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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/Advances-Shimada_65.pdf
April 04, 2008 - hip fracture
(PSI 8), postoperative hemorrhage or hematoma (PSI 9), postoperative physiologic and … 2
metabolic derangements (PSI 10), postoperative respiratory failure (PSI 11), postoperative
pulmonary … embolism or deep vein thrombosis (PE/DVT) (PSI 12), postoperative sepsis (PSI 13),
and postoperative … hip fracture (PSI 8), postoperative hemorrhage or hematoma (PSI 9), postoperative physiologic and metabolic … derangements (PSI 10), postoperative respiratory failure (PSI 11), postoperative pulmonary embolism
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_postop-csection.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Postoperative Cesarean Section Complication … In Site Simulation
AHRQ Safety Program for Perinatal Care
Sample Scenario for Postoperative Cesarean … Section Complication
In Situ Simulation
Sample Scenario for Postoperative Cesarean Section Complication … In Situ Simulation
Purpose of the tool: The Postoperative Cesarean Section Complication In Situ Simulation … Upon completion of the Postoperative Cesarean Section Complication In Situ Simulation, participants will
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-audit.html
December 01, 2017 - If the patient did not have a blood glucose measurement above 180 gm/dL on postoperative days 0, 1, … Date of operation (postoperative day 0).
… Yes ___ No ___
Highest blood glucose intraoperative or other time on postoperative day 0. … ______gm/dL or NA
Highest blood glucose postoperative day 1
______gm/dL or NA
Highest blood … glucose postoperative day 2.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh41-43.html
April 01, 2018 - hematocrit
-0.03908
-1.20797
0.22750
MRSA = methicillin-resistant Staphlococcus aureus ; Postop = postoperative … hematocrit
-0.07291
-1.99583
0.04627
MRSA = methicillin-resistant Staphlococcus aureus ; Postop = postoperative … hematocrit
-0.05078
-2.00126
0.04697
MRSA = methicillin-resistant Staphlococcus aureus ; Postop = postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh32-34.html
April 01, 2018 - 2.02865
0.04249
BMI = body mass index; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative … 1.3105
0.19003
BMI = body mass index; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative … 2.36402
0.01809
BMI = body mass index; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs2.html
October 01, 2015 - -Mexico Border (continued)
NQS Priority: Patient Safety
Postoperative Sepsis
Postoperative … 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. … Postoperative Sepsis, by Patient Language
Postoperative sepsis per 1,000 adult discharges with an elective
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - Joint Infection Following Total Joint Arthroplasty *
Risk Factors
Barbari et al. 3
Postoperative … Comorbidities (increased Charlson index)
Lack of use of antibiotic impregnated cement
Postoperative … Preoperative, Intraoperative, and Postoperative Strategies Used to Decrease the Rate of Periprosthetic … Personalized protection suit
Surgical environment
Operating room traffic
Airflow
Postoperative … further divided into an early period (prior to the day of surgery) and the day of surgery, whereas the postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
December 01, 2017 - Consider specifying targets for glucose control (e.g., less than 200 mg/dL on postoperative days 1 and … 18–24 hours after anesthesia end time. 4 , 6-9
Evidence of an Association Between Hyperglycemia and Postoperative … complications.10-14
· In a study of general surgery patients, postoperative blood glucose was the only … Cardiac Surgery Patients with Controlled Postoperative Blood Glucose. … Postoperative hyperglycemia and surgical site infection in general surgery patients.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Hip Fracture Rate
• PSI 09 Perioperative Hemorrhage or Hematoma Rate
• PSI 10 Postoperative Physiologic … and Metabolic Derangement Rate
• PSI 11 Postoperative Respiratory Failure Rate
• PSI 12 Perioperative … Pulmonary Embolism or Deep Vein Thrombosis Rate
• PSI 13 Postoperative Sepsis Rate
• PSI 14 Postoperative … Pediatric Heart Surgery Mortality Rate
• PDI 08 Perioperative Hemorrhage or Hematoma Rate
• PDI 09 Postoperative … Respiratory Failure Rate
• PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound Dehiscence
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
April 01, 2018 - In many cases, postoperative admission was indicative for admission due to a postoperative wound. … For the derivation dataset, three factors (postoperative admission within 30 days, postoperative hematocrit … , and postoperative hemoglobin) remained significant in the model, and only postoperative admission remained … For the derivation dataset, only two (postoperative admission within 30 days and postoperative hematocrit … Again, only postoperative admission within 30 days was significant in all three tests.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/18-template-ISCR-pathway.docx
June 01, 2023 - IV = intravenous; N/A = not applicable; OOB = out of bed; PACU = post-anesthesia care unit; postop = postoperative … ; PO = by mouth; POD = postoperative day; POD 0 = the date the patient’s procedure/surgery ends; preop
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh12.html
April 01, 2018 - integer [0,1]
0 if routine surveillance found no infection; 1 for + organ space SSI
postopabx
postoperative … 1 if any antibiotics given between postop day 3 and 30, but not day -1 to -7; else 0
postopcx
postoperative … integer [0,1]
1 if any microbiology culture sent between postop day 3 and 30; else 0
postopadmit
postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
June 01, 2023 - Analg. 2019
Preoperative components resulted in:
Decreased complications, LOS, pain, SSI
Postoperative … Decreased pain, PONV, opioid use
Decreased pulmonary complications
Decreased morbidity, LOS
Postoperative … Immediate preoperative components resulted in:
Decreased infectious complications, postoperative morbidity … Intraoperative component (Laparoscopic surgical technique) resulted in:
Decreased SSI, postoperative … pain, LOS
Postoperative components resulted in:
Decreased infectious complications; may gastrointestinal
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
December 01, 2017 - Consider specifying targets for glucose control (e.g., less than 200 mg/dL on postoperative days 1 and … –24 hours after anesthesia end time. 4 , 6-9
Evidence of an Association Between Hyperglycemia and Postoperative … complications. 10-14
In a study of general surgery patients, postoperative blood glucose was the only … Cardiac Surgery Patients with Controlled Postoperative Blood Glucose. Washington, DC: NQF, 2013. … Postoperative hyperglycemia and surgical site infection in general surgery patients.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
July 01, 2016 - 9 Perioperative Hemorrhage or Hematoma 3.0 3.5 1 $59,727 $ 59,727 N 4 3 2 Y Y Y Y Y
PSI 10 Postoperative … Physiologic and Metabolic Derangement 0.9 1.5 4 $120,629 $ 482,516 N 3 3 2 Y Y Y Y Y
PSI 11 Postoperative … Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y
PSI 14 Postoperative Wound Dehiscence … Respiratory Failure Rate 0.0 11.0 0 $140,507 $ - 0 N 7 7 7 Y Y Y Y Y
PDI 10 Postoperative Sepsis … Rate 0.0 16.2 0 $117,815 $ - 0 N 9 10 10 Y Y Y Y Y
PDI 11 Postoperative Wound Dehiscence Rate
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
June 01, 2018 - Postoperative Sepsis
Postoperative sepsis per 1,000 adult discharges with an elective operating room … Overall Rate: In 2013, the postoperative sepsis rate was 14.3 per 1,000 adult discharges with an elective … In 2013, among Medicare patients, the rate of postoperative sepsis was higher for Blacks than for Whites … Overall Rate: In 2013, the unadjusted rate of 30-day postoperative mortality for colorectal surgeries … Groups With Disparities:
In 2013, 30-day postoperative mortality rates were higher for Blacks (3.1%
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - Hip Fracture PDF [126.7 KB] PSI09 Postoperative Hemorrhage PDF [76.1 KB] PSI10 Postoperative Derangement … PDF [86 KB] PSI11 Postoperative Respiratory Failure PDF [55.55 KB] PSI12 Perioperative Pulmonary Embolism … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … KB] PDI06 Pediatric Heart Surgery PDF [74.18 KB] PDI08 Perioperative Hemorrhage PDF [81 KB] PDI09 Postoperative … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
April 01, 2018 - Enhanced identification of postoperative infections among outpatients. Emerg Infect Dis. … Enhanced identification of postoperative infections among inpatients. Emerg Infect Dis. … Part one: C-reactive protein and leukocyte count as an aid in diagnosing postoperative infection]. … The value of C-reactive protein for postoperative monitoring of lower limb arthroplasty. … Use of antibiotic exposure to detect postoperative infections. Infect Control Hosp Epidemiol.
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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-Rivard_97.pdf
April 28, 2008 - PE/DVT (70 percent), and
postoperative wound dehiscence (58 percent). … sepsis
(0.25 - 2.25) (0.83 - 1.75) (0.19 - 2.19) (0.70 – 1.29)
0.53 1.58 0.55 1.40 Postoperative … Our findings
of higher rates of selected infections due to medical care and postoperative PE/DVT in … PSIs (postoperative PE/DVT and postoperative wound dehiscence). … Postoperative
adverse events in teaching and nonteaching hospitals.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - 30
Results
The most common risk factor identified during 16 of the 18 different iterations was postoperative … Indicative of need for hospitalization for postoperative wound treatment.