Tag: VTE

VTE Prophylaxis is a Must for Preventing VTE Readmissions in Orthopedic Patients: AAOS & ACCP Guidelines

The guidelines for preventing VTE after total joint arthroplasty (such as, knee and hip replacement) by the Academy of Orthopaedic Surgeons and American College of Chest Physicians are unanimous – both pharmacological and mechanical prophylaxis are needed.

x-ray-scanThe AAOS recommends the use of pharmacological and/or mechanical compression devices for both total hip arthroplasty (THA) and total knee replacement (TKA) patients who are not at an elevated risk for VTE or bleeding, as well as for patients with a known bleeding disorder and/or active liver disease.
Continue reading “VTE Prophylaxis is a Must for Preventing VTE Readmissions in Orthopedic Patients: AAOS & ACCP Guidelines”

Patient Safety Weekly Must Reads (October 21, 2016)

This week in patient safety news, we featured a guest post article on pre-op screening and assessment for OSA.  We also found some great articles addressing the ICU, the opioid crisis, and the latest in wearable monitor studies. Continue reading “Patient Safety Weekly Must Reads (October 21, 2016)”

New PPAHS Campaign Targeting Orthopedic Venous Thromboembolism

PPAHS will be beginning a new #patientsafety campaign to develop practical solutions to help assess and prevent venous thromboembolism (VTE) in patients undergoing orthopedic procedures, particularly total knee and hip replacement.  More commonly known as blood clots, VTE consists of both deep vein thrombosis (DVT) and pulmonary embolisms (PE) .

In the past, we have focused on the issue of VTE regarding maternal patients and stroke patients.  In collaboration with panels of international health experts, PPAHS has developed the OB VTE Safety Recommendations and the Stroke VTE Safety Recommendations (both of which are free resources on our website).  Members of the panel included:

  • Atul Gawande, MD, MPH (Brigham and Women’s Hospital)
  • Peter J. Pronovost, MD, PhD, FCCM (Johns Hopkins Medicine)
  • Mark Alberts, MD, FAHA (Southwestern Medical Center)
  • Irene Katzan, MD, MS (Cleveland Clinic)
  • William M. Callaghan, MD, MPH (CDC)
  • Frank Federico, RPh (Patient Safety Advisory Group, The Joint Commission)
  • Mary D’Alton, MD (Columbia University Medical Center)

According to the CDC, VTE is estimated to affect 900,000 Americans annually.  It is a preventable, hospital-acquired condition that is responsible for 100,000 deaths each year.  The US Department of Health & Human Services (HHS) has also issued a statement identifying venous thromboembolism as the third most prevalent factor accounting for readmission 30-days after surgery (6.3%).

Hip and knee replacement operations are among the most commonly performed procedures in the U.S. About 1 million of these procedures are performed each year (for more on prevalence, see the study by Hilal Maradit-Kremers, MD, MSc et al, “Prevalence of Total Hip (THA) and Total Knee (TKA) Arthroplasty in the United States”).  The 30-day readmission rate following hip and knee replacement is 4.3% and 3.9% respectively, with the readmission rate rising to 7.8% 90-days after surgery.

Join us in our fight to prevent orthopedic venous thromboembolism (VTE).  

Over the next few months, we will be putting together an expert patient safety panel on orthopedic VTE to advise and help answer healthcare reporters’ questions, looking for interviewees for Patient Safety Podcasts (such as the series created in collaboration with the Society of Hospital Medicine), and for guest contributions to our blog.

Midwest Stroke Action Alliance Presentation Features Stroke VTE Safety Recommendations and Blood Clot Prevention

The Midwest Stroke Action Alliance recently hosted a panel of health experts on the risks of venous thromboembolism (VTE which is commonly referred to as blood clots).

The health experts on the panel were:

  • Mark J. Alberts, MD (Clinical Vice-Chair for Department of Neurology and Neurotherapeutics, UT Southwestern Medical Center)
  • Laurie Paletz, BSN, PHN, RN-BC (Stroke Program Coordinator, Cedars-Sinai Medical Center)
  • Michael W. Wong, JD (Executive Director, Physician-Patient Alliance for Health & Safety)

Continue reading “Midwest Stroke Action Alliance Presentation Features Stroke VTE Safety Recommendations and Blood Clot Prevention”

New Stroke VTE Safety Recommendations Prevent Blood Clots In Stroke Patients

Health Expert Panel Encourage Use of Venous Thromboembolism Recommendations to Reduce Adverse Events and Save Lives

The Physician-Patient Alliance for Health & Safety is pleased to announce the release of safety recommendations targeting the prevention of venous thromboembolism (VTE) in stroke patients. Continue reading “New Stroke VTE Safety Recommendations Prevent Blood Clots In Stroke Patients”

Recommendations for Reducing Death and Disability among Stroke Victims to be released at International Stroke Conference 2015

Guidelines Poised to Change Standard of Care for Stroke Treatment and Help Caregivers Lower Incidences of Venous Thromboembolism (VTE) in Ischemic and Hemorrhagic Stroke Patients Continue reading “Recommendations for Reducing Death and Disability among Stroke Victims to be released at International Stroke Conference 2015”

Preventing Blood Clots in Stroke Patients: An Interview with Dr. Martin Dennis on the Clots 3 Study

By Lynn Razzano RN, MSN, ONCC and Michael Wong, JD

Venous thromboembolism (VTE), commonly referred to as blood clots in the legs or lungs) is a common and potentially avoidable cause of death and illness in hospitalized patients. Each year in the United States, it has been estimated that about 300,000 cases of VTE occur. Mortality can be as high as 3.8% in patients with deep vein thrombosis (DVT) and 38.9% in those with pulmonary embolism (PE). VTE is associated with a high risk of death in the United States and Europe, with an estimated incidence rate of 1 in 1,000 patients. VTE is particularly common after a stroke. Approximately 20% of hospitalized immobile stroke patient will develop DVT, and 10% a PE. Continue reading “Preventing Blood Clots in Stroke Patients: An Interview with Dr. Martin Dennis on the Clots 3 Study”

Introducing the PPAHS Patient Safety Podcast

by Sean Power
July 14, 2014

Over the past several months, members of the patient safety community have suggested that the Physician-Patient Alliance for Health and Safety (PPAHS) host a podcast to highlight current work in opioid safety, venous thromboembolism, and alarm fatigue.

We thought it was a great idea. We love presenting PPAHS stories at conferences and on our website, and there is so much progress being made in patient safety by others, we thought a podcast would be a perfect avenue to share those stories, too. Continue reading “Introducing the PPAHS Patient Safety Podcast”

OB VTE Safety Checklist Recommendations Well-Received at NPSF Congress

By Linda Burke-Galloway, MD, MS, FACOG (Author/Blogger, “The Smart Mother’s Guide to a Better Pregnancy”)

The Physician-Patient Alliance for Health and Safety (PPAHS) joined hundreds of other impassioned attendees in Orlando, Florida to attend the 16th Annual NPSF Patient Safety Class from May 14 through May 16, 2014. Over 50 research posters were presented and PPAHS’ poster on the OB VTE Safety Recommendations was one of them. Continue reading “OB VTE Safety Checklist Recommendations Well-Received at NPSF Congress”