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www.ahrq.gov/research/findings/final-reports/stpra/stpra3.html
April 01, 2018 - across members of the provider team, starting with the primary care physician all the way through the postoperative … Prevention of postoperative infection transmission (e.g., dressing the postoperative wound). … across the various providers, including the physicians, surgeons, and ASC preoperative, operative, and postoperative
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh59-61.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 59 to 61
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles-facnotes.docx
May 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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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-slides.html
March 01, 2017 - Postoperative hemorrhages.
Respiratory failure.
Patient injury.
Treatment errors. … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh53-55.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 53 to 55
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh62-64.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Exhibits 62 to 64
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Table of Contents
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Executive Summary
Chapter 1. Administration
Chapter …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/021-ss-mrsa-surveillance-fg.docx
April 01, 2025 - prevention involve the preoperative clinic and patient’s home and preoperative, operative, and immediate postoperative … Slide 15
MRSA Surveillance in Postoperative Inpatients
SAY:
The focus of this toolkit is on the preoperative … For MRSA surveillance in postoperative inpatients, it is suggested to continue the current approach.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa6.pdf
January 01, 2018 - Birth trauma - injury to neonate per 1,000 selected live births -7.28 -1.12 HCUP 2016
Reclosure of postoperative … 0.00 0.00 HCUP 2016
Obstetric trauma per 1,000 instrument-assisted deliveries 1.39 0.33 HCUP 2016
Postoperative … of 33 potentially
inappropriate prescription medications for older adults
3.26 0.20 MEPS 2016
Postoperative … Obstetric trauma per 1,000 vaginal deliveries without instrument assistance 3.95 1.09 HCUP 2016
Postoperative … of 33 potentially
inappropriate prescription medications for older adults
24.25 1.22 MEPS 2016
Postoperative
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www.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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www.ahrq.gov/sites/default/files/2024-02/miller-birkmeyer-report.pdf
January 01, 2024 - To ensure complete
postoperative mortality, complications, readmission, and payment data, we did not … Adjusted rates of operative mortality, postoperative complications, and hospital readmission
following … a) Operative Mortality
b) Postoperative complications
c) Readmissions
For each panel, the y-axis … Technical quality, as measured by operative mortality,
postoperative complications, and readmissions … Tan HJ, Hafez KS, Ye Z, Wei JT, Miller DC: Postoperative complications and long-term survival among
patients
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal.pptx
April 01, 2022 - default, as part of initial catheter order
Preoperative written order to remove urinary catheter on postoperative … day 1 or 2, depending on surgery
Routine postoperative order Computerized order for urinary catheter … should be avoided, consider removing in the OR, use in the OR and post-op day 1 removal
Standardizing postoperative … PACU (post-anesthesia care unit)
Postoperative Day 1
Other: ___________
WHO Surgical Safety Checklist46
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/qdr2015-ptschartbook.pdf
March 04, 2016 - , postoperative hemorrhage or hematoma, postoperative
respiratory failure, and accidental puncture … , postoperative hemorrhage or hematoma, postoperative
respiratory failure, and accidental puncture … Sepsis
Postoperative sepsis per 1,000 adult discharges with an elective operating
room procedure, … Groups With Disparities:
In 2013, female patients had a lower rate of postoperative sepsis … Trends: From 2008 to 2014, 30-day postoperative mortality after colorectal surgery
improved.
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-e.html
October 01, 2015 - Routine urine output monitoring outside the ICU
Incontinence
Prolonged postoperative use
Morbid
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www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-h.html
October 01, 2015 - indicated for :
Routine urine output monitoring OUTSIDE intensive care
Incontinence
Prolonged postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa5.pdf
January 01, 2018 - 2016
Adults who received a blood cholesterol measurement in the last 5 years 19.30 2.46 NHIS 2017
Postoperative … or more days, adults age
18 and over or obstetric admissions
75.00 4.24 HCUP 2016
Reclosure of postoperative … 1,000
abdominopelvic-surgery admissions of length 2 or more days, adults
51.06 3.58 HCUP 2016
Postoperative … HCUP 2016
Deaths per 1,000 hospital admissions with expected low-mortality 33.33 2.12 HCUP 2016
Postoperative … deep vein thrombosis (DVT) per
1,000 surgical hospital discharges, adults
29.64 6.62 HCUP 2016
Postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-slides.pptx
January 01, 2017 - culture is related to outcomes
Patient outcomes
Patient care experiences
Rates of infection and sepsis
Postoperative … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
May 05, 2008 - Objective: The objective for this project was to better understand
and improve the postoperative handoff … We hypothesized that:
(1) communication errors commonly occur during the postoperative handoff process … multidisciplinary focus group created a list of 18 handoff elements considered essential
to providing postoperative … and “Analyze” steps of the Six
Sigma framework—communication errors frequently occurred during the postoperative … As a result, any deviation from the anticipated postoperative course
is more readily identified.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - 247
Surgery AEs were defined as harm events related to the preoperative care, the
surgery, or the postoperative … The 23 AE classes and their ICD-9-CM codes, cont.
13 Postoperative GI disorders
536.40, 536.42, 536.49 … Two of the PSIs, Postoperative Sepsis and
Accidental Puncture and Laceration, are defined by the same … This class is defined by
the same codes as the Postoperative Sepsis PSI, as mentioned earlier. … The worst performers in this regard were Class 6, Other
Infections; Class 13, Postoperative GI Disorders
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-j.pdf
September 01, 2015 - outside
the ICU
■Incontinence
■Patients transferred from intensive care
to general units
■Prolonged postoperative