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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - NHSN Colon Procedures: Perioperative Team-level Unadjusted SSI Rate Over Timea
n = number of perioperative … NHSN Non-Colon Procedures: Perioperative Team-level Average SSI Rate Over Time
n = number of perioperative … NSQIP Colon Procedures: Perioperative Team-level Unadjusted SSI Rate Over Time
n = number of perioperative … Program teams were
encouraged to query their entire perioperative staff using the Perioperative Staff … NHSN Colon Procedures: Perioperative Team-level Unadjusted SSI Rate Over Timea
n = number of perioperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Purpose
HIV-positive patients are at higher risk of perioperative infections, complications, impaired … Purpose
Mild perioperative hypothermia (approximately 2 °C below the normal core body temperature) … Perioperative radiotherapy was defined as the period 1 month before to 1 month after surgery. … Administration of perioperative steroids was associated with 11 wounds with complications and 22 wounds … Perioperative steroid therapy increased the risk of wound complications.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - process with these three components (perioperative briefing, timeout, and signout) reduces surgical … mortality and complications.1,2 This perioperative process should be the standard approach used for ALL … Studies have demonstrated that safe surgery checklists can facilitate the safe surgery perioperative … An informal debriefing may be an extension of the signout component of the safe surgery perioperative … · The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
June 01, 2023 - Objectives for today’s presentation are to:
· Learn about the ISCR program;
· Review the current state of perioperative … the ISCR initiative
Slide 4
ISCR Goals
The goals of ISCR are to improve patient outcomes, make perioperative … processes more efficient, and make perioperative care more collaborative with our colleagues and patients … provides recommendations that reduce variation in processes and improve collaboration and buy in from perioperative … when developing our processes improves the likelihood that they will be adopted and sustained by our perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Perioperative Protocol. … care
• Anesthesia professionals
• Perioperative registered nurses
• Surgical technologists
Equipment … AORN Perioperative Standards
and Recommended Practices. … Denver: Association of Perioperative Registered Nurses; 2010.
http://www.aorn.org. … Perioperative safety. St. Louis:
Mosby Elsevier; 2011. p. 128-33.
9.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - Perioperative Protocol. … care
• Anesthesia professionals
• Perioperative registered nurses
• Surgical technologists
Equipment … In: Perioperative
Standards and Recommended Practices. … Denver: Association of Perioperative Registered
Nurses; 2010. Publication No. … Perioperative safety. St. Louis: Mosby
Elsevier; 2011. p. 128-33.
7.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-appcusp.pdf
December 01, 2017 - The authors of this guide do not work in your
perioperative area. … Step 5: Tools To Improve
Use tools to improve teamwork and communication in the perioperative area. … Your team can
reassess perioperative safety culture on an annual basis. … Schedule time with your senior executive to discuss perioperative unit-specific information. … The senior executive can help prioritize your perioperative unit’s safety concerns.
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
July 01, 2023 - perioperative process should be the standard approach used for ALL cesarean sections. … The surgical team member charged with leading each step of the perioperative process. … Acceptable variations in the perioperative process for emergency cesarean sections. … Introduce some redundancy into the perioperative process. … Is respected as the unit’s mechanism for guiding the safe surgery perioperative process.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/guide-app-cusp.html
December 01, 2017 - Perioperative Staff Safety Assessment ( Word , 1.57 MB)
Empower your frontline staff to voice their … Learn From Defects Tool—Perioperative Setting ( Word , 1.18 MB)
Use this tool to lead discussions … a based-on-real-life story about a surgical safety team using the LFD tool to improve care in their perioperative … debriefings, and understand how appropriately you are using briefings and debriefings throughout the perioperative
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
December 01, 2017 - AHRQ Safety Program for Surgery
Introduction
Problem Statement
Patients’ perioperative … The more patients you review, the more likely you are to identify opportunities to improve your perioperative … this data table on the patient chart and complete it in real time as the patient moves through your perioperative … Only your team knows the approach that will work best in your perioperative area
How To Use Audit … 16: Indicate whether normothermia (temperature > 36 o C or 96.8 o F) was maintained throughout the perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - resuscitation
Resumption of oral intake and mobility
An opportunity exists to improve collaboration in the perioperative … patient-centered protocol for the management of patients undergoing [specify procedures] that spans the perioperative … topics such as:
Best practices for preventable harms
Patient and family education and engagement in perioperative … care
Standardized perioperative anesthesia and multimodal analgesia
Early activity after surgery
Optimal … perioperative nutrition and early resumption of oral intake
Slide 7
Partnership: We Are All Part
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Antibiotic Audit Tool
Antibiotic Audit Tool
Introduction
Problem Statement
Perioperative antimicrobial … There are often many opportunities to improve the use of perioperative antimicrobial prophylaxis. … safety program team understand how appropriately you are using prophylactic antibiotics throughout the perioperative … Only your team knows the approach that will work best in your perioperative area. … If the data reveal defects in perioperative antimicrobial prophylaxis, your safety program team can design
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/9-senior-executives.pptx
June 01, 2023 - the AHRQ Safety Program for
Improving Surgical Care and Recovery (ISCR)
Review the current state of perioperative … for the ISCR initiative
ISCR at [Hospital Name] 4
ISCR Goals
Goals
Improve patient outcomes
Make perioperative … processes more efficient
Make perioperative care more collaborative
ISCR at [Hospital Name] 5 … resuscitation
Resumption of oral intake
Mobility
An opportunity exists to improve collaboration in the perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Central Venous Catheter-Related Bloodstream Infections
PSI 08 Postoperative Hip Fracture
PSI 09 Perioperative … Postoperative Physiologic and Metabolic Derangement
PSI 11 Postoperative Respiratory Failure
PSI 12 Perioperative … RACHS-1 Pediatric Heart Surgery Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-j.pdf
September 01, 2015 - ■Acute urinary retention or obstruction
■Perioperative use in selected surgeries
■Assistance in healing … urinary output
in critically ill patients (in intensive care)
■Acute urinary retention
or obstruction
■Perioperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
April 01, 2018 - Patient
Perioperative
Surgeon
Age
N
Y
Gender
N
Y
Body Mass …
Y
Y
Post-Op Admit
Y
Y
ICU Admission Post-Op
Y
Y
Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - The key safety elements focus on the use of a standard perioperative process that includes—
Preoperative … briefing
Timeout
Signout
Studies have found that the use of a standardized perioperative process with … these three components reduces surgical mortality and complications.5,6 This perioperative process should … The key safety element is to use a checklist to guide the safe surgery perioperative process. … Studies have found that checklist tools can facilitate the three components of a safe perioperative process
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - resuscitation
Resumption of oral intake and mobility
An opportunity exists to improve collaboration in the perioperative … collaborative approach
Best practices for preventable harms
Patient and family education and engagement in perioperative … care
Standardized perioperative anesthesia and multimodal analgesia
Early activity after surgery
Optimal … perioperative nutrition and early resumption of oral intake
ISCR at [Hospital Name] 7
Partnership:
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - Quality and Safety
1 Tool D.4t
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative … Hemorrhage or Hematoma
Why focus on perioperative hemorrhage and hematoma in children? … Best Processes/Systems of Care
Introduction: Essential First Steps
• Engage key preoperative/perioperative … bja.oxfordjournals.org/content/112/4/708.long
Selected Best Practices and Suggestions for Improvement
PDI 08: Perioperative … Hemorrhage or Hematoma
Why focus on perioperative hemorrhage and hematoma in children?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
December 01, 2017 - Surgical Site Infections
A 2017 guideline from the Centers for Disease Control and Prevention recommends perioperative … for glucose control (e.g., less than 200 mg/dL on postoperative days 1 and 2).3
· Intraoperative and perioperative … equivocal.18, 19 A recent Cochrane review found that there was insufficient evidence to support strict perioperative … The Impact of Glycemic Control and Diabetes Mellitus on Perioperative Outcomes After Total Joint Arthroplasty