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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/06-sops-teamstepps-webcast-closing.pdf
January 01, 2022 - Does teamwork improve performance in the operating room? A multilevel evaluation.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
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.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
May 01, 2017 - I think it is important for patient safety that everyone in the operating room stop activity so they … I think it is safe practice to have the surgeon read the consent form in the operating room so it can
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www.ahrq.gov/patient-safety/settings/hospital/resource/guide/web3.html
December 01, 2017 - Webinar 3: Review & Update Readmission Reduction Efforts: Slide Presentation
Designing & Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions
Text version of Webinar slide presentation.
Slide 1: Designing & Delivering Whole-Person Transitional Care
Designing & …
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www.ahrq.gov/topics/emergency-department.html
October 01, 2024 - Emergency Department
AHRQ's resources on emergency departments (EDs) include research studies, data and analytics, and tools designed to improve patient safety and the delivery of care. Topics explored include ED boarding and crowding, infection prevention, and diagnostic safety.
Eme…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - It’s just one process measure initially developed for the colorectal operating room.
9
Glucose Control … data to the team at a routine safety program for surgery meeting
Share investigation results with your operating … room leadership and frontline staff
Perform SSI Investigation ‹#›
AHRQ Safety Program for Surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_learn_from_defects.pptx
December 01, 2017 - For example, one hospital team elected to add push/pull signage to the doors in the operating rooms after … For example, your team discovered an issue maintaining normothermia in the operating room. … Action Plan
Review the Learning From Defects tool with your team
Review a defect in your operating rooms … Try to work through one defect from your operating rooms every month or every quarter.
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www.ahrq.gov/sites/default/files/2024-02/pittman-report.pdf
January 01, 2024 - His work there examined human factors in the operating room
through surveys, observational studies, … and the development of a high-fidelity operating room
simulator for training full surgical teams.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - fine-tune new processes and protocols—for example, the use of safe cesarean section checklist in the L&D operating … room. … might have to do with transitioning a patient from one care venue to the other, such as L&D to the operating … room or intensive care unit. … Operating room technicians/assistants.
Administrative support personnel (unit clerks).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
April 01, 2022 - It’s not just unit staff, but may also include the emergency department (ED), operating room (OR) or … Through defects analyses, it found that there was a change in practice from the operating room anesthesiologists … process to remove central lines no longer needed after recovery from the surgery, even before leaving the operating … room in some instances, re-educated the anesthesiologist using staples, who agreed to stop using staples
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www.ahrq.gov/policy/foia/foiafy10.html
November 01, 2020 - HHS AHRQ Freedom of Information Annual Report - FY 2010
Freedom of Information Act Annual Report for Fiscal Year 2010.
Annual report on Freedom of Information Act (FOIA) requests and activities by the Department of Health & Human Services (HHS) Agency for Health Care Policy and Research (AHRQ).
I. Basic Inf…
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
June 01, 2017 - Key:
BO: Business Office
Pre: Preop unit
OR: Operating room unit
SPD: Sterile processing department
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - complex process that requires the coordination and responsiveness of systems within and outside of the operating … room.
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www.ahrq.gov/news/newsroom/case-studies/201503.html
March 01, 2015 - Gulf Breeze Hospital in Florida Shows Consistent Improvement in Hospital Survey of Consumers
Search All Impact Case Studies
March 2015
Gulf Breeze Hospital (GBH), a 65-bed, acute-care facility near Pensacola, FL, has improved patient experiences by using AHRQ's Hospital Consumer Assessment of Healthcare Pr…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/2023-ASC-Database-Report-Exec-Summary-Infographic.pdf
January 01, 2023 - 2023 SOPS Ambulatory Surgery Center Database Report Executive Summary Overview Infographic
Findings from the 2023 Ambulatory Surgery Center (ASC) Database
243
Participating
ambulatory surgery centers
7,458
Respondents
88%
of participating ASCs were
multispecialty
Distribution of Operating/Procedure Rooms…
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 1
Learning Community Affinity Group
Summary-at-a-Glance:
Operational Adjustments while Resuming In-Person Cardiac
Rehabilitation Programs
July 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations while resuming in-person
cardiac rehabilitation p…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - When we “walked the process,” we found that there was
not enough gentamicin in the operating room to … room stock. … room. … To create redundancy, our nurses
double-check, review and document the dosage as part of the operating … room
briefing.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-118-fullreport.pdf
October 01, 2016 - Operating Room (e.g. for Cesarean section or double set up delivery
b. … If delivery occurred by cesarean section, then put location of birth as operating
room
b. … If this was a twin or multiple gestation delivery, put location of birth as
operating room
c. … Of
those born in the operating room, 2 percent were cold, 11 percent very cool, 72 percent cool, and … This suggests that our categorization of babies born in the operating room (while
imperfect) does identify
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - room. … might have to do with transitioning a patient from one care venue to the other, such as L&D to the operating … room or intensive care unit. … providers
Anesthesiology staff
Residents (all specialties that provide care on labor and delivery)
Operating … room technicians/assistants
Administrative support personnel (unit clerks)
Lab and pharmacy staff
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Case 6. Horizon Hospital—Lakeview Healthcare
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Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Healthcare
Case 2. Centra…