Reduce the Risk: PCI Bleed Toolkit
The ACC has curated evidence-based tools to help you decrease PCI bleeding at your facility. Click on each section to find targeted tools for each Campaign metric:
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients.
Metric 2: Proportion of PCI procedures with transfusion of whole blood or red blood cells.
Metric 3: Procedures with an observed bleeding event.
Metric 4: Anticoagulation utilization.
Metric 5: Access site utilization.
Metric 6: Method for closure for arterial access site.
Metric | Tools |
Metric 1: in-hospital risk-standardized rate of bleeding Metric 3: Procedures with an observed bleeding event | CathPCI Bleeding Risk Calculator App |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 6: Method for closure for arterial access site | Pre PCI-Procedure Orders |
Metric 1: in-hospital risk-standardized rate of bleeding Metric 3: Procedures with an observed bleeding event | The Universal Protocol from the Joint Commission |
| Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 4: Anticoagulation utilization Metric 5: Access site utilization Metric 6: Method for closure for arterial access site | Risk-Concordant Framework for Bleed Avoidance Strategies |
Metric | Tools |
| Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 5: Access site utilization | Arterial Access Protocol for PCI |
| Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 5: Access site utilization Metric 6: Method for closure for arterial access site | Competency Arterial and Venous Sheath Removal |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 6: Method for closure for arterial access site | Post PCI Sheath Removal Checklist |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 6: Method for closure for arterial access site | Post PCI Sheath Removal Protocol |
Metric | Tools |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 5: Access site utilization | Post PCI Procedure Groin Bleed |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 6: Method for closure for arterial access site. | Post PCI Procedure Orders |
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Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 6: Method for closure for arterial access site | Hematoma Classification and CPCI Definition |
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Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients | Early Warning Signs of a Vascular Complication After PCI |
Metric | Tools |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients | General Considerations for Anticoagulation and Antiplatelet Therapy in PCI |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 4: Anticoagulation utilization | Expert Consensus Decision Pathway for Periprocedural Management of Anticoagulation in Patients With NVAF |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 4: Anticoagulation utilization Metric 2: Proportion of PCI procedures with transfusion of whole blood or red blood cells | 2020 ACC Expert Consensus Decision Pathway for Anticoagulant and Antiplatelet Therapy in Patients With Atrial Fibrillation or Venous Thromboembolism Undergoin
2020 Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients Metric 4: Anticoagulation utilization Metric 2: Proportion of PCI procedures with transfusion of whole blood or red blood | ManageAnticoag App |
Metric | Tools |
Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients | Consider learning more about bleeding reduction with ePRISM* |
*ePRISM is a product of Health Outcomes Sciences. Hospitals interested in the platform can learn more about how it works and the associated costs and benefits at: http://h-outcomes.com/reducetherisk/ | |