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  1. www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb6_geographicdisparities.html
    June 01, 2018 - Difference Z Score Data Year People with a usual primary care provider -23.66 -2.32 2014 Postoperative … discharges of length 2 or more days, age 18 and over or obstetric admissions -29.41 -8.94 2014 Postoperative … surgical drainage or evacuation per 1,000 surgical hospital discharges, adults 0.86 0.25 2014 Postoperative … 2014   Table Title for Measures Same as Reference Relative Difference Z Score Data Year Postoperative … surgical admissions who were not susceptible to falling, adults 7.69 0.45 2014 Reclosure of postoperative
  2. www.ahrq.gov/hai/pfp/hacrate2011-12.html
    January 01, 2018 - 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
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
    May 25, 2016 - 08 Perioperative Hemorrhage or Hematoma Rate 0.0 4.9 0 $75,932 $ - 0 N 6 6 6 Y Y Y Y Y PDI 09 Postoperative … 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
  4. www.ahrq.gov/research/findings/final-reports/stpra/stpraexh10.html
    April 01, 2018 - 0.20 to 0.40 Event 203 Fail to wash hands (non-OR staff) 0.10 to 0.60 Event 404 Poor postoperative … directions to patient 0.15 to 0.50 Event 405 Patient understands, but does not follow, postoperative
  5. www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_60_Measures_List.xlsx
    March 06, 2015 - 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
  6. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh68-70.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 68 to 70 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …
  7. www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_v3_MeasureList.xls
    June 16, 2012 - composite for selected indicators (decibutus ulcer, iatrogenic pneumothorax, infection due to medical care, postoperative … hip fracture, postoperative PV or DVT, postoperative sepsis, postoperative wound dehiscence, accidental … stopped within 24 hours after surgery Y 2.0 SCIP-INF-4 Cardiac Surgery Patients with Controlled 6AM Postoperative … Appropriate Hair Removal Hair removed safely (if needed) Y 2.0 SCIP-INF-9 Urinary Catheter Removal on Postoperative … Day 1 or Postoperative Day 2, with the Day of Surgery Being Day 0 Surgery patients whose urinary catheters
  8. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
    July 06, 2016 - More specifically, the QI Toolkit was used to reduce the rate of DVT/PE among postoperative patients … Initially, the hospital used the Toolkit to focus on improving performance on PSI 12, postoperative … staff for improvement project Ellen Robinson, PT, a clinical quality specialist Quality measure Postoperative … Pressure Ulcer Rate • PSI 07 Central Venous Catheter-Related Blood Stream Infection Rate • PSI 11 Postoperative … Respiratory Failure Rate • PSI 13 Postoperative Sepsis Rate • PSI 15 Accidental Puncture or Laceration
  9. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
    June 01, 2023 - Slide 13 Key Elements Post Anesthesia Care Unit/Postoperative Day 0 Below are examples of ISCR components … that are relevant to the PACU/postoperative day 0 work area. … Process for patients to receive VTE prophylaxis (if not already administered) Slide 14 Key Elements Postoperative … Days 1–3 Below are examples of ISCR components that are relevant to patient care in postoperative days
  10. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh56-58.html
    April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibits 56 to 58 Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Executive Summary Chapter 1. Administration Chapter …
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.pdf
    June 29, 2016 - 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 … Embolism or Deep Vein Thrombosis 7.6 8.0 10 $64,476 $ 644,760 N 7 5 4 Y N Y Y Y PSI 13 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 $ - N 7 7 7 Y Y Y Y Y PDI 10 Postoperative … Sepsis Rate 0.0 16.2 0 $117,815 $ - N 9 10 10 Y Y Y Y Y PDI 11 Postoperative
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - 2.51 82,000 2.51 VAP MPSMS Ventilator-Associated Pneumonia 35,000 1.07 34,000 1.02 VTE MPSMS Postoperative … Mechanical 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
  13. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
    June 05, 2016 - Pediatric Heart Surgery Mortality Rate • PDI 08 Perioperative Hemorrhage or Hematoma Rate • PDI 09 Postoperative … Respiratory Failure Rate • PDI 10 Postoperative Sepsis Rate • PDI 11 Postoperative Wound Dehiscence
  14. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/49-multimodal-analgesia.pptx
    June 01, 2023 - Single dose oral analgesics for acute postoperative pain in adults - an overview of Cochrane reviews. … Perioperative use of gabapentinoids for the management of postoperative acute pain: a systematic review … Postoperative multimodal analgesia pain management with nonopioid analgesics and techniques: a review
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
    March 15, 2016 - Coding postoperative respiratory failure: perspectives and possible changes. … The postoperative hemorrhage and hematoma patient safety indicator and its risk factors. … Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research … Do postoperative complications vary by hospital teaching status? Med Care 2008;46(1):25-32. … PDI 09 Postoperative Respiratory Failure Rate X Postoperative respiratory failure is acute in nature
  16. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools.html
    July 01, 2017 - Engagement: Checklist (recovery) Opportunities for Patient and Family Engagement:  preoperative to postoperative … and family engagement in the order of the patient experience—preoperative, in the operating room, and postoperative
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
    January 01, 2003 - investigators developed a patient telephone survey to assess the incidence of common or undesirable postoperative … Through the patient survey we discuss below, we primarily assess the pre- and postoperative patient … The first attempt to conduct the survey occurred at least 7 days postoperative. … The number of days postoperative that participants were contacted ranged from 7 to 145, with a mean … Despite these limitations, the need to assess surgical preparedness and postoperative self-management
  18. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
    January 01, 2004 - hip fracture and postoperative hemorrhage or hematoma. … Large hospitals had significantly higher rates for postoperative respiratory failure, compared with … Postoperative thromboembolism 0.19% (108) 0.62% (144) 0.13% (48)† 0.59% (69) 0.25%( … 51) 0.67% (54) Postoperative septicemia Postoperative abdominopelvic wound dehiscence 0.5% … physiologic or metabolic derangement and postoperative septicemia), but not for the balance of the
  19. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
    October 01, 2015 - Heart Surgery Volume N/A* 0340 2012 PDI 08 Perioperative Hemorrhage or Hematoma Rate 5.2 PDI 09 Postoperative … Respiratory Failure Rate 14.52 PDI 10 Postoperative Sepsis Rate 14.33 PDI 11 Postoperative Wound
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
    October 01, 2015 - Heart Surgery Volume N/A* 0340 2012 PDI 08 Perioperative Hemorrhage or Hematoma Rate 5.2 PDI 09 Postoperative … Respiratory Failure Rate 14.52 PDI 10 Postoperative Sepsis Rate 14.33 PDI 11 Postoperative Wound

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