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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Postoperative Changes in Opioid Use Impact Healthcare Spending . … Postoperative Changes in Opioid Use Impact Healthcare Spending
Patients who utilized opioids chronically
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Heart Surgery PDF [ - 74.63 KB] PDI08 Perioperative Hemorrhage or Hematoma PDF [ - 77.91 KB] PDI09 Postoperative … Respiratory Failure PDF [ - 65.96 KB] PDI10 Postoperative Sepsis PDF [ - 112.29 KB] PDI11 Postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - across members of the provider team, starting with the primary care physician all the way through the postoperative … Prevention of postoperative infection transmission (e.g., dressing the postoperative wound). … across the various providers, including the physicians, surgeons, and ASC preoperative, operative, and postoperative
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - 08: In-‐Hospital Fall With Hip Fracture *
PSI 09: Perioperative Hemorrhage or Hematoma
PSI 10: Postoperative … Physiologic and Metabolic Derangement
PSI 11: Postoperative Respiratory Failure
PSI 12: Perioperative … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … PDI 06: Pediatric Heart Surgery Mortality *
PDI 08: Perioperative Hemorrhage or Hematoma
PDI 09: Postoperative … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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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 - outside
the ICU
■Incontinence
■Patients transferred from intensive care
to general units
■Prolonged postoperative
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ce.effectivehealthcare.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - 2.4
VAPs
MPSMS (2013)
Ventilator-Associated Pneumonia
37,000
1.1
VTEs
MPSMS (2013)
Postoperative … Mechanical Complications Associated With Central Venous Catheters
110,000
3.3
MPSMS (2013)
Postoperative … Cardiac Events for Cardiac and Non- cardiac Surgeries
35,000
1.1
MPSMS (2013)
Postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.html
April 01, 2018 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
January 01, 2018 - Birth trauma - injury to neonate per 1,000 selected live births -7.28 -1.12 HCUP 2016
Reclosure of postoperative … 0.00 0.00 HCUP 2016
Obstetric trauma per 1,000 instrument-assisted deliveries 1.39 0.33 HCUP 2016
Postoperative … of 33 potentially
inappropriate prescription medications for older adults
3.26 0.20 MEPS 2016
Postoperative … Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 3.95 1.09 HCUP 2016
Postoperative … of 33 potentially
inappropriate prescription medications for older adults
24.25 1.22 MEPS 2016
Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
April 01, 2022 - default, as part of initial catheter order
Preoperative written order to remove urinary catheter on postoperative … day 1 or 2, depending on surgery
Routine postoperative order Computerized order for urinary catheter … should be avoided, consider removing in the OR, use in the OR and post-op day 1 removal
Standardizing postoperative … PACU (post-anesthesia care unit)
Postoperative Day 1
Other: ___________
WHO Surgical Safety Checklist46
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh53-55.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - culture is related to outcomes
Patient outcomes
Patient care experiences
Rates of infection and sepsis
Postoperative … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following
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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-Mistry_114.pdf
May 05, 2008 - Objective: The objective for this project was to better understand
and improve the postoperative handoff … We hypothesized that:
(1) communication errors commonly occur during the postoperative handoff process … multidisciplinary focus group created a list of 18 handoff elements considered essential
to providing postoperative … and “Analyze” steps of the Six
Sigma framework—communication errors frequently occurred during the postoperative … As a result, any deviation from the anticipated postoperative course
is more readily identified.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
January 01, 2018 - 2016
Adults who received a blood cholesterol measurement in the last 5 years 19.30 2.46 NHIS 2017
Postoperative … or more days, adults age
18 and over or obstetric admissions
75.00 4.24 HCUP 2016
Reclosure of postoperative … 1,000
abdominopelvic-surgery admissions of length 2 or more days, adults
51.06 3.58 HCUP 2016
Postoperative … HCUP 2016
Deaths per 1,000 hospital admissions with expected low-mortality 33.33 2.12 HCUP 2016
Postoperative … deep vein thrombosis (DVT) per
1,000 surgical hospital discharges, adults
29.64 6.62 HCUP 2016
Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - 247
Surgery AEs were defined as harm events related to the preoperative care, the
surgery, or the postoperative … The 23 AE classes and their ICD-9-CM codes, cont.
13 Postoperative GI disorders
536.40, 536.42, 536.49 … Two of the PSIs, Postoperative Sepsis and
Accidental Puncture and Laceration, are defined by the same … This class is defined by
the same codes as the Postoperative Sepsis PSI, as mentioned earlier. … The worst performers in this regard were Class 6, Other
Infections; Class 13, Postoperative GI Disorders
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-slides.html
May 01, 2017 - Gives opportunity to teach family members about postoperative care.
Provides timely feedback. … patients and their family members should expect to—
Be educated about preoperative, operative, and postoperative … Understanding of the importance of family involvement in preoperative and postoperative care. … family to ask their health care providers before, during, and after a procedure
Preoperative and postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpra.pdf
March 01, 2012 - representation
of the real system and processes under study (e.g., the preoperative, operative, and
postoperative … • Procedural complications
• Medical errors
• Surgical infections
• Surgical site infections
• Postoperative … separating the basic
events into components of the operative process: preoperative, operative, and postoperative … directions to patient 0.15 to 0.50
Event 405 Patient understands, but does not follow, postoperative … infection transmission (e.g., dressing the postoperative
wound)
For example, the guidelines may include
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Postoperative hemorrhages.
Respiratory failure.
Patient injury.
Treatment errors. … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - cardiac events for cardiac and noncardiac surgery, postoperative pneumonia, iatrogenic pneumothorax, … postoperative
hemorrhage or hematoma, postoperative respiratory failure, and accidental puncture or … cardiac events for cardiac and noncardiac surgery, postoperative pneumonia, iatrogenic pneumothorax, … postoperative
hemorrhage or hematoma, postoperative respiratory failure, and accidental puncture or … For Hispanics, 30-day postoperative
mortality was lower than for Whites (2.2%).
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - selection of the appropriate antibiotic, timing of administration, redosing,
dose adjustment, and postoperative … antibiotics prior to surgery is commonplace and of proven benefit in many
circumstances to minimize postoperative … the
database were derived from the literature review that identified a variety of pre-,
intra-, and postoperative … Protocol-specified postoperative duration of AMP
Figure 1 depicts the breakdown of the types of procedures … The implementation of preoperative standing orders that included
prophylaxis, coupled with postoperative