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www.ahrq.gov/research/findings/studies/index.html?page=464
January 01, 2024 - Keywords: Arthritis, Chronic Conditions, Patient-Centered Outcomes Research, Registries, Surgery … Measures
Simianu VV , Bastawrous AL , Farrokhi ET Addressing the appropriateness of elective colon … Addressing the appropriateness of elective colon resection for diverticulitis: a report from the SCOAP … Keywords: Shared Decision Making, Surgery, Evidence-Based Practice, Guidelines
Mistry KB , … Keywords: Comparative Effectiveness, Healthcare Costs, Elderly, Surgery
Holzer J , Canavan
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.html
April 01, 2018 - surgery start time - admission time
D
Electronic
1
Y
Y
Hx of MRSA
N
Y
… Preoperative anemia (recorded as hemoglobin level)
Y
Y
1
have times of surgery … intra-op drugs on paper anesthesia record
D
Manual
0
Outpatient Surgery
Y …
Y
1
Y
D
Electronic
1
Y
Y
Inpatient Surgery
Y
Y
1 … Surgery date/time
Surgical Procedure (TH, TK, CA, HE)
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/allergies-guide.docx
September 01, 2022 - Patients are likely to need antibiotics again, especially those undergoing elective surgery, so consider
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/077-contact-precautions-one-pager.docx
April 01, 2025 - Methicillin-resistant Staphylococcus aureus (MRSA) Transmission Pathways
MRSA can spread through either direct contact (from person to person) or indirect contact (by touching something in the environment that was previously contaminated by someone else).
The use of transmission-based precautions, specifically contact …
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www.ahrq.gov/research/findings/studies/index.html?page=438
January 01, 2024 - Information Technology (HIT), Patient-Centered Healthcare, Policy
Marcum ZA , Gurwitz JH , Colon-Emeric … Citation: Marcum ZA , Gurwitz JH , Colon-Emeric C . … Stress testing before low-risk surgery: so many recommendations, so little overuse. … Keywords: Shared Decision Making, Guidelines, Quality of Care, Healthcare Utilization, Surgery … Keywords: Transplantation, Surgery, Healthcare-Associated Infections (HAIs), Injuries and Wounds, Risk
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/010-ss-evidence-decolonization.pptx
April 01, 2025 - SSIs in High-Risk Surgeries6
S. aureus is the most frequently isolated SSI pathogen for—
Orthopedic surgery … Cardiac surgery
| 8
AHRQ Safety Program for MRSA Prevention | Surgical Services
The Evidence for … , orthopedic knee and hip surgery
Bundled intervention among S. aureus colonized patients
Intranasal … MRSA Prevention | Surgical Services
The Evidence for Decolonization
How Should CHG Be Used Prior to Surgery … days, as part of decolonization regimen
Alternative method: CHG bathing night before and morning of surgery
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www.ahrq.gov/research/findings/studies/index.html?page=461
January 01, 2024 - Keywords: Data, Healthcare-Associated Infections (HAIs), Patient Safety, Surgery, Injuries and Wounds … , Cormier JN Cost-utility analysis of chemotherapy regimens in elderly patients with stage III colon … investigated community-level evidence on the effectiveness and cost effectiveness of treatment for stage III colon … They concluded that FOLFOX appears more effective and cost effective than other strategies for colon … Cost-utility analysis of chemotherapy regimens in elderly patients with stage III colon cancer.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - MRSA (identified 7 times) followed by postop hematocrit (6 times), number of procedures (5 times), surgery … THA:
Lung diagnosis, emergency surgery, Postop admission, duration of surgery. … should focus only on nonmodifiable risk factors (eg, obesity) and not surgeon factors (duration of surgery … will be collecting Surgical Site Infection (SSI) data on two surgical procedure categories including colon … : CA
0.477163
2.015653
0.04384
Surgery: HE
0.376815
1.673907
0.09415
Wound Class
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/046-evidence-behind-decolonization-strategies-slides.pptx
October 01, 2024 - Nasal decolonization: What antimicrobials and antiseptics are most effective before surgery and in the
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
January 01, 2025 - patient safety
• Databases for voluntary data submission
Hospital 2.0 Medical Office
Ambulatory
Surgery … Higher SOPS Hospital Scores Have Been
Linked to…
Lower rates of surgical site infections after colon … Patient Safety
• Workplace Safety
• Value and Efficiency
Nursing Home
• Workplace Safety
Ambulatory Surgery … Adapted to Another Setting (20)
D Community Pharmacy (12}
D Hospita l Version 2.0 (7)
D Ambulatory Surgery
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www.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.
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www.ahrq.gov/research/findings/studies/index.html?page=203
January 01, 2024 - This study compared 3 different shared decision making (SDM) aids for patients facing surgery for hip … Most patients (69%) were facing hip or knee surgery. … Keywords: Shared Decision Making, Surgery, Arthritis, Back Health and Pain
Adamson B , Garrison … The investigators concluded that new persistent opioid use is common following bariatric surgery and … Effect of new persistent opioid use on physiologic and psychologic outcomes following bariatric surgery
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Learn From Defects Tool—Perioperative Setting
AHRQ Safety Program for Surgery
What … Task Factors
The patient's midsection was exposed during surgery . … being NPO and having a bowel preparation .
2
4
The patient's midsection was exposed during surgery … A lot of our anesthesia providers wanted to trial the bladder temperature probes that the cardiac surgery … They were actually more accurate than bladder probes during colon surgery, because the bladder probe
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/110-ss-lfd-sample.docx
April 01, 2025 - Was there a documented clinic checkup call 1 week prior to surgery? … He had begun renal dialysis 2 weeks before his surgery. … Pre-op, he was seen in the clinic and completed all labs and testing to be cleared for surgery. … On the day of his surgery, he declared that he had completed his preparation for surgery. … His surgery went well, but 2 hours before he was to be transferred to the floor, he spiked a fever.
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www.ahrq.gov/research/findings/studies/index.html?page=324
January 01, 2024 - Keywords: Education: Patient and Caregiver, Orthopedics, Surgery, Pain
Barker AK , Ngam C ,
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/scientific-rationale.pdf
March 01, 2022 - Effects of whole body disinfection on skin
flora in patients undergoing elective surgery. … The Society of Thoracic Surgeons practice
guidelines series: antibiotic prophylaxis in cardiac surgery … intranasal mupirocin does impact
the rate of Staphylococcus aureus deep sternal wound infections in cardiac surgery
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - Colorectal Surgery Mortality
Unadjusted mortality rate (%) 30 days postoperation for colorectal surgeries … Importance: Colon and rectal procedures are ranked among the most harmful procedures, with high rates
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www.ahrq.gov/news/newsletters/e-newsletter/678.html
August 01, 2019 - The obese colorectal surgery patient: surgical site infection and outcomes. … Dis Colon Rectum 2018 Aug;61(8):938-45. Access the abstract on PubMed®.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_14-p008-1-ef.pdf
October 01, 2014 - Readmission rates and cost following colorectal surgery. … Dis Colon Rectum.
2011;54(12):1475–9.
3Shudy M, de Almeida ML, Ly S, et al.
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www.ahrq.gov/research/findings/studies/index.html?page=71
January 01, 2024 - The panel used a validated American Society of Colon and Rectal Surgeons assessment instrument to rate … Dis Colon Rectum 2022 Mar;65(3):444-51. doi: 10.1097/dcr.0000000000002124.. … Keywords: Surgery, Provider: Physician, Provider Performance, Digestive Disease and Health, Outcomes … Of the 22,272 adult patients undergoing isolate CABG surgery using cardiopulmonary bypass, 7241 (32.5% … Keywords: Surgery, Heart Disease and Health, Cardiovascular Conditions, Hospitals, Practice Patterns