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preventiveservices.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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preventiveservices.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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preventiveservices.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
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preventiveservices.ahrq.gov/hai/pfp/hacrate2011-12.html
January 01, 2018 - 2.51
VAP
MPSMS
Ventilator-Associated Pneumonia
35,000
1.07
34,000
1.02
VTE
MPSMS
Postoperative … Complications Associated With Central Venous Catheters
130,000
3.84
120,000
3.74
MPSMS
Postoperative … Cardiac Events for Cardiac and Non-cardiac Surgeries
45,000
1.38
58,000
1.78
MPSMS
Postoperative
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Postoperative pneumonia, among the most common complications following cardiac surgery, was associated … 20 percent of patients moved into a higher pneumonia risk category based on their intraoperative and postoperative … These findings may inform future quality improvement efforts to reduce patients’ risks of contracting postoperative
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/873.html
July 01, 2023 - Associated With Cardiac Surgery Infection
Nonadherence to the Society of Thoracic Surgeons’ (STS) postoperative … with the antibiotic timing and weight-adjusted dosing guidelines was associated with higher rates of postoperative … Most providers comply with postoperative guidelines from The Joint Commission’s Surgical Care Improvement
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Heart Surgery PDF [ - 74.63 KB] PDI08 Perioperative Hemorrhage or Hematoma PDF [ - 77.91 KB] PDI09 Postoperative … Respiratory Failure PDF [ - 65.96 KB] PDI10 Postoperative Sepsis PDF [ - 112.29 KB] PDI11 Postoperative
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preventiveservices.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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preventiveservices.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-fac-notes.html
June 01, 2017 - the beginning of the day; it focuses on a specific team, such as an operating room team, or the pre/postoperative … For example, if OR and pre- and postoperative staffs cannot be available at the same time in the same … Consider the OR and pre/postoperative staffs; identify a nurse manager who is interested in this work
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preventiveservices.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
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preventiveservices.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
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preventiveservices.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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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - Effect of postoperative antibiotic administration on postoperative infection following cholecystectomy
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preventiveservices.ahrq.gov/news/newsroom/press-releases/significant-patient-safety-improvement.html
July 01, 2022 - post-procedure events such as those associated with hip joint or knee joint replacement surgeries or postoperative
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - Delirium is associated
with increased mortality, postoperative complications, longer lengths of stay … A preoperative, nurse-led intervention program reduces acute postoperative
delirium. … SICU stay of 3
days or more
Intensive
care
Postoperative delirium occurred
significantly less … Duration of postoperative delirium
was significantly less among
intervention than control group
patients … Multicomponent nonpharmacological
interventions reduced incidence and
duration of postoperative delirium
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/858.html
April 01, 2023 - The optimization of postoperative radiotherapy in de novo stage IV breast cancer: evidence from real-world
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preventiveservices.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
October 01, 2015 - $17,000 .072
Surgical Site Infections $21,000 .028
Ventilator-Associated
Pneumonia
$21,000 .144
Postoperative … 79,000 2.4
VAPs MPSMS (2013) Ventilator-Associated
Pneumonia
37,000 1.1
VTEs MPSMS (2013) Postoperative … Mechanical
Complications
Associated With
Central Venous
Catheters
110,000 3.3
MPSMS (2013) Postoperative … Cardiac
Events for Cardiac and
Non- cardiac
Surgeries
35,000 1.1
MPSMS (2013) Postoperative … C, Neuhauser, et al, Adherence to Surgical Care Improvement Project measures and association
with postoperative
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/huddles-component-kit.docx
May 01, 2017 - Need also to decide on how any concerns are communicated to pre/postoperative staff and surgeons or proceduralists
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/safe_surgery_finalreport.pdf
December 01, 2017 - bloodstream infection, ventilator-associated pneumonia) and post-procedural adverse events (e.g.,
postoperative … blood glucose)
is kept under good control 18–24 hours after surgery
Urinary catheter removed on
postoperative … day 1 or
postoperative day 2 with day of
surgery being day 0
Surgery patients whose urinary catheters … surgery, anesthesia, pain
management, and recovery plan
Preoperative multimodal analgesia
and postoperative … or 1 hour after epidural
placement, if applicable
(VTE prevention)
Remove urinary catheter on
postoperative
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preventiveservices.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