Quality Improvement for Institutions
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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

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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