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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 … room
Maintenance of perioperative glycemia
Deep-Rooting Your Data 6
Deep-Root Your Data 6
AHRQ … accelerate your programs.
13
Barriers to Deep-Rooting Your Data
Staff turnover
Throughput as a distraction
Operating … room delays
Competing priorities
Perception/acceptance of the data
SSI cases aggregated
Deep-Root … The nurses in the operating room frequently change.
-
www.ahrq.gov/news/newsroom/case-studies/201607.html
January 01, 2018 - implemented staff education on the appropriateness of catheter use in all departments that use them, from the operating … room to the radiology department.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools.html
July 01, 2017 - opportunities for patient and family engagement in the order of the patient experience—preoperative, in the operating … room, and postoperative.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ludwick.pdf
June 21, 2004 - Within the first 4 months of implementation, the operating room (OR) had
reached its benchmarking goal … Here begins NHCP’s
journey toward cultural change in the operating room (OR) area regarding the
patient … Operating
Room
Case will not start until all steps are
completed. … Surgical Site Verification Checklist will be used for every surgical procedure
performed in the Main Operating … Room.
2.
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/perioperative-infection-prevention.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating … Room Traffic
Index of Clinical Topics
Review of SSI Prevention Program Tools
Importance of MRSA
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/067-cusp-monthly-meeting-prework.docx
April 01, 2025 - Also, invite the Senior Executive to visit the clinic, preoperative area, operating room, and/or post-anesthesia
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/027-cusp-program-sustainability-fg.docx
April 01, 2025 - from all areas of patient contact including the clinic, preop and postop areas, and personnel from the operating … room. … surgical clinic, the perioperative team including the preoperative area, postoperative area, and the operating … room. … There may be an opportunity for the CUSP teams from the pre-op area to meet with the operating room area
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/antimicrobial-prophylaxis.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating … Room Traffic
Index of Clinical Topics
Review of SSI Prevention Program Tools
Importance of MRSA
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/why-cusp.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating … Room Traffic
Index of Clinical Topics
Review of SSI Prevention Program Tools
Importance of MRSA
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating … Room Traffic
Index of Clinical Topics
Review of SSI Prevention Program Tools
Importance of MRSA
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/036-ss-nursing-practice-guide.docx
April 01, 2025 - champion
· Escalate surgeons’ concerns to surgeon leadership
CHG = chlorhexidine gluconate; OR = operating … room; PACU = post-anesthesia care unit; QI = quality improvementAHRQ Pub.
-
www.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
July 01, 2023 - Inpatient (Operating Room): The Core Team may be composed of the surgeon, the anesthesiologist, the … Care Facility): The Contingency Team may be composed of the cardiac surgeon, anesthesia staff, and operating … room staff who can be called on if the patient requires emergency surgery. … Inpatient (Operating Room): The Contingency Team may be composed of anesthesia staff.
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
December 01, 2017 - Identify defects within your operating room by administering the Perioperative Safety Staff Assessment … How will the next patient in the operating room get a surgical site infection?
-
www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
January 01, 2024 - to more than minimal risk, including
procedures done in settings other than the operating … room, such as a special procedures unit, endoscopy
unit, or interventional radiology … Images can also be acquired in the operating room and added to the database for documentation. … Automatic Detection and Notification of "Wrong Patient‐Wrong
Location" Errors in the Operating … Room.
-
www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
April 01, 2025 - Removal
Normothermia
Skin Preparation Prior to Incision
Supplemental Oxygen
Glycemic Control
Operating … Room Traffic
Index of Clinical Topics
Review of SSI Prevention Program Tools
Importance of MRSA
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-prevent.html
May 01, 2017 - The teamwork culture of the operating room can greatly influence the behavior of the individual health
-
www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Perioperative Patient Safety Assessment and normothermia audit data that our patients were leaving the operating … room (OR) cold. … We had already worked with operating room technicians to keep the irrigation in the blanket warmer so … One nurse said, "Our patients are coming to the operating room cold.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/Part-I-SOPS-ASC-DatabaseReport.pdf
December 01, 2021 - Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: 2021 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE™
Surveys on
Patient Safety
Culture™
Ambulatory Surgery Center Survey:
2021 User Database Report
e PATIENT
SAFETY
[This page is intentionally left blank]
Surveys o…
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - that requires the coordination and responsiveness of individuals and systems within and outside of the operating … room. … occurred in the administration of the antibiotic (for example, not enough of the antibiotic stored in the operating … room or available for use, etc.).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - certified nursing assistants from infection control, intensive care,
and inpatient units including operating … room; and representatives from quality improvement,
radiology, and information services to develop … selection based on evidence based guidelines1,2,9
• Reduce the amount of staff traffic in and out of the operating … room
• Use appropriate wound dressings determined by the type of closure:1
o Primary: Dry, sterile