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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of
Previous Abdominal Operations
February 26 … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous
Abdominal Operations. … https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-
operations … https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations … https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
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hcup-us.ahrq.gov/reports/natstats/his95/appendd.pdf
February 11, 2011 - Appendix D
Appendix D
Expanded procedure categories1
Procedure category CCHPR code ICD-9-CM code
1 Operations … therapeutic
nervous system procedures
8 -
1.9 Other OR therapeutic nervous system
procedures
9 -
2 Operations … therapeutic procedures 20 -
3.9 Other extraocular muscle and orbit
therapeutic procedures
21 -
4 Operations … Mastoidectomy 24 -
4.4 Diagnostic procedures on ear 25 -
4.5 Other therapeutic ear procedures 26 -
5 Operations … 4011
Appendix D
Expanded procedure categories1
Procedure category CCHPR code ICD-9-CM code
9 Operations
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-12.html
November 01, 2014 - title/role(s)
Physician champion
Department chair, physician
Administrative champion
Operations
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-apb.html
January 01, 2024 - Pediatric emergency medicine physician and patient safety operations
Kelly Gleason, RN, Ph.D.
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www.ahrq.gov/cpi/centers/oms/jtoven-bio.html
June 01, 2018 - Executive Officer & Director, Office of Management Services (OMS)
Jay Toven has directed the operations
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psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
December 29, 2014 - Classic
Effect of a 19-item surgical safety checklist during urgent operations … Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population … Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Today, outpatient procedures represent more than three-quarters of all operations performed in the US … clean operations; 37% in high-risk clean-contaminated operations; 61% in high risk contaminated and … dirty operations.
38 of 276 (13.8%) patients with positive cultures during surgery developed wound … Risk Index for Prediction of Surgical Site Infection after Oncology Operations – Velasco et al. … Results
The study enrolled 1205 consecutive patients undergoing operations for malignant disease.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/bariatric-surgery-trends_research.pdf
November 01, 2012 - Procedure mix varies by age and region and
changed over the period of analysis as lapa-
roscopic operations … We defined our operations using CMS
Healthcare Common Procedure Coding
System (HCPCS) codes in the … Table 1: Number of bariatric operations received by Medicare beneficiaries,
2006-2009
Total LRYGB … We
observed increases in operations in both
the age-eligible and working-age disabled
groups. … Most operations were performed
on disabled beneficiaries, but the propor-
tion of age-eligible operations
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psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
December 04, 2016 - factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations … factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations … factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1 946 831 operations
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-final-report.pdf
July 01, 2015 - and technical operations
capability, we planned to transition operations to the Indiana Health Information … Number of patients, observations, and hospitals, 2000–2013
Business and Technical Operations … Gradually
IHIE took on additional technical functions including data center operations.
9 … and technical operations capability, we planned to transition operations to the Indiana Health Information … Gradually IHIE took on additional technical functions including data center operations.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit3-14.html
November 01, 2014 - Team lead: operations administrator.
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hcup-us.ahrq.gov/toolssoftware/ccs10/CCSCategoryNames(FullLabels).pdf
January 19, 2017 - Other OR therapeutic procedures; male genital
119 Oophorectomy; unilateral and bilateral
120 Other operations … on ovary
121 Ligation or occlusion of fallopian tubes
122 Removal of ectopic pregnancy
123 Other operations … therapeutic nervous system procedures [8]
1.9 Other OR therapeutic nervous system procedures [9]
2 Operations … on the female genital organs
12.1 Oophorectomy; unilateral and bilateral [119]
12.2 Other operations … on ovary [120]
12.3 Ligation of fallopian tubes [121]
12.4 Other operations on fallopian tubes [123]
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www.ahrq.gov/sites/default/files/2025-03/wears-perry-report.pdf
January 01, 2025 - Healthcare organizations commonly institute major changes in
equipment, procedures, and/or operations … Two sets of quantification were made for (1) normal
pace of operations and (2) high-tempo operations … Normal Operations
No cases were identified in association with normal operations in which the risk of … High-Tempo Operations
For high-tempo operations, three cases of high risk were identified with use of … Second, tempo of operations is a critical factor in risk in this setting.
-
psnet.ahrq.gov/node/866261/psn-pdf
July 10, 2024 - Compartment syndrome is a rare but severe complication of operations performed in the lithotomy position … The incidence is higher with operations lasting more than three hours. … steep
Trendelenburg positions, especially long operations and laparoscopic procedures. … The Prevention of Positioning Injuries during
Gynecologic Operations. … Compartment syndrome after gynecologic operations: evidence
from case reports and reviews.
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - Spotlight
Spotlight
Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations … should be able to:
Identify characteristics of “high-risk” abdominal pain, including prior abdominal operations … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal OPERATIONs
The commentary … Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal operations
The Commentary … Overview (3)
Given a history of previous abdominal operations, severe abdominal pain not responsive to
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/operational-adjustments-event-summary.pdf
July 02, 2020 - 2, 2020
Event Purpose and Overview
• Purpose: To share and acquire strategies for how to adjust operations … :
https://takeheart.ahrq.gov.
2
Assessing the Current and Future Status of CR Program Operations … Reductions
Participants were asked the likelihood that their
program may need to reduce future onsite
operations … of participants at this webinar reporting that
their CR program has returned to reasonably normal operations … When on-site
operations resumed, the program prioritized those patients whom the “staff was already
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-11.html
November 01, 2014 - Total of 8-12 staff at each hospital:
Executive sponsor: COO or vice president of operations
-
psnet.ahrq.gov/node/43213/psn-pdf
June 04, 2014 - improving-measurement-surgical-site-infection-risk-stratificationoutcome-detection-final
https://psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population … https://psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
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digital.ahrq.gov/sites/default/files/docs/page/2006Williams_051111comp.pdf
June 16, 2021 - financial risk h
May disclose PHI to another covered entity in igr OHCA for OHCA health care operations … Disclosure: TPO
May discl f
L
L
P
ose PHI or own
Treatment
e Payment
Health care operations … for T recipient’s payment purposes t h May disclose PHI to covered entity for recipient’s
ig operations … r
W
For limited operations only (e.g., QA, peer
review, fraud and abuse, compliance)
is … a
m Limited data sets
er For public health, research or operations
T t Need data use agreement
-
www.ahrq.gov/sites/default/files/2024-01/anumba-report_0.pdf
January 01, 2024 - the key findings.
5.1 Investigation of Facility Management Effects on Patient Safety and Clinical Operations … conditioning shutdown
Of these cases of facility management effects on patient safety/clinical operations … These health system effects include both disruptions to
clinical operations and threats to patient safety … The “Facility Failure Effects” list effects on
clinical operations. … This leads to a larger data set
when organizing a model that links disruptions to clinical operations