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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/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/news/newsroom/case-studies/201537.html
January 01, 2016 - Surgical teams also attend a postoperative briefing before leaving the operating room after each procedure
-
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-2/001-ss-antimicrobial-prophylaxis-1-fg.docx
April 01, 2025 - The postoperative phase contains recommendations for prophylaxis duration. … 27
Key Takeaways
SAY:
In summary, surgical antimicrobial prophylaxis is a key strategy to prevent 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
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt3.pdf
June 01, 2014 - NQS Priority: Patient Safety
Postoperative Sepsis
Postoperative sepsis per 1,000 adult discharges … ■ In 2009 and 2011, Hispanic men had higher rates of postoperative sepsis than Hispanic
women. … Postoperative sepsis per 1,000 adult discharges with an elective operating room
procedure, by patient … Postoperative sepsis per 1,000 adult discharges with an elective operating room
procedure, by patient … Sepsis
Postoperative Sepsis, by Patient Language
Use of Restraints in Nursing Homes
NQS Priority
-
www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt3.html
May 01, 2018 - Access and Priorities of the National Quality Strategy
NQS Priority:Patient Safety
Slide 22
Postoperative … Overall Rate: In 2011, the postoperative sepsis rate was 16.4 per 1,000 adult discharges with an elective … In 2009 and 2011, Hispanic men had higher rates of postoperative sepsis than Hispanic women. … Slide 23
Postoperative sepsis per 1,000 adult discharges with an elective operating room procedure … , by patient language, California, 2009-2011 (combined)
Image: Chart shows postoperative sepsis per
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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/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
June 01, 2023 - Interprofessional training and communication practices among clinicians in the postoperative ICU handoff … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive … Ascertaining design requirements for postoperative care transition interventions.
-
www.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
-
www.ahrq.gov/sites/default/files/2024-10/glance-report.pdf
January 01, 2024 - We estimated the independent effect of individual postoperative complications on in-
hospital mortality … greater than or equal to 20% for four of the eight PSIs examined: decubitus ulcer,
failure-to-rescue, postoperative … physiologic and metabolic derangement, and
postoperative pulmonary embolism or deep venous thrombosis … For decubitus ulcer,
failure-to-rescue, and postoperative pulmonary embolism or DVT, the intraclass- … There is a strong association between postoperative complications and in-hospital
mortality.
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Is plan for postoperative transition of care communicated? … Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following … Plan postoperative beta blockers, if applicable.
-
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/research/findings/final-reports/ssi/ssiapv.html
April 01, 2018 - Electronic surveillance of antibiotic exposure and coded discharge diagnoses as indicators of postoperative … Enhanced identification of postoperative infections among outpatients. … Enhanced identification of postoperative infections among inpatients. … Use of antibiotic exposure to detect postoperative infections. … Detection of postoperative surgical-site infections: comparison of health plan-based surveillance with
-
www.ahrq.gov/patient-safety/resources/learning-lab/owll-long-desc.html
August 01, 2025 - Enhanced digital sedation forms that documented preoperative, intraoperative, and postoperative details
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
April 01, 2018 - For instance, a recent study showed that NLP could identify a number of postoperative surgical complications
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2018qdr-appa4.pdf
January 01, 2018 - Poor People Same as High-Income People
Relative
Difference
Z
Score
Data
Source
Data
Year
Postoperative … a health professional about eating fewer
high-fat or high-cholesterol foods
9.9 2.23 MEPS 2016
Postoperative … HCUP_NEDS 2016
Children ages 2-17 who had a dental visit in the calendar year 63.8 8.76 MEPS 2016
Postoperative … Adults who had a preventive dental service in the calendar year 63.4 20.47 MEPS 2016
Reclosure of postoperative … 12 months whose health providers
always offered help in filling out forms
-2.9 -1.39 MEPS 2016
Postoperative