-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-b.html
May 01, 2017 - Coaching checklist use in the operating room.
Having one-on-one conversations with peers.
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide151.html
October 01, 2014 - Activities— Patients who engage in potentially hazardous activities, such as operating machinery or driving
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - surgery if remote infection present
Appropriate wound protection
Avoid flashing of instruments in operating … ASK:
How do you get your data out to the frontline staff and to all of the operating surgeons? … ASK:
How do you get your data out to the frontline staff and to all of the operating surgeons? … accelerate your programs.
13
Barriers to Deep-Rooting Your Data
Staff turnover
Throughput as a distraction
Operating … The nurses in the operating room frequently change.
-
www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - Postoperative Sepsis
Postoperative sepsis per 1,000 adult discharges with an elective operating room … Rate: In 2013, the postoperative sepsis rate was 14.3 per 1,000 adult discharges with an elective operating
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-Exec-Summary-Infographic.pdf
January 01, 2023 - surgery centers
7,458
Respondents
88%
of participating ASCs were
multispecialty
Distribution of Operating
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/translating-research-into-practice.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/mrsa-surveillance.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraexh10.html
April 01, 2018 - site, etc.)
0.05 to 0.20
Note : MRSA = methicillin resistant Staphlococcus aureus ; OR = operating
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle_facnotes.docx
December 01, 2017 - redosing of antibiotics, or that 10 percent of the patients were hypothermic when they came out of the operating … Many hospitals have observers in the operating room. … For example, find the number of patients who come out of the operating room normothermic: YES for patients … anesthesiologists, nurse anesthetists, circulating nurses, scrub nurses, perioperative nurses, and operating … In fact, the same form was used in all operating rooms.
-
www.ahrq.gov/diagnostic-safety/workgroup/index.html
December 01, 2024 - Members The Workgroup includes members (PDF, 139 KB) from different operating divisions under the U.S
-
www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
January 01, 2024 - Carolina Leadership Team; The North Carolina
Hospital Association’s Quality Center’ Team; and the operating … The companion Surgical Teamwork Coaching Tool measures teamwork among
surgical team members in the operating … Respondents not reporting they feel safe in their operating rooms varied from 0% to 57% among
hospitals … The use of surgical gloves in the operating room.
American Surgeon, 65(1), 90–91. … Anesthesia crisis resource management: Real-life simulation training in operating room
crises.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
April 02, 2008 - The
settings were the perinatal
units and operating rooms of
six hospitals of the Fairview
Health … Fairview Health Systems
committed substantial resources by reserving operating rooms, perinatal rooms … This stage ended at the
time of entrance to the operating room. … At Stage 5,
team behaviors declined as the team prepared to move the mother to the operating room. … Operating room policies and procedures might not take into account the
various stages of formation and
-
www.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
January 01, 2025 - Control: Urinary Tract Infection Patient and Family Engagement Patient Identification Errors in the Operating … Not reviewed) (Not reviewed) Summary of Evidence (Not reviewed) Patient Identification Errors in the Operating … ) Prevention of Misidentifications Summary of Evidence (Not reviewed) (Not reviewed) (Not reviewed) Operating … Improve Safety of Surgical Care (Not reviewed) Summary of Evidence (Not reviewed) Summary of Evidence Operating
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-f.html
May 01, 2017 - |___| Will every person present in the procedure/operating room have the opportunity to say something
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-b.docx
April 21, 2014 - Coaching checklist use in the operating room
q. Having one-on-one conversations with peers
r.
-
www.ahrq.gov/hai/tools/surgery/guide-app-cusp.html
December 01, 2017 - Operating Room Briefing and Debriefing Audit Tool ( Word , 1.57 MB)
This tool helps your safety program
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Wears_75.pdf
May 27, 2008 - outcomes due to internal faults, interactions with users or external
devices, or even when the system is operating … the current environment, and vice versa, the
safest behavior under certain conditions may be to stop operating … Most accidents are caused not by the computer stopping, but by it
operating but doing something unsafe … accidents are much more likely to result from dysfunctional and unsafe interactions among
normally operating … In addition to their own vulnerabilities, COTS
systems bring unknown vulnerabilities into the operating
-
www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
July 01, 2018 - Preference should be given to those with knowledge about operating under emergency conditions. … necessitated by a catastrophic event, the surge facility must progress from the planning phase to an actual operating
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-sustainability-centers-of-excellence3.html
April 01, 2025 - trustees and C-suite members (chief executive officer, chief nursing officer, chief medical officer, chief operating
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/importance-of-prevention.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating