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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
January 01, 2015 - Partnering with Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS as Part of a Multi-faceted Program
Partnering with Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS as Part of a Multi-faceted Program
July 8, 2015
TEAMSTEPPS 05.2
Mod 1 05.2 Page ‹#›
TeamSTEP…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - here:
______________________________________________
______________________________________________
Postoperative … here:
_______________________________________________
_______________________________________________
Postoperative … recorded and provided to designated person so they can be addressed and resolution shared with the unit
Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Discharges—Based
on 2010 Baseline)
PfP Measured HACs
per 1,000 Discharges
VTEs MPSMS
(2014)
Postoperative … Mechanical
Complications
Associated With
Central Venous
Catheters
120,000 3.6
MPSMS
(2014)
Postoperative … Cardiac Events for
Cardiac and Non-
cardiac Surgeries
34,000 1.0
MPSMS
(2014)
Postoperative
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ce.effectivehealthcare.ahrq.gov/teamstepps/evidence-base/emergency-care.html
July 01, 2015 - Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality
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ce.effectivehealthcare.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Patient Safety Measures
Percentage of surgery patients with surgical complications or postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - can be incorporated throughout each the perioperative phases of care, including the pre-, intra- and postoperative
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ce.effectivehealthcare.ahrq.gov/teamstepps-program/evidence-base/emergency.html
June 01, 2023 - Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Questions 1-3: Document the patient’s name, medical record number, and operation date (postoperative … Questions 1-3: Document the patient’s name, medical record number, and operation date (postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpra2.html
April 01, 2018 - completed, we created a series of tables for each surgical phase (i.e., preoperative, operative, and postoperative … separating the basic events into components of the operative process: preoperative, operative, and postoperative … time frame under consideration from the preoperative call by the outpatient surgery center to 30 days postoperative … representative of the real system and processes under study (e.g., the preoperative, operative, and postoperative
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ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201537.html
January 01, 2016 - Surgical teams also attend a postoperative briefing before leaving the operating room after each procedure
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-j.html
October 01, 2015 - outside the ICU
Incontinence
Patients transferred from intensive care to general units
Prolonged postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh9.html
April 01, 2018 - Patient fails to notice infection during home care
Event 433 (0.05)
Patient has organism at postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/ssi_investigation.docx
January 01, 2017 - What was the patient’s highest blood glucose level on postoperative day one (if checked)?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/funding/fund-opps/smith-angela-r13-hs026679-01.pdf
March 31, 2020 - new chronic use of opioids among previously opioid-naïve patients is more
common than conventional postoperative … surgeons were for opioids.4 While opioids make up
a majority of prescriptions for the treatment of postoperative … Choosing Wisely Statement that recommends, “Don’t continue opioid
analgesia beyond the immediate postoperative … Pharmaceuticals: Chad Brummett, MD, University of Michigan
9:00 – 10:00 AM Session 1: Understanding Postoperative … Session 1 will provide
attendees with an understanding of postoperative pain and management strategies
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - It is challenging to explicitly evaluate diagnostic error as an outcome in the postoperative period: … for
example, was the patient’s postoperative shock hemorrhagic due to high estimated blood loss, or … 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 … Ascertaining design requirements for postoperative care transition
interventions.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/assess-psc-hsop-slides.pptx
January 01, 2017 - 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/vol1/TableofContents_Vol1.pdf
December 22, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain
Management
Ranjit Singh, Bruce … Respiratory Monitoring and a “Smart” Infusion System Improve
Safety of Patient-Controlled Analgesia in the 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-2/vol4/TableofContents_Vol4.pdf
December 22, 2008 - Respiratory Monitoring and a “Smart” Infusion System Improve
Safety of Patient-Controlled Analgesia in the Postoperative … Building Self-Empowered Teams for Improving Safety in Postoperative Pain
Management
Ranjit Singh, Bruce
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
July 01, 2023 - Any system issues* (Yes/No)
If yes list here:
___________________
___________________
Postoperative … Any system issues* (Yes/No)
If yes list here:
___________________
___________________
Postoperative … Postoperative concerns/issues for the team to be aware of?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-facguide.docx
January 01, 2017 - procedures such as thoracic aortic aneurysm repair, liver transplants, as well as those with an anticipated postoperative