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www.ahrq.gov/research/findings/final-reports/ssi/ssiapf.html
April 01, 2018 - Preliminary Performance on Training Set (includes sSSI)
CABG
HIP
KNEE
HERNIA … Algorithm
39
89.5
72.5
49.6
CABG - Coronary Artery Bypass Grafting, HERNIA - herniorraphy, KNEE … - Total Knee Arthroplasty, HIP - Total Hip Arthroplasty, NNR - number needed to read
Return to Contents
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - References
Universal and Targeted Decolonization Strategies
Surgical Services
For: Cardiac, Hip and Knee … of a bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee … nasal mupirocin treatment in preventing surgical site infection in patients undergoing total hip and knee
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - ASA score >2
Simultaneous bilateral surgery
Allogenic blood transfusion
Total knee … Risk Factors Associated with Prosthetic Joint Infection Following Total Knee Arthroplasty
Risk … Factors
Jämsen et al. 14
Revision total knee arthroplasty
Male sex
Diagnosis
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh21.html
April 01, 2018 - No. of total knee arthroplasties at principal hospitals in 2008 compared to the HCUP estimates for different … TKA = total knee arthroplasties, VA = Department of Veterans Affairs.
Return to Document
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.html
December 01, 2017 - of Motion (ROM) Measured in Supine:
Hip Flexion (Normal > 90º): Left ___________ Right ___________
Knee … Extension with Hip Flexion (Normal < 70º): Left ___________ Right ___________
Ankle with Hip and Knee … Other ________________________________
Problem: Feet Not Staying On Foot Rest
Reason: Limited Knee … seat
__ Hemi-height wheelchair
__ Cushion w/ adequate posterior thigh support and space behind knee
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapvtables.html
April 01, 2018 - 0.2%
Abbreviations : CABG, coronary artery bypass grafting; HERNIA, herniorraphy; TKA, total knee … Post-operative antibiotics not given, but the patient had a post-operative admission
Total Knee … 100.0%
0
1
0.0%
HIP
1
3
25.0%
3
5
37.5%
0
2
0.0%
0
1
0.0%
KNEE … Abbreviations : CABG, coronary artery bypass grafting; HERNIA, herniorraphy; HIP, total hip arthroplasty; KNEE … , total knee arthroplasty; NA, not applicable; TP, true positives; FN, false negatives; Sn, sensitivity
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
December 01, 2017 - Limb
Other Toe Amputation Status / Amputation Late Effects, Complications
Arthritis
Knee … Joint Replacement Status
Osteoarthritis of Knees
Miscellaneous Knee Joint Derangements … Developmental Skeletal and Connective Tissue Disorders
Osteoarthritis, Except of Spine, Hip, or Knee
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
March 01, 2017 - We'd like to get people away from having a knee-jerk reflex to prescribing antibiotics and instead prescribe … Upon completing this session, long-term care staff will be able to:
describe what a knee-jerk antibiotic … Turning to antibiotics as a knee-jerk reflex
ABX Stewardship │ 3
AHRQ SAFETY PROGRAM FOR LONG-TERM … This type of knee-jerk or reflexive reaction can drive the resident workup and course of treatment in … It's important for us to STOP and THINK before we blame the urine.
5
Why Is Knee-Jerk Antibiotic Use
-
www.ahrq.gov/topics/blood-clots.html
compares the effectiveness of strategies to prevent venous thromboembolism for people getting hip or knee
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/135-translating-research-into-practice-one-pager.docx
April 01, 2025 - References
Translating Research into Practice (TRiP)
Surgical Services
For: Cardiac, Hip and Knee Joint … Translating Evidence into Practice (TRiP)
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement
-
www.ahrq.gov/topics/surgery.html
aureus and surgical site infection prevention for surgical services, specifically cardiac, hip and knee
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
Surgical Services
For: Cardiac, Hip and Knee … Schweizer et al., 20154
Pragmatic study including 20 U.S. hospitals, 2013–2014
Cardiac surgery, orthopedic knee … wipes night before and morning of surgery
50.2 percent reduction in SSIs
Kapadia et al., 20168
Total knee … of a bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee … Does preadmission cutaneous chlorhexidine preparation reduce surgical site infections after total knee
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/iadapt/suarezalmazor.pdf
December 19, 2014 - Aims
The three main aims of this study are to:
1) Evaluate the informational needs of patients
with knee … treat them.
2) Develop low literacy English and Spanish
language multimedia patient decision aids for
knee
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pdf
June 02, 2025 - Thomas – 78-year-old male with uncontrolled hypertension and knee
pain
• Visiting for knee pain, which … – Start fluoxetine (20 mg PO QD).
– Follow up with an orthopedist for a possible knee
replacement … Thomas, has come in for a scheduled visit with his primary care clinician for knee pain. Mr. … Thomas is a fit and active man who is frustrated that his knee pain is preventing him from exercising … Follow up with an orthopedist for a possible knee replacement.
Continue atorvastatin (20 mg PO QD).
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
June 01, 2023 - Program Overview 4
Gynecologic Surgery
Hip Fracture
and Hip/Knee Replacement Surgery
Colorectal Surgery … opioid use
AHRQ Safety Program for Improving Surgical Care and Recovery
10
Evidence Reviews: Hip/Knee … step-by-step instructions and turnkey materials to implement colorectal surgery, hip fracture surgery, hip/knee … Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for total knee
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teach-back-slides-final508.pptx
June 02, 2025 - Thomas – 78-year-old male with uncontrolled hypertension and knee pain
Visiting for knee pain, which … Follow up with an orthopedist for a possible knee replacement.
Continue atorvastatin (20 mg PO QD). … Thomas, has come in for a scheduled visit with his primary care clinician for knee pain. Mr. … Thomas is a fit and active man who is frustrated that his knee pain is preventing him from exercising … Follow up with an orthopedist for a possible knee replacement.
Continue atorvastatin (20 mg PO QD).
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
April 01, 2025 - Prevention: Targeting SSI
Antimicrobial Prophylaxis: Part 1
Surgical Services
For: Cardiac, Hip and Knee … focuses on antimicrobial prophylaxis to prevent surgical site infections (SSIs) in cardiac, hip and knee … that cefazolin (trade name Ancef) is the workhorse antimicrobial prophylactic for cardiac, hip and knee … SAY:
Cefazolin is the standard surgical antimicrobial prophylaxis agent for cardiac, hip and knee joint … pragmatic study in 20 US hospitals from 2013-2014, which included cardiac surgeries and orthopedic knee
-
www.ahrq.gov/hai/tools/enhanced-recovery/choosing.html
June 01, 2023 - Care and Recovery (ISCR) program has enhanced recovery pathways for colorectal, gynecologic, hip and knee
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/antimicrobial-prophylaxis.html
April 01, 2025 - All surgical patients should receive antibiotics prior to cardiac, hip and knee joint replacement, or … recommendations of prophylactic antimicrobial therapy for surgical prophylaxis for cardiac, hip and knee
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www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
April 01, 2018 - CABG
NA
√
√
NA
Herniorrhaphies
√
√
√
√
Hip prothesis
√
√
√
√
Knee … using unique patient identifiers for patients who had CABG, herniorrhaphies, hip arthroplasty, and knee … DH data were limited to total knee (TK) and total hip (TH) replacements, and herniorrhaphies (HE), as … VVMC data were limited to total knee (TK) and total hip (TH) replacements and herniorrhaphies (HE), as … Multivariate analysis of the datasets including only total knee surgery.