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monahrq.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Postoperative Changes in Opioid Use Impact Healthcare Spending . … Postoperative Changes in Opioid Use Impact Healthcare Spending
Patients who utilized opioids chronically
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monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - 08: In-‐Hospital Fall With 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 Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … PDI 06: Pediatric Heart Surgery Mortality *
PDI 08: Perioperative Hemorrhage or Hematoma
PDI 09: Postoperative … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - cardiac events for cardiac and noncardiac surgery, postoperative pneumonia, iatrogenic pneumothorax, … postoperative
hemorrhage or hematoma, postoperative respiratory failure, and accidental puncture or … cardiac events for cardiac and noncardiac surgery, postoperative pneumonia, iatrogenic pneumothorax, … postoperative
hemorrhage or hematoma, postoperative respiratory failure, and accidental puncture or … For Hispanics, 30-day postoperative
mortality was lower than for Whites (2.2%).
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monahrq.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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monahrq.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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monahrq.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
-
monahrq.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
-
monahrq.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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monahrq.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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monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module1/m1evidencebase.html
March 01, 2014 - 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 Health … Teamwork climate and postoperative sepsis in the surgical operating room.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - 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 … Perioperative
Hemorrhage or Hematoma
12,285 5,368,607 16,264 7,087,787 15,709 7,044,598
PSI 11, Postoperative … 32,773 1.10 28,768 0.97 22,103 0.74 45,886 1.54
for Cardiac and
Noncardiac
Surgeries
MPSMS Postoperative
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monahrq.ahrq.gov/cahps/bibliography/index.html?page=2
January 01, 2024 - increase patient satisfaction with outpatient surgery experience: a randomized controlled trial of postoperative … The association between patient rating of their spine surgeon and quality of postoperative outcome.
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 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 … Pneumothorax 7,372 18,948,556
PSI 9, Perioperative Hemorrhage or Hematoma 12,285 5,368,607
PSI 11, Postoperative … 32,773 1.10 28,768 0.97 22,103 0.74 45,886 1.54
for Cardiac and
Noncardiac
Surgeries
MPSMS Postoperative
-
monahrq.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 2.5
VAPs
MPSMS (2014)
Ventilator-Associated Pneumonia
38,000
1.2
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 Pneumonia
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-march2016.pptx
January 01, 2016 - Expansion of the Surgical APGAR Score Across All Surgical Subspecialties as a Means to Predict Postoperative … Development and Validation of an intraoperative predictive model for unplanned postoperative intensive
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monahrq.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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monahrq.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
-
monahrq.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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monahrq.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Patient Safety Measures
Percentage of surgery patients with surgical complications or postoperative
-
monahrq.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