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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - 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 … • 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
using a perioperative briefing, timeout,
and signout;
• communication with rapid responders
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www.ahrq.gov/news/newsroom/case-studies/201611.html
August 01, 2016 - Colorado, has used AHRQ’s TeamSTEPPS® patient safety training program to improve workflow between perioperative … The perioperative and ICU teams also created a specialized head and neck handoff report.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-prevent.html
May 01, 2017 - Control and Prevention Guidelines for Safe Ambulatory Care
Joint Commission Standards
Association of periOperative … Registered Nurses (AORN) Guidelines for Perioperative Practice
Infectious Diseases Society of America
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
December 01, 2017 - Slide 20
PSSA Taps Wisdom of Frontline Providers
SAY:
The Perioperative Staff Safety Assessment taps … into the wisdom and knowledge of frontline providers in the perioperative area and uses that knowledge … SAY:
The Perioperative Staff Safety Assessment asks providers to complete four questions about the issue … We know it can be difficult to reach the staff members who work in the perioperative area. … The Perioperative Staff Safety Assessment helps teams identify defects that the team can address, and
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Although perioperative multimodal analgesia typically refers to the use of nonopioids, with the goal … Strategies
Many commonly used analgesic agents and techniques can be incorporated throughout each the perioperative … Slide 6
Ketamine and Dexmedetomidine
The majority of perioperative pain can be reasonably managed
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www.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
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-slides.html
October 01, 2020 - Perioperative Staff Safety Assessment. … Slide 5: Three Ways To Identify Defects
Perioperative Staff Safety Assessment (PSSA) (Word, 1.57 … Perioperative culture.
Guideline
Applicability.
Ease of compliance. … Perioperative culture
How does the perioperative culture affect adherence? … Perioperative nurses.
Executive partner.
Nurse leaders.
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications … in spine surgery
Developing a patient-centered model of the risk of perioperative complications in … The elderly are more prone than are many
other groups to perioperative complications. … An auditor prospectively captured demographic and
comorbidity data and then followed perioperative patients … This approach will follow our previously validated means of assessing perioperative
complications in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 2016 - failure and screen all patients undergoing elective surgery.3
Initiate various treatments
during the perioperative … Recommended Practice: Initiate Various Treatments During Perioperative and Postoperative
Period To Reduce … Recommended Practice: Assess Risk Factors
Recommended Practice: Initiate Various Treatments During Perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
February 01, 2005 - Vane, Edward Drost, Daryl Elder, Yvonne Heib
Abstract
The United States Army perioperative nurses … Perioperative nursing refers
to nursing activities performed during the preoperative, intraoperative … Deployed perioperative nurses often work under stressful conditions in a time-
constrained environment … The ultimate responsibility
for ensuring a clean surgical environment rests with perioperative nurses … Available from the Association of periOperative
Registered Nurses: 2170 S.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/5-red-light-green-light.docx
June 01, 2023 - Common Barriers to ISCR Implementation:
· Resistance to change by both perioperative staff and patients … Survey of provider perceptions of enhanced recovery after surgery and perioperative surgical home protocols
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - partners on the Science of Safety
Identify defects within your operating room by administering the Perioperative … partners on the Science of Safety
Identify defects within your operating room by administering the Perioperative … Staff Safety Assessment taps into the wisdom and knowledge of frontline providers in the perioperative … We know it can be difficult to reach the staff members who work in the perioperative area. … The Perioperative Staff Safety Assessment helps teams identify defects that the team can address, and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
December 01, 2017 - By using this guide and tools in your perioperative areas simultaneously with the guide to Applying the … The authors of this guide do not work in your perioperative area. … Frontline providers understand patient safety risks in their perioperative area. … Your team can use the Perioperative Staff Safety Assessment (PSSA) to
gather their thoughts. … When we took this patient’s
story back to our perioperative staff, they were moved.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
June 01, 2023 - Program Overview 5
Perioperative staff
Surgical quality improvement specialists
Hospital leaders … Perioperative components resulted in:
Early surgery (within 24–48 hours of admission) beneficial
Resulted … surgery, gynecologic surgery, and emergency general surgery ISCR pathways
This toolkit can be used by perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
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 … units
Share perioperative unit-specific information before the first executive safety rounds
17
Engage … Before the first perioperative tour, share unit-specific information with the executive.
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www.ahrq.gov/teamstepps-program/evidence-base/crew-resource.html
June 01, 2023 - Association of periOperative Registered Nurses Journal 82(2), 213-24.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Venous Catheter-Related Blood Stream Infection Rate
• PSI 08 Postoperative Hip Fracture Rate
• PSI 09 Perioperative … Physiologic and Metabolic Derangement Rate
• PSI 11 Postoperative Respiratory Failure Rate
• PSI 12 Perioperative … 05 Iatrogenic Pneumothorax Rate
• PDI 06 RACHS-1 Pediatric Heart Surgery Mortality Rate
• PDI 08 Perioperative
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/16-engaging-stakeholders-pitch.docx
June 01, 2023 - Clarify how your team is making care better for perioperative patients. … Invite others to join your vision for better perioperative care.