-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - surgery (p=0.012) (Figure 1) and a 33 percent relative reduction for non-colon surgery (p=0.046)
(Figure … surgery (p=0.027) (Figure 3) and a 40% relative reduction for non-colon surgery
(p=0.005) (Figure 4 … UNIT
NHSN
COLON
UNIT
NHSN
NON-
COLON
UNIT
NSQIP
COLON
UNIT
NSQIP
NON-
COLON
Enrolled … AHRQ Safety Program for Surgery to reduce SSI after colon
procedures but a subset of hospitals also … hospitals participated in the AHRQ Safety Program for Surgery to focus on improving
performance on colon
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preventiveservices.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - routine post-discharge wound care to reduce post-discharge surgical site infection (SSI) following open colon … or small bowel surgery. … The Decrease SSI Trial (Decolonization to Reduce After-Surgery Events of Surgical Site Infection) project
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - presenting with
diverticulitis will have abdominal pain, usually in the left
lower quadrant as the sigmoid colon … For patients with
fistula or stricture, if they can be stabilized, elective or
semi-elective surgery … For infections involving the colon, step-down regimens
generally include anaerobic coverage given the … high
burden of anaerobes in the colon. … Infections
arising from several abdominal sites were enrolled
including the colon or rectum in 35 percent
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-slides.pptx
November 01, 2019 - : uncomplicated infection, associated with a vascular catheter site, thrombophlebitis, or non-clean surgery … point of care
Engagement of all clinicians who treat these infections
Emergency department, medicine, surgery … , orthopedic surgery, plastic surgery
Use of the Four Moments of Antibiotic Decision Making framework
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - medical therapy
Percutaneous drain for abscess ≥ 5 cm (if can be reached) with subsequent elective surgery … If abscess is small (3–4 cm), medical management
If abscess is large and not reachable, surgery
Fistula … /stricture: elective or semi-elective surgery
10
Diverticulitis and Biliary Tract
AHRQ Safety Program … 5-10 days based on clinical response5,9
Surgical management and uncomplicated
No antibiotics after surgery … Dis Colon Rectum. 2014 Mar;57(3):284-94. PMID: 24509449.
Marcus G, Levy S, Salhab G, et al.
-
preventiveservices.ahrq.gov/talkingquality/translate/scores/combine-measures.html
September 01, 2019 - overall score may not reflect how good the childbirth experience is in that facility; for someone facing surgery … for colon cancer, the score may suggest higher quality of care than is actually the case.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/cellulitis-facilitator-guide.pdf
November 01, 2019 - uncomplicated
infection, associated with a vascular catheter site,
thrombophlebitis, or nonclean surgery … infections across all disciplines that care for these
patients such as the emergency department, medicine,
surgery … , orthopedic surgery, and plastic surgery.
-
preventiveservices.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
November 01, 2017 - The effect of Clostridium difficile infection on cardiac
surgery outcomes. … Health care-associated infections after major cancer
surgery. … Clostridium difficile colitis in patients undergoing lumbar spine
surgery. … Health care-associated infections after major cancer surgery. … Surgery. 2011 Nov;150(5):934-42.
68 Eagye KJ, Nicolau DP, Kuti JL.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
November 01, 2017 - The effect of Clostridium difficile infection on cardiac
surgery outcomes. … Health care-associated infections after major cancer
surgery. … Clostridium difficile colitis in patients undergoing lumbar spine
surgery. … Health care-associated infections after major cancer surgery. … Surgery. 2011 Nov;150(5):934-42.
68 Eagye KJ, Nicolau DP, Kuti JL.
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/sepsis-slides.pptx
November 01, 2019 - 25
Procalcitonin
Elevated in inflammation
Sepsis
But also burns, heat stroke, pancreatitis, major surgery
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - Annals of Vascular
Surgery. 2017 Jan;38:206-11. PMID:
27522981.
17. … for Vascular Surgery. 2000 Sep;20(3):296-
301. doi: 10.1053/ejvs.2000.1134. … Plastic and reconstructive
surgery. 2004;114(6):1502-8.
15. … Annals of Vascular
Surgery. 2017 Jan;38:206-11. PMID:
27522981.
27. … for Vascular Surgery. 2000 Sep;20(3):296-
301. doi: 10.1053/ejvs.2000.1134.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/liquid-biopsy-topicrefinement.pdf
July 29, 2021 - • Different assays
• Adequacy of pre-analytic factor
• Cancer stage
• For KQ3, treatment type (surgery … All KQs: We added new subgroup analyses by cancer stage and treatment type
(surgery vs. chemotherapy … Circulating Tumor DNA
Analyses as Markers of Recurrence Risk and Benefit of Adjuvant Therapy for Stage III Colon … method, such
as tissue histopathology, radiologic imaging, or visual observation (via endoscopy or surgery … s41586-020-2140-0
36
screening technologies, such as newer stool-based tests, CT colonography, or colon
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
October 25, 2022 - and over HCUP 2019
Reclosure of postoperative abdominal wound dehiscence per 1,000
abdominopelvic-surgery … Report
Quality Map
Measure Title Data Source Data Year
Postoperative sepsis per 1,000 elective-surgery … and over HCUP 2019
Reclosure of postoperative abdominal wound dehiscence per 1,000
abdominopelvic-surgery … diagnosis NCDB 2018
Breast cancer deaths per 100,000 female population per year NVSS_M 2020
Patients with colon … cancer who received surgical resection of colon
cancer that included at least 12 lymph nodes pathologically
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/mccchartbook.pdf
April 01, 2014 - MALIGNANT NEO ESOPHAGUS 5 YES 4 YES
151 MALIGNANT NEO STOMACH 5 YES 4 YES
153 MALIGNANT NEOPLASM COLON … V48 HEAD/NECK/TRUNK PROBLEMS -5 NO YES
V49 LIMB PROBLEM/PROBLEM NEC -5 NO YES
V50 OTHER ELECTIVE SURGERY
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
February 01, 2014 - paper—it included what I
would define as clinical research, for example, comparing robotic assistance surgery … to
conventional surgery for common operations, such as prostatectomies. … based payment:
For services that are primarily acute and inpatient, such as cardiac or orthopedic
surgery … o Programs intended to increase colon cancer screening.