Quality Improvement for Institutions
www.cvquality.acc.org

Reduce the Risk: PCI Bleed

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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

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

Metric 1: in-hospital risk-standardized rate of bleeding events for all PCI patients
Metric 3: Procedures with an observed bleeding event

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
Metric 4: Anticoagulation utilization

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

Expert Consensus Decision Pathway on Management of Bleeding in Patients on Oral Anticoagulants

 

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
Metric 4: Anticoagulation utilization
Metric 5: Access Site utilization
Metric 6: Method for closure for arterial access site

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/


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