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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
June 01, 2017 - Consider these business units in your ASC:
Operating room team
Preoperative team
Postoperative … Changes: Introduce short standup meeting for key units (e.g., operating room, preoperative/postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - patient medical history, normal behaviors of patient
Gives opportunity to teach family members about postoperative … patients and their family members should expect to—
Be educated about preoperative, operative, and postoperative … care
For Family Member
Understanding of the importance of family involvement in preoperative and postoperative … and 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/antibiotic-use/improve/antibiotic-time-out-tool.docx
November 01, 2019 - Effect of postoperative antibiotic administration of postoperative infection following cholecystectomy
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapr.html
April 01, 2018 - codes associated with follow-up visits in DH algorithm
Code
Description
338.18
Other acute postoperative … pain
998 codes
Postoperative complications
711 codes
Arthropathy associated with infection … 996 codes
Postoperative complications
680 codes
Carbuncle and furuncle
682 codes
Cellulitis
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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 - include perforation of the bowel, sepsis, and
even death.1 These complications can occur early in the postoperative … Postoperative respiratory failure is not currently part of Medicare’s Hospital Value-Based
Purchasing
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
June 01, 2017 - the beginning of the day; it focuses on a specific team, such as an operating room team, or the pre/postoperative … For example, if OR and pre- and postoperative staffs cannot be available at the same time in the same … Consider the OR and pre/postoperative staffs; identify a nurse manager who is interested in this work
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - present 55 (43) 386 (64)
Length of operation, mean hours (range) 4.9 (1.5-12.2) 4.2 (1.0-14.0)
POSTOPERATIVE … and surgical patients had hyperglycemia
26% diabetic
12% nondiabetic
In cardiac surgery, degree of postoperative … hyperglycemia correlates with SSI, adopted as SCIP measures
Postoperative Glucose Levels
Infection … Smaller studies of general surgery patients also support a correlation between postoperative glucose … Chart1
Before
After
Column3
% of Patient
Temperature Compliant
Temperature > 36 °C Postoperative
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ce.effectivehealthcare.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - sample used to derive the data in this report may have reduced the preliminary 2015 rate of the MPSMS postoperative … 2.5
VAPs
MPSMS (2015)
Ventilator-Associated Pneumonia
29,000
0.89
VTEs
MPSMS (2015)
Postoperative … Mechanical Complications Associated With Central Venous Catheters
80,000
2.4
MPSMS (2015)
Postoperative … Cardiac Events for Cardiac and Non-Cardiac Surgeries
35,000
1.1
MPSMS (2015)
Postoperative Pneumonia
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - NHSN SSIs for 17 procedures w/CDC SCIP+5 data
VAP MPSMS Ventilator-Associated Pneumonia
VTE MPSMS Postoperative … Enterococcus (VRE)
MPSMS Mechanical Complications Associated With Central Venous Catheters
MPSMS Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax … 0.52
MPSMS Mechanical Complications
Catheters
Associated With Central Venous 58,876 1.98
MPSMS Postoperative … Cardiac
Surgeries
Events for Cardiac and Noncardiac 32,592 1.10
MPSMS Postoperative Pneumonia 88,015
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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/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Postoperative hemorrhage or hematoma
10. … Postoperative physiologic and metabolic
derangement
11. … Postoperative pulmonary embolism or deep
vein thrombosis
12. … Postoperative respiratory failure
13. Postoperative sepsis
14. … Postoperative wound dehiscence
15. Transfusion reaction
Treatment
5.
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ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/831.html
September 01, 2022 - Potentially inappropriate medication administration is associated with adverse postoperative outcomes … The association of health literacy and postoperative complications after colorectal surgery: a cohort
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Overall Rate: In 2011, the postoperative sepsis rate was 16.4 per 1,000 adult discharges with an elective … Groups With Disparities:
In all years, Hispanic patients and Black patients had higher rates of postoperative … In 2009 and 2011, Hispanic men had higher rates of postoperative sepsis than Hispanic women. … Slide 23
Postoperative sepsis per 1,000 adult discharges with an elective operating room procedure … , by patient language, California, 2009-2011 (combined)
Image: Chart shows postoperative sepsis per
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module1/m1evidencebase.pdf
August 08, 2013 - of the operating room nurse manager in the
successful implementation of preoperative briefings and postoperative … Briefing guide study: preoperative briefing and postoperative
debriefing checklists in the Veterans … Teamwork climate and postoperative sepsis in the surgical operating room.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Implementation
Debriefing: One Team’s Approach
Two-sided form with four sections
Preoperative
Intraoperative
Postoperative … After the debriefing is complete, the nurse takes the patient to the postoperative area and performs … communication tool
INTRAOP
Back of the form
Operating room nurse coordinates
Verify procedure, specimen, and postoperative … communication tool
INTRAOP
Back of the form
Operating room nurse coordinates
Verify procedure, specimen, and postoperative
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ.html
July 01, 2023 - Text Version )
Vaginal birth after cesarean (VBAC)/abdominal pain ( Word , 750 KB; Text Version )
Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - tidal volume ventilation, moderate PEEP, and repeated recruitment maneuvers can markedly help improve postoperative
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
June 01, 2023 - Interprofessional training and communication practices among clinicians in the postoperative ICU handoff … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive … Ascertaining design requirements for postoperative care transition interventions.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - Electronic surveillance of antibiotic exposure and coded discharge diagnoses as indicators of postoperative … Enhanced identification of postoperative infections among outpatients. … Enhanced identification of postoperative infections among inpatients. … Use of antibiotic exposure to detect postoperative infections. … Detection of postoperative surgical-site infections: comparison of health plan-based surveillance with
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/evidence-base/crew-resource.html
June 01, 2023 - management training on measurable teamwork and communication among interprofessional teams caring for postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - NQS Priority: Patient Safety
Postoperative Sepsis
Postoperative sepsis per 1,000 adult discharges … ■ In 2009 and 2011, Hispanic men had higher rates of postoperative sepsis than Hispanic
women. … Postoperative sepsis per 1,000 adult discharges with an elective operating room
procedure, by patient … Postoperative sepsis per 1,000 adult discharges with an elective operating room
procedure, by patient … Sepsis
Postoperative Sepsis, by Patient Language
Use of Restraints in Nursing Homes
NQS Priority