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  1. Intro (pdf file)

    www.ahrq.gov/downloads/monahrq/pdf/MONAHRQ1_0and1_1Comparison.pdf
    November 23, 2010 - Affected Indicator: Postoperative physiologic and metabolic derangements (PSI 10) MONAHRQ 1.0 is including … hip fracture (PSI 8)   Postoperative hemorrhage or hematoma (PSI 9)  Postoperative physiologic … and metabolic derangements (PSI 10)   Postoperative respiratory failure (PSI 11)   Postoperative … pulmonary embolism or deep vein thrombosis (PSI 12)   Postoperative sepsis (PSI 13)   Postoperative …   Iatrogenic pneumothorax (PSI 22)   Selected infections due to medical care (PSI 23)   Postoperative
  2. www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_41_Measure_List.xlsx
    February 20, 2014 - changes in internal body functions after surgery N 1.0 PSI11 Postoperative Respiratory Failure Rate … Breathing failure after surgery Y 1.0 PSI12 Postoperative Pulmonary Embolism or Deep Vein Thrombosis … Rate Blood clot in the lung or leg vein after surgery Y 1.0 PSI13 Postoperative Sepsis Rate Severe … bloodstream infection after surgery N 1.0 PSI14 Postoperative Wound Dehiscence Rate Surgical wound … hip fracture, postoperative PV or DVT, postoperative sepsis, postoperative wound dehiscence, accidental
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/3-program-overview.pptx
    June 01, 2023 - Analg. 2019 Preoperative components resulted in: Decreased complications,  LOS,  pain,  SSI Postoperative … Decreased pain,  PONV,  opioid use Decreased pulmonary complications Decreased morbidity,  LOS Postoperative … Immediate preoperative components resulted in: Decreased infectious complications,  postoperative morbidity … Intraoperative component (Laparoscopic surgical technique) resulted in: Decreased SSI,  postoperative … pain,  LOS Postoperative components resulted in: Decreased infectious complications; may  gastrointestinal
  4. www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
    April 01, 2018 - In many cases, postoperative admission was indicative for admission due to a postoperative wound. … For the derivation dataset, three factors (postoperative admission within 30 days, postoperative hematocrit … , and postoperative hemoglobin) remained significant in the model, and only postoperative admission remained … For the derivation dataset, only two (postoperative admission within 30 days and postoperative hematocrit … Again, only postoperative admission within 30 days was significant in all three tests.
  5. www.ahrq.gov/news/newsroom/case-studies/201619.html
    February 01, 2017 - measured a 21 percent decrease in the rate of deep vein thrombosis or pulmonary embolism (DVT/PE) among postoperative … Post-intervention (Jan–Sep 2015) Impact (in 3 years, 9 months) Rate of DVT/PE among postoperative … resources to reduce: Pressure ulcers Central venous catheter-related blood stream infections Postoperative … respiratory failures Postoperative sepsis Accidental punctures or lacerations "We no longer
  6. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh24.html
    April 01, 2018 - Numeric No. of surgeons scrubbed Abx = antibiotics; Hx = history; OR = operating room; Postop = postoperative
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
    July 01, 2016 - 9 Perioperative Hemorrhage or Hematoma   3.0 3.5 1 $59,727 $ 59,727 N 4 3 2 Y Y Y Y Y PSI 10 Postoperative … Physiologic and Metabolic Derangement 0.9 1.5 4 $120,629 $ 482,516 N 3 3 2 Y Y Y Y Y PSI 11 Postoperative … Sepsis 12.7 11.7 15 $49,215 $ 738,225 N 9 7 3 Y Y Y Y Y PSI 14 Postoperative Wound Dehiscence … Respiratory Failure Rate 0.0 11.0 0 $140,507 $ - 0 N 7 7 7 Y Y Y Y Y PDI 10 Postoperative Sepsis … Rate 0.0 16.2 0 $117,815 $ - 0 N 9 10 10 Y Y Y Y Y PDI 11 Postoperative Wound Dehiscence Rate
  8. www.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 … 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
  9. www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
    January 01, 2024 - nursing instructions, postoperative visit). … Session 2: Understanding Postoperative Pain Pathophysiology of Postoperative Pain Brooke Chidgey, MD … For patients, working to establish realistic goals surrounding postoperative function and educating … wean patients off opioids, and managing chronic or persistent postoperative pain. … Overprescription of postoperative narcotics: a look at postoperative pain medication delivery, consumption
  10. www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - It also assessed systemic levels of vancomycin following topical application, changes in postoperative … Scope: Postoperative SSIs in neurosurgical patients carry a significant risk of increased morbidity and … Patients transferred to the NICU had urinary catheters removed on postoperative day 2 (POD 2). … Outcomes The primary outcome was a surgical site infection (SSI) by postoperative day (POD) 30. … Microbiology cultures were evaluated based on frequency of pre- and postoperative S.
  11. www.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
    April 01, 2018 - Enhanced identification of postoperative infections among outpatients. Emerg Infect Dis. … Enhanced identification of postoperative infections among inpatients. Emerg Infect Dis. … Part one: C-reactive protein and leukocyte count as an aid in diagnosing postoperative infection]. … The value of C-reactive protein for postoperative monitoring of lower limb arthroplasty. … Use of antibiotic exposure to detect postoperative infections. Infect Control Hosp Epidemiol.
  12. www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_40_Measure_List.xls
    April 23, 2013 - Hip Fracture Rate Hip fracture after surgery N -- 1.0 PSI9 Postoperative Hemorrhage or Hematoma Rate … Bleeding or bruising after surgery N -- 1.1 PSI10 Postoperative Physiologic and Metabolic Derangement … Vein Thrombosis Rate Blood clot in the lung or leg vein after surgery Y 0450 1.0 PSI13 Postoperative … Sepsis Rate Severe bloodstream infection after surgery N -- 1.0 PSI14 Postoperative Wound Dehiscence … hip fracture, postoperative PV or DVT, postoperative sepsis, postoperative wound dehiscence, accidental
  13. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-material-guide.html
    May 01, 2017 - Materials: Slides 4-7 Audience: All staff, including pre- and postoperative care staff Topic: Patient … Materials: Slides 8-10 Audience: All staff, including pre- and postoperative care staff Topic: Barriers … Tool Audience: All staff, including pre- and postoperative care staff Topic: General Communication … Materials: Slides 13-29 and tools Audience: All staff including pre- and postoperative care staff
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
    April 28, 2008 - PE/DVT (70 percent), and postoperative wound dehiscence (58 percent). … sepsis (0.25 - 2.25) (0.83 - 1.75) (0.19 - 2.19) (0.70 – 1.29) 0.53 1.58 0.55 1.40 Postoperative … Our findings of higher rates of selected infections due to medical care and postoperative PE/DVT in … PSIs (postoperative PE/DVT and postoperative wound dehiscence). … Postoperative adverse events in teaching and nonteaching hospitals.
  15. www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
    September 01, 2018 - Results The most common risk factor identified during 16 of the 18 different iterations was postoperative … Indicative of need for hospitalization for postoperative wound treatment.
  16. www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_50_Measure_List.xlsx
    August 05, 2014 - How often patients break a hip bone when in the hospital recovering from a surgery No — 1.0 PSI 09 Postoperative … a breathing machine after surgery because they could not breathe on their own Yes 0533 1.0 PSI 12 Postoperative … Sepsis Rate How often patients get a serious bloodstream infection after surgery No — 1.0 PSI 14 Postoperative … hip fracture, postoperative PV or DVT, postoperative sepsis, postoperative wound dehiscence, accidental … day 1 (POD 1) or postoperative day 2 (POD 2) with day of surgery being day zero Surgery patients who
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
    May 01, 2017 - Materials: Slides 4-7 Audience: All staff, including pre- and postoperative care staff Topic: Patient … Materials: Slides 8-10 Audience: All staff, including pre- and postoperative care staff Topic: Barriers … Environment Module Material Use Guide Material Use Guide Audience: All staff, including pre- and postoperative … Materials: Slides 13-29 and tools Audience: All staff including pre- and postoperative care staff
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
    July 01, 2004 - pneumonia, postoperative venous thromboembolic events; postoperative urinary tract infection; and … Our second topic not rated by AHRQ, postoperative pneumonia, is the second most frequent postoperative … percentage of postoperative wound infections out of the inpatient setting. … in postoperative days 3–7). … pneumonia, postoperative venous thromboembolic events; postoperative urinary tract infection; and ventilator
  19. www.ahrq.gov/downloads/pub/advances/vol2/Hunt.pdf
    July 01, 2004 - pneumonia, postoperative venous thromboembolic events; postoperative urinary tract infection; and … Our second topic not rated by AHRQ, postoperative pneumonia, is the second most frequent postoperative … percentage of postoperative wound infections out of the inpatient setting. … in postoperative days 3–7). … pneumonia, postoperative venous thromboembolic events; postoperative urinary tract infection; and ventilator
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.pdf
    June 29, 2016 - 06 Iatrogenic Pneumothorax PSI 07 Central Venous Catheter-Related Bloodstream Infections PSI 08 Postoperative … 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 PSI 13 Postoperative Sepsis Patient Safety Own Rate and National … Respiratory Failure Rate PDI 10 Postoperative Sepsis Rate PDI 11 Postoperative Wound Dehiscence

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