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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-comp-kit.html
June 01, 2017 - Need also to decide on how any concerns are communicated to pre/postoperative staff and surgeons or proceduralists
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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/Rojas.pdf
March 15, 2004 - dehiscence requiring repair, displacement/migration/ breakage of implant,
thrombosis requiring repair, postoperative … Postoperative adverse
events of common surgical procedures in the Medicare
population.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - tachysystole
Antepartum hemorrhage
Preeclampsia/seizure
Severe abdominal pain/vaginal birth after cesarean
Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
March 19, 2014 - An anesthesiologist, who is delivering another postoperative
patient to the ICU, offers to help and
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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-Deis_82.pdf
June 03, 2008 - In April 2005, the
MM&I conference presented
a case in which a
postoperative patient
experienced
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/ena-slides/part2.html
October 01, 2020 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/subglottic-litreview.docx
January 01, 2017 - in eight patients (5.0%) receiving continues suctioning and in 15 patients (8.2%) receiving routine postoperative … Continuous aspiration of subglottic secretions in the prevention of ventilator-associated pneumonia 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/Advances-Maddox_38.pdf
March 26, 2008 - Safety Foundation
(APSF) notes a significant, underappreciated risk of serious injury from PCA in the
postoperative … Dangers of postoperative opioids.
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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-Zierler_81.pdf
September 01, 2008 - About 30 percent to 40 percent of postoperative patients
will develop some form of DVT, and VTE is associated … When the UWMC found an increased incidence of
postoperative VTE, addressing this clinical problem became
-
ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
February 01, 2017 - Postoperative deep vein thromboses, patient falls, and adverse drug events also yield significant additional
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ce.effectivehealthcare.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
February 01, 2017 - care experience, hospitals with a better safety culture tend to have lower rates of infection, sepsis, postoperative
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - Postoperative cesarean section complication.
Magnesium toxicity.
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Respiratory Monitoring and "Smart" Infusion System Improve Safety of Patient-Controlled Anesthesia in the Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/2014-women-chartbook.pdf
January 01, 2014 - Postoperative Catheter-Associated Urinary Tract Infection
Importance: The urinary tract is a common … Adult surgery patients age 18 and over with postoperative catheter-
associated urinary tract infection … Adult surgery patients age 18 and over with postoperative catheter-
associated urinary tract infection … ■ From 2009 to 2012, there was no statistically significant change in the percentage of
women with postoperative … Groups With Disparities:
■ From 2009 to 2012, the percentage of adults with postoperative CAUTI
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4n
Selected Best Practices and Suggestions for Improvement
IQI: Mortality Review of Select Procedures and Conditions
Why Focus on Mortality Review? …
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
April 01, 2022 - prevented the sterile dressing from being properly secured, allowing for a break in sterility 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/vol2/Reiling.pdf
January 01, 2004 - patients (mostly infants or seniors) die as a result of their infections.22
Moreover, operative and postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2019qdr-datasources.pdf
December 01, 2020 - 2002-2007 and 2009-2017
Adverse Events Associated With Knee
Replacement
Postoperative 2002-2007 … Line
Infection 2002-2007 and 2009-2017
Mechanical Complications Associated
With Central Line
Postoperative … 2002-2007 and 2009-2017
Postoperative Pneumonia Infection 2002-2007 and 2009-2017
ii In 2009, … National Healthcare Quality and Disparities Report Data Sources
Measure Primary Domain Data Period
Postoperative … Venous Thromboembolic
Event
Postoperative 2002-2007 and 2009-2017
ADE - Hypoglycemic Agent Adverse
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/rrs/rrs_slides/rrsslides.pdf
January 01, 2008 - Prospective controlled
trial of effect of medical emergency team
on postoperative morbidity and
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - Appropriate hair removal
Appropriate preoperative skin preparation
Use of antimicrobial prophylaxis
Avoid postoperative