-
www.ahrq.gov/sites/default/files/2024-09/weissman-report.pdf
January 01, 2024 - PSIs that could be assigned to
a single day: complications of anesthesia, retained foreign bodies, postoperative … Results: For Aim 1, four of the eight complications occurred more frequently on
weekends: postoperative … such as
coagulopathy or anemia, may be important confounders of some of the complications,
such as postoperative … Only one of the four surgical complications – postoperative hemorrhages –
occurred more frequently on … Our results show that, for surgical cases, there is a small but significantly
increased risk of postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
April 01, 2025 - key perioperative phases to target MRSA and SSIs: office/home, preoperative, surgery, and immediate postoperative … maintain normothermia, glycemic control, operative room (OR) traffic, environmental cleaning
· Immediate postoperative … SSIs are also associated with additional postoperative hospital days.
-
www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Overall adverse event
(AE) occurrence and types of AE occurrence during the 30-day postoperative follow-up … The strong association between Medicaid and
postoperative AEs in our study is consistent with previous … of these studies used a prospective registry and found Medicaid status to be associated with
higher postoperative … decreases this inaccuracy.7 However, database studies still are predicated on the assumption that
postoperative … Risk
factors and associated complications for postoperative urinary retention after lumbar
surgery for
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
July 01, 2003 - selection of the appropriate antibiotic, timing of administration, redosing,
dose adjustment, and postoperative … antibiotics prior to surgery is commonplace and of proven benefit in many
circumstances to minimize postoperative … the
database were derived from the literature review that identified a variety of pre-,
intra-, and postoperative … Protocol-specified postoperative duration of AMP
Figure 1 depicts the breakdown of the types of procedures … The implementation of preoperative standing orders that included
prophylaxis, coupled with postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - patient medical history, normal behaviors of patient
Gives opportunity to teach family members about postoperative … patients and their family members should expect to—
Be educated about preoperative, operative, and postoperative … care
For Family Member
Understanding of the importance of family involvement in preoperative and postoperative … and family to ask their health care providers before, during, and after a procedure
Preoperative and postoperative
-
www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-j.html
October 01, 2015 - outside the ICU
Incontinence
Patients transferred from intensive care to general units
Prolonged postoperative
-
www.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
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraexh9.html
April 01, 2018 - Patient fails to notice infection during home care
Event 433 (0.05)
Patient has organism at postoperative
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www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
October 01, 2015 - PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative Hemorrhage or Hematoma Rate
PDI 09 Postoperative … Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
January 01, 2006 - Surgery Volume 0
PDI 08 Perioperative Hemorrhage or Hematoma Rate 0.00248 0
PDI 09 Postoperative … Respiratory Failure Rate 0.01132 0
PDI 10 Postoperative Sepsis Rate 0 0 0.0432385 0.01989 - … 100 -100 117.3881347411 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - present 55 (43) 386 (64)
Length of operation, mean hours (range) 4.9 (1.5-12.2) 4.2 (1.0-14.0)
POSTOPERATIVE … and surgical patients had hyperglycemia
26% diabetic
12% nondiabetic
In cardiac surgery, degree of postoperative … hyperglycemia correlates with SSI, adopted as SCIP measures
Postoperative Glucose Levels
Infection … Smaller studies of general surgery patients also support a correlation between postoperative glucose … Chart1
Before
After
Column3
% of Patient
Temperature Compliant
Temperature > 36 °C Postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Cunningham_11.pdf
January 29, 2008 - Postoperative hemorrhage or hematoma
10. … Postoperative physiologic and metabolic
derangement
11. … Postoperative pulmonary embolism or deep
vein thrombosis
12. … Postoperative respiratory failure
13. Postoperative sepsis
14. … Postoperative wound dehiscence
15. Transfusion reaction
Treatment
5.
-
www.ahrq.gov/teamstepps-program/evidence-base/emergency.html
June 01, 2023 - Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/117-decolonization-agent-one-pager.docx
April 01, 2025 - Intranasal mupirocin to prevent postoperative Staphylococcus aureus infections.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - Intranasal mupirocin to prevent postoperative Staphylococcus aureus infections.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
December 01, 2017 - Implementation
Debriefing: One Team’s Approach
Two-sided form with four sections
Preoperative
Intraoperative
Postoperative … After the debriefing is complete, the nurse takes the patient to the postoperative area and performs … communication tool
INTRAOP
Back of the form
Operating room nurse coordinates
Verify procedure, specimen, and postoperative … communication tool
INTRAOP
Back of the form
Operating room nurse coordinates
Verify procedure, specimen, and postoperative
-
www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-fact-sheet.html
January 01, 2017 - tidal volume ventilation, moderate PEEP, and repeated recruitment maneuvers can markedly help improve postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-factsheet.docx
January 01, 2017 - tidal volume ventilation, moderate PEEP, and repeated recruitment maneuvers can markedly help improve postoperative
-
www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
January 01, 2024 - may be greatest during surgery, yet there is very little
perioperative (i.e., preoperative through postoperative … 6% of all patients were neonates, but they accounted for 60% and 16% of the
total observed 30-day postoperative … the
NICU-to-OR handover (i.e., preoperative) and ending 1 hour after the OR-to-NICU
handover (i.e., postoperative … R01) study to measure the impact of CM in perioperative teams on NREs and, most
importantly, 30-day postoperative … Descriptive Statistics for Pooled (N = 370 cases) Case-Level
Postoperative SOS Responses at VUMC (N