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{"sheet":"Anticoagulant","index":0,"n_rows":27,"n_cols":36,"rows_kept":27,"cut":false,"hidden":false,"merged":[[26,2,26,17],[0,1,3,1],[4,0,4,20],[10,0,18,0]]}
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["In the section below, please enter a \"y,\" \"n\" or \"n/a\" for each patient being tracked to indicate if the following elements were completed. "]
["Dates being tracked: ","Please enter the current period being tracked here:"]
[]
["Element","Best Practice","Patient Sample"]
[null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,"Total","Percentage"]
["Patient ID# (optional)",null,"ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE","ID# HERE"]
["Standardized protocols ","A baseline assessment of the patient’s medical history and risk factors (e.g., history of trauma, HIT, prior anticoagulant use) is performed prior to prescribing anticoagulant therapy.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C11:AF11,\"y\")","v":0},{"$f":"IFERROR(AG11/(AG11+AI11),\"0\")","v":"0"},{"$f":"COUNTIF(C11:AF11,\"n\")","v":0},{"$f":"COUNTIF(C11:AF11,\"n\")","v":0}]
[null,"Appropriate baseline laboratory values (H&H, serum creatinine or platelet count) are obtained prior to the initiation of anticoagulant therapy.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"A baseline INR is obtained on all patients admitted on warfarin therapy.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Metric weight is obtained for patients on continuous heparin therapy.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Patients on warfarin have an order for daily INR monitoring.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Laboratory results (aPTT) are available in two hours or less for patients on continuous heparin therapy.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Disease-specific protocols (DVT, AF, PE) are readily available and used to provide appropriate and safe anticoagulant therapy.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Protocols for standardized rapid (emergency) reversal of anticoagulation are established.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Standard weight-based protocols and order sets avoid the use of “u” to indicate “units” of heparin.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
["Safety practices","Computerized prescriber order entry and pharmacy information systems alert providers to duplicate anticoagulant therapy and serious drug interactions/contraindications.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",0,0]
[null,"Heparin flush is available in prefilled syringes when necessary.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Concentrated heparin vials (e.g., 10,000 units/mL or 20,000 units/mL) are not available in automated dispensing cabinets or unit stock.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
[null,"Continuous heparin infusions are administered using a smart infusion device, which includes dose error reduction software. ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C23:AF23,\"y\")","v":0},{"$f":"IFERROR(AG23/(AG23+AI23),\"0\")","v":"0"}]
[null,"Independent double check for IV heparin therapy occurs prior to administration, at each rate change and with each infusion bag change.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0,"0",null,0]
["Patient education","Discharge counseling for patients on anticoagulants is provided by a pharmacist. ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C25:AF25,\"y\")","v":0},{"$f":"IFERROR(AG25/(AG25+AI25),\"0\")","v":"0"},null,{"$f":"COUNTIF(C25:AF25,\"n\")","v":0}]
[null,"Written materials on the risks of therapy and signs of toxicity are provided at the time of discharge.  ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"COUNTIF(C26:AF26,\"y\")","v":0},{"$f":"IFERROR(AG26/(AG26+AI26),\"0\")","v":"0"},null,{"$f":"COUNTIF(C26:AF26,\"n\")","v":0}]
[null,"\n","This material was prepared by the Healthcare Association of New York State, Inc., a Hospital Quality Improvement Contractor under contract with the Centers for Medicare & Medicaid Services, an agency of the U.S. Department of Health and Human Services. Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. 12SOW/EQIC/HQIC-0045-12/01/21"]