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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/ena-slides/part1a.html
October 01, 2015 - indication for catheter placement in report to inpatient RN
Guidelines for algorithms for appropriate perioperative … for catheter placement in report to inpatient RN 27.04%, Guidelines for algorithms for appropriate perioperative … Perioperative algorithm
Is there an algorithm in use for perioperative placement? … Slide 68
CAUTI reduction initiatives
Chart review
Perioperative algorithm
Nurse-directed removal
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - failure and screen all patients undergoing elective surgery.5
Initiate various treatments
during the perioperative … Recommended Practice: Initiate various treatments during the perioperative and postoperative
period … Recommended Practice: Assess risk factors
Recommended Practice: Initiate various treatments during the 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-f.docx
February 11, 2016 - Perioperative use in selected surgeries
3.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/index.html
December 01, 2017 - Toolkit To Promote Safe Surgery
The Toolkit To Promote Safe Surgery helps perioperative … Approximately 200 hospitals and more than 370 perioperative teams participated in the project.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4i_combo_psi12-dvt-bestpractices.pdf
May 20, 2016 - Quality and Safety
Tool D.4i 1
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative … payment for cases when the condition was acquired
during hospitalization.1
• Starting in 2015, the perioperative … therapeutics committee, nursing groups,
orthopedics/surgery/trauma leaders, patient safety committee, perioperative … evidence/full-guideline-243920125
Selected Best Practices and Suggestions for Improvement
PSI 12: Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - revealed a lack of standardization of patient flow and process for ambulatory
procedures, disparities in perioperative … To determine the appropriate level of care for patients, perioperative
evaluations, monitoring and followup … Effective clinical alarm systems
Perioperative evaluations are completed on all patients prior to … Patients scheduled for elective surgical procedures required perioperative
evaluation in the elective … All patients require
perioperative evaluation for procedures, regardless of whether the procedures are
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-h.docx
August 07, 2015 - Foley Catheters are indicated for:
· Acute urinary retention or obstruction
· Perioperative use in selected
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ce.effectivehealthcare.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - of Chicago Medicine
UChicago Medicine reduced venous thromboembolism (VTE) incidence by 30% in the perioperative … Their experience using this tool is summarized in "UChicago Medicine Reduces Perioperative VTE With AHRQ
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
July 01, 2016 - N
PSI 08 Postoperative Hip Fracture 0.0 0.0 3 $147,947 $ 443,841 N 3 3 1 Y Y Y Y Y
PSI 9 Perioperative … 11 Postoperative Respiratory Failure 12.9 12.9 14 $61,566 $ 861,924 N 3 3 2 Y Y Y Y Y
PSI 12 Perioperative … N Y Y N
PDI 07 RACHS-1 Pediatric Heart Surgery Volume 54 $ - 0 N 1 5 5 Y N Y Y N
PDI 08 Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
April 07, 2008 - Informatics analyzes and improves the
processes within the perioperative environment, including accurate … Process improvement—specifically the identification,
evaluation, and quantification of perioperative … Building upon the
results of smart environment data and models of perioperative workflow, it is possible … Conclusion
This utopian vision of the perioperative environment just described may sound unattainable … Similarly, ergonomics and human factors analysis can achieve proper configuration of
the perioperative
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - To improve, perioperative teams need a structured approach to investigate infections at a systems level … Please Adapt This Tool
A team of clinicians designed this tool to assess practice variability in its perioperative … Only you know the approach that will work best in your perioperative area.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-g.pdf
September 01, 2015 - Follow criteria indicated for a urinary
catheter:
■ Acute urinary retention or obstruction
■ Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - 0.00013748
PDI6 PDI #6 RACHS-1 Pediatric Heart Surgery Mortality Rate 0 0 - 0.03771004
PDI8 PDI #8 Perioperative … Rate 0 140 0 0.00040896
PSI8 PSI #8 Postoperative Hip Fracture Rate 0 0 - 0.00003151
PSI9 PSI #9 Perioperative … Accidental Puncture or Laceration Rate 0 -
PSI26 PSI #26 Transfusion Reaction Rate 0 -
PSI27 PSI #27 Perioperative … 0.000743 0 0.000409 0 0.000347
PSI #8 Postoperative Hip Fracture
Rate
3.15E-05
PSI #9 Perioperative … Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
8 Tool B.2b
PSI #12 Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/52-regional-analgesia-arthroplasty-facilitator.docx
June 01, 2023 - The ISCR program provides evidence-based recommendations for perioperative care. … replacement surgery are at an elevated risk for DVT/PE, and one might anticipate that they will need perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - measures to identify local defects
Evaluate emerging evidence
Capitalize on frontline wisdom
CUSP
Perioperative … staff to identify how they would reduce surgical site infections.
4
Three Ways To Identify Defects
Perioperative … Program for Surgery – Implementation
SAY:
Consider these three tools when identifying local defects:
Perioperative … The Safety Program for Surgery has modified that tool for the surgical setting into the Perioperative … Perioperative culture
How does the perioperative culture affect adherence?
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/about.html
December 01, 2017 - Approximately 200 hospitals and more than 370 perioperative teams participated in the project. … Research and Quality (AHRQ) funded a 3-year project to develop and implement resources that help hospital perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Catheter-related
Bloodstream Infection Rate
X 0.21
PSI 08 Postoperative Hip Fracture Rate 0.04
PSI 09 Perioperative … Derangement Rate
0.69
PSI 11 Postoperative Respiratory Failure Rate 10.05 0533 2009
PSI 12 Perioperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 29, 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 … -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/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Safe Cesarean Section
Slide 9: Key Safety Elements: Standardize When Possible
Use a standard perioperative … Safety Elements: Create Independent Checks
Checklists can facilitate the three components of a safe perioperative … Introduce some redundancy into the perioperative process. … It provides suggested specific checklist items for each of the three perioperative safety steps: the … Efficient use of safe surgery checklists to guide the perioperative process using a perioperative briefing
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
October 08, 2015 - Perioperative use in selected surgeries
3.