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preventiveservices.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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preventiveservices.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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preventiveservices.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
April 01, 2021 - ERAS: safety checklists, antibiotics, and VTE prophylaxis . J Surg Oncol. 2017;116(5):601-7.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - America, and the Surgical Infection
Society collectively released new guidelines for antimicrobial prophylaxis … prophylaxis before
incision or 1 hour after epidural
placement, if applicable
(VTE prevention) … prophylaxis
(VTE prevention)
Mobilize to a chair Education by enterostomal therapist
about ostomy … , if applicable
Resume small amounts of oral intake
SSI = surgical site infection; VTE = venous thromboembolism … Clinical practice guidelines for antimicrobial
prophylaxis in surgery.