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 | 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 | 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/ | |