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www.innovations.ahrq.gov/news/newsletters/e-newsletter/896.html
January 01, 2024 - Postoperative pneumonia, among the most common complications following cardiac surgery, was associated … 20 percent of patients moved into a higher pneumonia risk category based on their intraoperative and postoperative … These findings may inform future quality improvement efforts to reduce patients’ risks of contracting postoperative
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/873.html
July 01, 2023 - Associated With Cardiac Surgery Infection
Nonadherence to the Society of Thoracic Surgeons’ (STS) postoperative … with the antibiotic timing and weight-adjusted dosing guidelines was associated with higher rates of postoperative … Most providers comply with postoperative guidelines from The Joint Commission’s Surgical Care Improvement
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Consider these business units in your ASC:
4
Operating room team
Preoperative team
Postoperative team … Changes: Introduce short standup meeting for key units (e.g., operating room, preoperative/postoperative
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www.innovations.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.innovations.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
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www.innovations.ahrq.gov/news/newsletters/e-newsletter/803.html
March 01, 2022 - Postoperative Changes in Opioid Use Impact Healthcare Spending . … Postoperative Changes in Opioid Use Impact Healthcare Spending
Patients who utilized opioids chronically
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www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Heart Surgery PDF [ - 74.63 KB] PDI08 Perioperative Hemorrhage or Hematoma PDF [ - 77.91 KB] PDI09 Postoperative … Respiratory Failure PDF [ - 65.96 KB] PDI10 Postoperative Sepsis PDF [ - 112.29 KB] PDI11 Postoperative
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www.innovations.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - 08: In-‐Hospital Fall With 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 Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … PDI 06: Pediatric Heart Surgery Mortality *
PDI 08: Perioperative Hemorrhage or Hematoma
PDI 09: Postoperative … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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www.innovations.ahrq.gov/hai/pfp/hacrate2013-appendix.html
October 01, 2015 - 2.4
VAPs
MPSMS (2013)
Ventilator-Associated Pneumonia
37,000
1.1
VTEs
MPSMS (2013)
Postoperative … Mechanical Complications Associated With Central Venous Catheters
110,000
3.3
MPSMS (2013)
Postoperative … Cardiac Events for Cardiac and Non- cardiac Surgeries
35,000
1.1
MPSMS (2013)
Postoperative
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - cardiac events for cardiac and noncardiac surgery, postoperative pneumonia, iatrogenic pneumothorax, … postoperative
hemorrhage or hematoma, postoperative respiratory failure, and accidental puncture or … cardiac events for cardiac and noncardiac surgery, postoperative pneumonia, iatrogenic pneumothorax, … postoperative
hemorrhage or hematoma, postoperative respiratory failure, and accidental puncture or … For Hispanics, 30-day postoperative
mortality was lower than for Whites (2.2%).
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www.innovations.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
June 01, 2017 - Consider these business units in your ASC:
Operating room team
Preoperative team
Postoperative … Changes: Introduce short standup meeting for key units (e.g., operating room, preoperative/postoperative
-
www.innovations.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
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www.innovations.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.innovations.ahrq.gov/hai/pfp/2015-interim.html
December 01, 2016 - sample used to derive the data in this report may have reduced the preliminary 2015 rate of the MPSMS postoperative … 2.5
VAPs
MPSMS (2015)
Ventilator-Associated Pneumonia
29,000
0.89
VTEs
MPSMS (2015)
Postoperative … Mechanical Complications Associated With Central Venous Catheters
80,000
2.4
MPSMS (2015)
Postoperative … Cardiac Events for Cardiac and Non-Cardiac Surgeries
35,000
1.1
MPSMS (2015)
Postoperative Pneumonia
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www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/natlhacratereport-rebaselining2014-2016_0.pdf
January 01, 2016 - 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 … 0.52
MPSMS Mechanical Complications
Catheters
Associated With Central Venous 58,876 1.98
MPSMS Postoperative … Cardiac
Surgeries
Events for Cardiac and Noncardiac 32,592 1.10
MPSMS Postoperative Pneumonia 88,015
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www.innovations.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.innovations.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
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www.innovations.ahrq.gov/cahps/bibliography/index.html?page=2
January 01, 2024 - increase patient satisfaction with outpatient surgery experience: a randomized controlled trial of postoperative … The association between patient rating of their spine surgeon and quality of postoperative outcome.
-
www.innovations.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 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 … Pneumothorax 7,372 18,948,556
PSI 9, Perioperative Hemorrhage or Hematoma 12,285 5,368,607
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
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www.innovations.ahrq.gov/hai/pfp/2014-final.html
January 01, 2018 - 2.5
VAPs
MPSMS (2014)
Ventilator-Associated Pneumonia
38,000
1.2
VTEs
MPSMS (2014)
Postoperative … Mechanical Complications Associated With Central Venous Catheters
120,000
3.6
MPSMS (2014)
Postoperative … Cardiac Events for Cardiac and Non-Cardiac Surgeries
34,000
1.0
MPSMS (2014)
Postoperative Pneumonia