-
psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - Following an RCA of this event, the operating room (OR) manager was instructed to evaluate all OR supplies
-
hcup-us.ahrq.gov/tech_assist/data_query/HCUPnet_Readmissions_Methodology.pdf
November 01, 2012 - )
o Readmission for the same MDC
o Readmission for any cause (no exclusions)
• All Listed major operating … room procedure (CCS)
o Readmission for any cause (no exclusions)
1 2012 Annual Progress Report
-
psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
April 18, 2018 - and placing high priority “STAT” tests in central laboratories located near emergency departments, operating … rooms, and intensive care units, while slower or more esoteric tests may be based in more distant satellite
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/tool-rapid-response-systems.html
July 01, 2023 - between primary team and rapid responders, or between rapid responders and other unit personnel (e.g., operating … room team).
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - and duration as well as developing approaches to
ensure that the right agents are available in the
operating … room, or OR, when they are needed.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Layde_34.pdf
March 14, 2008 - individual diagnoses but
also the interaction among diagnoses and age and the presence of certain operating … room and
non-operating room procedures.
-
www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit2.html
July 01, 2018 - Facilities
Public Health Emergency Preparedness
1. Preplanning
Description: Certain equipment, services, or staffing required for surge use of the shuttered hospital will necessitate advance arrangements, including identification of providers, contracts, specifications, and protocols.
Timeframe: As soon…
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023641-levin-final-report-2018.pdf
January 01, 2018 - procedure was defined as any surgical procedure, including cardiac catheterization, that occurred
in an operating … room within 12 hours of ED disposition, (3) hospitalization comprised of any admission to an
inpatient
-
www.ahrq.gov/sites/default/files/2024-01/macias-report.pdf
January 01, 2024 - Final Progress Report: Training Leaders to Improve Healthcare Quality in Emergency Settings for Children
Title Page
Application title: Training Leaders to Improve Healthcare Quality in Emergency
Settings for Children
Principal investigator:
Charles G. Macias, MD, MPH
Co-investigator:
Evaline Alessandrini, MD,…
-
psnet.ahrq.gov/node/49499/psn-pdf
December 02, 2020 - An Outpatient 'Zebra'
January 1, 2006
Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/outpatient-zebra
The Case
A 64-year-old man presented to the outpatient clinic with a chief complaint of left foot pain and numbness.
His past medical history included lumbar disc diseas…
-
www.ahrq.gov/sites/default/files/2024-09/sampselle-report.pdf
January 01, 2024 - Final Progress Report: Health Care Policy and Practice: Promoting Environments for Quality Care
Title of Project: Health Care Policy and Practice: Promoting Environments
for Quality Care
Principal Investigator: Carolyn M. Sampselle
Organization: University of Michigan School of Nursing
Inclusive Dates of Project:…
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/rfviia.pptx
May 01, 2010 - room time 2 30 36 No Effect ●○○
ICU length
of stay 3 195 90 No Effect ●○○
ICU = intensive care unit … Neither operating room time nor ICU length of stay were reduced with rFVIIa use when compared to usual … room time 1 24 12 Favors rFVIIa Insufficient
RBCs = red blood cells. … The RBC transfusion requirements were significantly reduced in the rFVIIa group, as was the operating … room time.
-
effectivehealthcare.ahrq.gov/sites/default/files/rfviia.pptx
May 01, 2010 - room time 2 30 36 No Effect ●○○
ICU length
of stay 3 195 90 No Effect ●○○
ICU = intensive care unit … Neither operating room time nor ICU length of stay were reduced with rFVIIa use when compared to usual … room time 1 24 12 Favors rFVIIa Insufficient
RBCs = red blood cells. … The RBC transfusion requirements were significantly reduced in the rFVIIa group, as was the operating … room time.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/002-cusp-learning-defects.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
Learning From Defects
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
Learning From Defects
1
Educational Objectives
Describe a process to help teams learn from defects
Explore …
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - rooms or procedure areas (10.4%; 131,918 / 1,269,364), and Emergency
departments (10.2%; 130,014 / … rooms or procedure areas (13.6%;
40,922 / 215,956) than for either Unsafe conditions or Incidents. … Operating rooms or procedure areas, Laboratories,
and Emergency departments were also cited locations … Operating rooms or procedure areas made almost a third of reported locations for Device or
medical/ … Special care areas (36.1%; 21,692 / 60,021) and Operating rooms or procedure areas (5.7%; 3,439
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/clabsi-tools/vascular-access-device-policy.pdf
March 01, 2008 - All continuous central VAD fluids shall be administered by infusion pump, except in the operating room
-
psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - tube in the intensive care unit (ICU) using the “pull technique” (i.e., via the mouth) because an operating … room was not available, and her computed tomography (CT) scan showed no interposed bowel between
the … Risk Factors and Alternative Approaches
In many locations, operating room access is limited, so bedside
-
psnet.ahrq.gov/node/33754/psn-pdf
September 01, 2013 - things, who has perhaps a completely different overview of the social order of
what happened in that operating … room, is probably invaluable to contextualize the behavior that is now at
issue.
-
psnet.ahrq.gov/web-mm/privacy-or-safety
December 01, 2011 - April 29, 2015
WebM&M Cases
Good Catch in the Operating … Room
May 1, 2019
WebM&M Cases
Turn the Other
-
psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - He was taken to the operating room for repair of his dissection.