abstracted from the medical records of surgical patients … Patients who were started on
perioperative beta-blocker prophylaxis were identified through progress … usually had no documentation as to
whether beta-blocker prophylaxis was considered or contraindicated … cardiopulmonary risk assessment as
well as recommendations regarding medications, endocarditis, and venous … thromboembolism (VTE) prophylaxis where appropriate.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Diagnosis
Documentation/communication
Infection
Medication
Palliative care
Procedures
Prophylaxis … 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
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ce.effectivehealthcare.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 … These patients could include, but are not limited to, patients
who require deep vein thrombosis prophylaxis … Perioperative venous thrombosis in
children: Is it time for prophylaxis? … Venous
thromboembolism in children. Circulation 2006; 113:
12-16.
12. … Incidence of venous
thromboembolism in infants and children: Data from
the National Hospital Discharge
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ce.effectivehealthcare.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 … Prophylaxis
2
2
0
Post-Op Wound Care by Nurse
2
2
0
Anticoagulation Medication
2
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ce.effectivehealthcare.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 Moderate
(pneumonia)
Moderate Little/Not difficult
Strategies to increase appropriate
prophylaxis … for venous
thromboembolism; brief review
Common/
Moderate
High Moderate
(bleeding)
Low Little/
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 -
Y
1
intra-op drugs on paper anesthesia record
D
Electronic
1
Peri-Op VTE … Prophylaxis
Y
Y
1
intra-op drugs on paper anesthesia record
D
Electronic