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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
May 01, 2017 - Materials: Slides 4-7
Audience: All staff, including pre- and postoperative care staff
Topic: Patient … Materials: Slides 8-10
Audience: All staff, including pre- and postoperative care staff
Topic: Barriers … Environment Module
Material Use Guide
Material Use Guide
Audience: All staff, including pre- and postoperative … Materials: Slides 13-29 and tools
Audience: All staff including pre- and postoperative care staff
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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/Hunt.pdf
July 01, 2004 - pneumonia,
postoperative venous thromboembolic events; postoperative urinary tract
infection; and … Our second topic not rated by AHRQ, postoperative pneumonia, is the
second most frequent postoperative … percentage
of postoperative wound infections out of the inpatient setting. … in postoperative days 3–7). … pneumonia, postoperative venous thromboembolic
events; postoperative urinary tract infection; and ventilator
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
June 29, 2016 - 06 Iatrogenic
Pneumothorax
PSI 07 Central Venous
Catheter-Related
Bloodstream Infections
PSI 08 Postoperative … 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
PSI 13 Postoperative
Sepsis
Patient Safety
Own Rate and National … Respiratory Failure Rate
PDI 10 Postoperative
Sepsis Rate
PDI 11 Postoperative
Wound Dehiscence
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - [Fill in postoperative nausea and vomiting prophylaxis that are a component of your intraoperative anesthesia … First postoperative VTE chemoprophylaxis dose
Date:
Time:
· Yes
· No
Multimodal pain management … Date:
Time:
If no, note reason:
· Yes
· No
Postoperative antibiotics administered for emergency … If no, note reason:
Abbreviations: IV = intravenous; N/A = not applicable; POD = postoperative day
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Coding postoperative respiratory failure: perspectives and possible changes. … The postoperative hemorrhage and hematoma patient
safety indicator and its risk factors. … Do postoperative complications vary by hospital teaching
status? Med Care 2008;46(1):25-32. … PDI 09 Postoperative Respiratory
Failure Rate
X Postoperative respiratory failure is acute
in nature … X
PSI 11 Postoperative Respiratory
Failure
X Postoperative respiratory failure is acute
in nature
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - 0 - 0.03771004
PDI8 PDI #8 Perioperative Hemorrhage or Hematoma Rate 0 0 - 0.00462178
PDI9 PDI #9 Postoperative … Respiratory Failure Rate 0 0 - 0.01018098
PDI10 PDI #10 Postoperative Sepsis Rate 0 0 - 0.01602384 … Sepsis Rate 0 0 - 0.01180386
PSI14 PSI #14 Postoperative Wound Dehiscence Rate 0 346 0 0.00186825 … Physiologic
and Metabolic Derangement Rate
0.00047
PSI #11 Postoperative Respiratory
Failure … Sepsis Rate 0.011804
PSI #14 Postoperative Wound
Dehiscence Rate
0 346 0 0.001265 0 0.001868
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - 0.34 0346 2012
PSI 07 Central Venous Catheter-related
Bloodstream Infection Rate
X 0.21
PSI 08 Postoperative … Hip Fracture Rate 0.04
PSI 09 Perioperative Hemorrhage or Hematoma
Rate
X 5.11
PSI 10 Postoperative … Physiologic and Metabolic
Derangement Rate
0.69
PSI 11 Postoperative Respiratory Failure Rate … PSI 12 Perioperative Pulmonary Embolism or
Deep Vein Thrombosis Rate
4.99 0450 2012
PSI 13 Postoperative … Sepsis Rate 9.61
PSI 14 Postoperative Wound Dehiscence Rate X 1.86
PSI 15 Accidental Puncture
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Maintenance of the postoperative dressing for 24–48 hours. … Aims
To identify the critical risk factors for postoperative wound infections. … Results
120 postoperative wound infections identified (6.5% rate). … Risk Factors for Postoperative Infection – Garibaldi et al. … Results
Overall, 120 postoperative wound infections were identified, for a rate of 6.5%.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Procedure level (for peri and postoperative surgeries): type and indication of surgery performed, type … Blood transfusion was a postoperative risk factor for nosocomial infection. … It is estimated that 325000 postoperative wound infections occur each year in the US (3). … The rate of postoperative infection after surgery for spinal tumors is in excess of 10%. … incontinence (bowel or bladder, or both), and any incontinence (preoperative or postoperative).
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Slide 15
Impact of SCIP-Inf-9 on Postoperative UTIs
MV odds ratios for UTI: exempt (8.34), pancreatic … Slide 16
Postoperative Urinary Retention (POUR)
Incidence: varies widely:
General surgery: ~3.8% … Slide 24
Duration of Postoperative Urinary Catheter Use
Question—Appropriate duration of IUC for … Slide 25
Duration of Postoperative Urinary Catheter Use
Question—Duration of IUC use for patients … Slide 27
Duration of Postoperative Urinary Catheter Use
Q—Duration of post-op catheterization for
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ce.effectivehealthcare.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - 17 procedures based on CDC NHSN data
VAP
MPSMS
Ventilator-Associated Pneumonia
VTE
MPSMS
Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
MPSMS
Postoperative Pneumonia
PSI
Iatrogenic … Ulcers
53.03
62.45
0.85
VAP
Ventilator-Associated Pneumonia
1.30
2.67
0.49
VTE
Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
4.00
8.70
0.46
All Other HACs
Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
43,120
32,750,000
1.317
MPSMS
Postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - combined for 17 procedures based on CDC NHSN data
VAP MPSMS Ventilator-Associated Pneumonia
VTE MPSMS Postoperative … Clostridium difficile
MPSMS Mechanical Complications Associated With Central Venous Catheters
MPSMS Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax … Cardiac Events
for Cardiac and Noncardiac
Surgeries
4.00 8.70 0.46
All Other
HACs
Postoperative … Cardiac Events
for Cardiac and Noncardiac
Surgeries
43,120 32,750,000 1.317
MPSMS Postoperative
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh24.html
April 01, 2018 - Numeric
No. of surgeons scrubbed
Abx = antibiotics; Hx = history; OR = operating room; Postop = postoperative
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - management of patients undergoing [specify procedures] that integrates the preoperative, intraoperative, postoperative … ISCR at [Hospital Name] 13
Key Elements Post Anesthesia Care Unit/Postoperative Day 0
Below are examples … of ISCR components that are relevant to the post anesthesia care unit (PACU)/postoperative day 0 work … receive VTE prophylaxis (if not already administered)
ISCR at [Hospital Name] 14
Key Elements Postoperative … Days 1–3
Below are examples of ISCR components that are relevant to patient care in postoperative days
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
August 03, 2016 - staff for improvement
project
Ellen Robinson, PT, a clinical
quality specialist
Quality measure
Postoperative … More
specifically, the QI Toolkit was used to reduce the rate
of DVT/PE among postoperative patients … Initially, the
hospital used the Toolkit to focus on improving performance on PSI 12, postoperative … 03 Pressure Ulcer Rate
• PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate
• PSI 11 Postoperative … Respiratory Failure Rate
• PSI 13 Postoperative Sepsis Rate
• PSI 15 Accidental Puncture or Laceration
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4v_combo_pdi10-sepsis-bestpractices.pdf
May 17, 2016 - Quality and Safety
1 Tool D.4v
Selected Best Practices and Suggestions for Improvement
PDI 10: Postoperative … Sepsis
Why focus on postoperative sepsis in children? … • Postoperative sepsis remains a major surgical complication in children, occurring in around
10 per … Trends in postoperative sepsis: are we improving
outcomes? … Sepsis
Why focus on postoperative sepsis in children?
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - Postoperative Catheter-Associated Urinary Tract Infection
Adult surgery patients age 18 and over with … postoperative catheter-associated urinary tract infection, by sex, 2009-2012
Year
Total
Women … 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 was higher … In 2012, women were 1.5% more likely to have a postoperative CAUTI than men.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
July 06, 2016 - More
specifically, the QI Toolkit was used to reduce the rate
of DVT/PE among postoperative patients … Initially, the
hospital used the Toolkit to focus on improving performance on PSI 12, postoperative … staff for improvement
project
Ellen Robinson, PT, a clinical
quality specialist
Quality measure
Postoperative … Pressure Ulcer Rate
• PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate
• PSI 11 Postoperative … Respiratory Failure Rate
• PSI 13 Postoperative Sepsis Rate
• PSI 15 Accidental Puncture or Laceration
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - Slide 13
Key Elements Post Anesthesia Care Unit/Postoperative Day 0
Below are examples of ISCR components … that are relevant to the PACU/postoperative day 0 work area. … Process for patients to receive VTE prophylaxis (if not already administered)
Slide 14
Key Elements Postoperative … Days 1–3
Below are examples of ISCR components that are relevant to patient care in postoperative days
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ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - carpal tunnel , and total hip and knee replacement , have helped to enhance clinical knowledge on postoperative … department discharges for opioid abuse, dependence, and poisoning; as well as studies of opioid-sparing postoperative … Her research focuses on older patients and aims to mitigate the risk of adverse outcomes related to postoperative … advancements in machine learning are leading to the development of prediction models for perioperative and postoperative