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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - The transverse colon was adherent to the peritoneum at the umbilicus, and the colon at this location … There was significant contamination, but it was contained by adhesions, so inflammation of the colon … have accompanied Veress needle insertion; given that the injury affected the full thickness of the colon … Trocar injuries in laparoscopic surgery. … Complications of laparoscopic surgery.
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hcup-us.ahrq.gov/reports/statbriefs/sb12.jsp
May 12, 2016 - Classes Refined for ICD-10-PCS
Tools for CPT and HCPCS Level II
CCS for Services and Procedures
Surgery … ICD-9-CM
Utilization Flags for Revenue Center Codes and ICD-9-CM
Procedure Classes for ICD-9-CM
Surgery … This was followed by diverticulosis and diverticulitis (bulging and inflammation of the walls of the colon … were defined as CCS categories:
– 12 Cancer of esophagus
– 13 Cancer of stomach
– 14 Cancer of colon … largest all-payer encounter-level collection of longitudinal healthcare data (inpatient, ambulatory surgery
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www.ahrq.gov/research/findings/studies/index.html?page=208
January 01, 2024 - Rushing AP , Ingraham AM Association between operating room access and mortality for life-threatening general … surgery emergencies. … Few diseases truly require emergency surgery today. … surgery (LT-EGS) diseases at US hospitals. … Association between operating room access and mortality for life-threatening general surgery emergencies
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
June 01, 2023 - of Booklets
The booklets were developed for patients and caregivers to engage and prepare them for surgery … and they highlight the important participatory role patients and caregivers have as they prepare for surgery … They are not a substitute for instructions or for surgery-specific education provided by healthcare team … Ask if they, their family members, or anyone they know had surgery before, and if they have questions … these processes would help prevent infections, they wanted to make sure they knew how to tell if their colon
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/065-ssi-prevention-periop-roadmap-checklist.docx
April 01, 2025 - Pathway Checklist
Preoperative Area (day of surgery)
Topic
Questions
Answers
Nasal Decolonization … *If last dose was not the morning of surgery, apply intranasal mupirocin in the pre-op area.
_______ … the patient complete home treatment prior to surgery? … CHG Bathing—Night before and morning of surgery*
Night before?
Yes No N/A
Morning of? … (Only If the patient was not bathed with CHG the morning of surgery.)
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psnet.ahrq.gov/issue/colonoscopic-withdrawal-times-and-adenoma-detection-during-screening-colonoscopy
March 19, 2019 - June 27, 2018
Readiness of US general surgery residents for independent practice. … August 14, 2019
WebM&M Cases
Anemia and Delayed Colon
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt2.html
May 01, 2018 - Hispanics were less likely to receive radiation therapy after breast-conserving surgery compared with … Denominator: Women under age 70 treated for breast cancer with breast-conserving surgery. … Slide 10
Patients with colon cancer who received surgical resection of colon cancer that included … Denominator: People with colon cancer undergoing resection of colon. … Hence, ensuring adequate examination of lymph nodes when surgery is performed is important.
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Emergency surgery makes up around 50% of the general surgery workload but accounts for 80%–90% of all … Little evidence exists regarding diagnosis and decision making for emergency general surgery, but as … Emergency general surgery, and emergency laparotomy in particular, has high mortality and is prone to … Variation in quality of care after emergency general surgery procedures in the elderly. … Dis Colon Rectum. 2012;55:788-796. [go to PubMed] 7.
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nhqrnet.ahrq.gov/inhqrdr/National/trend/table/Health_Insurance/Public
February 17, 2021 - Measures That Are Improving
Measure Average Annual Percent Change
Patients with colon cancer who … received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … checked by a health provider -2.8
Women under age 70 treated for breast cancer with breast-conserving surgery … hospital discharges, adults
Postoperative acute kidney injury requiring dialysis per 1,000 elective-surgery … to falling, adults
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery
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nhqrnet.ahrq.gov/inhqrdr/National/trend/table/Health_Insurance/Private_Insurance
February 17, 2021 - Measures That Are Improving
Measure Average Annual Percent Change
Patients with colon cancer who … received surgical resection of colon cancer that included at least 12 lymph nodes pathologically examined … hospital discharges, adults
Postoperative acute kidney injury requiring dialysis per 1,000 elective-surgery … to falling, adults
Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery … iatrogenic pneumothorax per 1,000 medical and surgical admissions, adults
Deaths per 1,000 elective-surgery
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www.ahrq.gov/research/findings/studies/index.html?page=314
January 01, 2024 - Keller V Variable case detection and many unreported cases of surgical-site infection following colon … surgery and abdominal hysterectomy in a statewide validation. … This study assesses hospital surgical-site infection (SSI) identification and reporting following colon … surgery and abdominal hysterectomy via a statewide external validation. … Variable case detection and many unreported cases of surgical-site infection following colon surgery
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srdr.ahrq.gov/projects/1520/studies/186816
January 01, 2002 - and rifaximin versus rifaximin alone for patients with recurrent attacks of acute diverticulitis of colon … e.g., mesalamine), non-pharmacological interventions (e.g., medical nutrition therapy), and elective surgery … and rifaximin versus rifaximin alone for patients with recurrent attacks of acute diverticulitis of colon … Unclear/Multiple methods (explain)
...
colonoscopy or by double contrast X-ray study of the colon
Comments … Diagnosis of diverticulitis, defined as inflammation and/or infection associated with diverticula of the colon
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effectivehealthcare-admin.ahrq.gov/health-topics/cancer?page=0
July 22, 2024 - Most treatment plans may include surgery, radiation and/or chemotherapy . … Archived December 14, 2012
Gene Expression Profiling for Predicting Outcomes in Stage II Colon … March 13, 2012
Gene Expression Profiling for Predicting Outcomes in Patients With Stage II Colon
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effectivehealthcare-admin.ahrq.gov/health-topics/cancer
July 22, 2024 - Most treatment plans may include surgery, radiation and/or chemotherapy . … Archived December 14, 2012
Gene Expression Profiling for Predicting Outcomes in Stage II Colon … March 13, 2012
Gene Expression Profiling for Predicting Outcomes in Patients With Stage II Colon
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - October 30, 2017
Surgical site infections in colon surgery: the patient, the procedure … 2009
View More
See More About The Topic
Operating Room
Physicians
Surgery
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/key-strategies.html
April 01, 2025 - Implementation Use of Preoperative Chlorhexidine Antisepsis Section: Preoperative Skin Antisepsis Prior to surgery … Chlorhexidine Antisepsis Decolonization Implementation Section: Antimicrobial Prophylaxis Patients undergoing surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/126-monthly-team-checkup-tool.docx
April 01, 2025 - 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - PowerPoint Presentation; Deep-Root Your Data
Deep-Rooting Your Data
AHRQ Safety Program for Surgery … preoperative skin preparation
Use of antimicrobial prophylaxis
Avoid postoperative hemorrhages
Appropriate colon … CY11 Q2 CY11 Q3 CY11 Q4 CY12 Q1 CY12 Q2 CY12 Q3 CY12 Q4 CY13 Q1 CY13 Q2 5 4 2 0 5 7 4 2 4 3 % SSIs for colon … sample of NSQIP data, make sure to explain that the data does not represent every patient undergoing colon … surgery, but a sampling.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/117-decolonization-agent-one-pager.docx
April 01, 2025 - infections are from endogenous strains, meaning they arise from strains already on the patients’ body.2
Surgery … Mupirocin
Iodophor
Prescription,
can be costly
Prescription not needed, less costly
5 days prior to surgery … Morning of/prior to surgery
Extremely well studied4-12
Less well-studied10,12,13
Resistance … bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery … Individual decontamination measures reduce by the two the incidence of surgical site infections in spinal surgery
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effectivehealthcare-admin.ahrq.gov/health-topics/endoscopy
October 27, 2015 - Sometimes scopes are used for surgery, such as for removing polyps from the colon. … Systematic Review Archived April 30, 2014
Oral Mechanical Bowel Preparation for Colorectal Surgery … Research Protocol Archived March 26, 2013
Oral Mechanical Bowel Preparation for Colorectal Surgery