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www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
January 01, 2024 - Weinger
9/27/01 to 9/30/05
Center for Perioperative Research in Quality
Vanderbilt University … This project
applied this approach to medicine, using anesthesia and perioperative care as the initial … this project was to collect both prospective and retrospective
data on non-routine events during the perioperative … Lagasse RS, Steinberg ES, Katz RI, Saubermann AJ: Defining quality of perioperative care
by statistical … Bothner U, Georgieff M, Schwilk B: The impact of minor perioperative anesthesia-related
incidents, events
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/027-cusp-program-sustainability-fg.docx
April 01, 2025 - · Are perioperative antibiotics administered at the appropriate time? … This can include members from the surgical clinic, the perioperative team including the preoperative … The Director/Manager of Perioperative Services, who is often a Nurse Manager, plays an essential role
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Slide 12: Perioperative Antibiotic Compliance
Image: Table shows data from the Michigan Surgical … Was the patient’s temperature maintained at 36°C or above during the entire perioperative period? … Slide 25: Johns Hopkins Hospital Antibiotic Poster
Image: A table depicting perioperative antibiotic
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
June 02, 2025 - 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 … Rate on scale of 10 (agree/high) to 0
(disagree/low)
PSI 12 Perioperative … RACHS-1
Pediatric Heart
Surgery Volume
54 $ - N 1 5 5 Y N Y Y N
PDI 08 Perioperative
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-slides.html
December 01, 2017 - Readminister Perioperative Staff Safety Assessment (two-question survey) at least every 12–18 months.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Slide 24: Perioperative Safety Team Members
Essential Team Members
Surgeons. … Perioperative nurses.
Executive partner.
Nurse leaders. … Executive Partner
Contact hospital management to determine which senior executive will best fit the perioperative … Set up a meeting to introduce the project, provide a tour of the perioperative area, and share unit-level
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www.ahrq.gov/action-alliance/resources/type-harm.html
September 01, 2025 - enhanced recovery practices, which are evidence-based processes that are supported by multidisciplinary perioperative … such as surgical site infections, venous thromboembolism, and urinary tract infection and to improve perioperative … AHRQ Toolkit To Promote Safe Surgery This toolkit helps perioperative and surgical units in hospitals
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/013-ss-cleaning-fg.docx
April 01, 2025 - part of an overall approach to preventing methicillin-resistant Staphylococcus aureus (MRSA) in the perioperative … Environmental Cleaning
SAY:
There are four key phases to target MRSA and surgical site infections in the perioperative … Operative Setting
SAY:
This section of the presentation will review common reservoirs of MRSA in the perioperative … Environmental Cleaning
SAY:
There are three strongly interacting facets of environmental decontamination of perioperative … patient would be operated on, as any bacteria on those surfaces could be potentially harmful in the perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
June 02, 2025 - 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs_facnotes.docx
December 01, 2017 - Tip: The Perioperative Staff Safety Assessment, or PSSA, is often referred to as the two-question survey … about how frontline teams have partnered with executives to make a difference for patients and for perioperative … technical improvement, this process emphasizes input from all levels and types of expertise in the perioperative … Before the first perioperative tour, share unit-specific information with the executive.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Tip: The Perioperative Staff Safety Assessment, or PSSA, is often referred to as the two-question survey … about how frontline teams have partnered with executives to make a difference for patients and for perioperative … technical improvement, this process emphasizes input from all levels and types of expertise in the perioperative … Before the first perioperative tour, share unit-specific information with the executive.
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Please Adapt This Tool
A team of clinicians designed this tool to assess practice variability in its perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/or_briefing_audit.docx
December 01, 2017 - Please Adapt This Tool
A team of clinicians designed this tool to assess practice variability in its perioperative
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www.ahrq.gov/hai/cauti-tools/archived-webinars/building-team-process-slides.html
December 01, 2017 - outlet obstruction, need for accurate measurements of urinary output in critically ill patients, and perioperative … neurogenic bladder)
Urinary blood clots with obstruction
Trauma to spinal cord
Slide 26
Perioperative … infusions during surgery, or need for intraoperative urinary output monitoring
Slide 27
Perioperative
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/decolonization-resources.html
September 01, 2025 - of bacteria on the skin and protects patients when they are at high risk for infection such as the perioperative
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-m.html
May 01, 2017 - In: Guideline for Perioperative Practice. Denver, CO:AORN,Inc;2016:675-758.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/cusp-mrsa-prevention.html
April 01, 2025 - surrounding MRSA and SSI prevention often require open responses from a wide variety of surgical staff and perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Improve Hospital Quality and Safety
12 Tool B.4
PDI Documentation Problems Identified
PDI 08 Perioperative … PSI 12 Perioperative Pulmonary
Embolism or Deep Vein
Thrombosis (DVT)
DVT or pulmonary embolism documented … PDI 08 Perioperative Hemorrhage
or Hematoma
X Need to distinguish between ecchymosis
(flat bruising … PSI 09 Perioperative Hemorrhage
or Hematoma
X Need to distinguish between ecchymosis
(flat bruising … PSI 12 Perioperative Pulmonary
Embolism or Deep Vein
Thrombosis (DVT)
X DVT/PE prophylaxis can be
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 02, 2025 - 05 Iatrogenic Pneumothorax Rate
• PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate
• PDI 08 Perioperative
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/surgical-skinprep-audit.html
September 01, 2024 - Your team can determine the approach that will work best in your perioperative area.