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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh7.html
April 01, 2018 - culture and postoperative antibiotics, and the maximum postoperative leukocyte count is not less than … postoperative neutrophil percentage is not less than 67.3
Absence of a postoperative culture and … one of the following criteria:
Postoperative antibiotics given and any postoperative leukocyte … count test drawn
Postoperative antibiotics not given, but the patient had a postoperative admission … a postoperative culture and postoperative antibiotics were given and the maximum postoperative leukocyte
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4u_combo_pdi09-postoprespfailure-bestpractices.pdf
May 17, 2016 - Respiratory Failure
Why focus on postoperative respiratory failure in children? … • Even though there is debate regarding the definition of true postoperative respiratory failure,
it … Why focus on postoperative respiratory failure? [PowerPoint]. … Postoperative pulmonary complications: an update on risk assessment and
reduction. … Respiratory Failure
Why focus on postoperative respiratory failure in children?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Wound Dehiscence
Why focus on postoperative wound dehiscence in children? … • Like adults, children can experience wound dehiscence as a postoperative complication;
children under … • Postoperative wound dehiscence occurs in about 8 per 10,000 pediatric surgical discharges.1
• The … reported mortality rate for children with postoperative wound dehiscence is between 8
percent and … Be mindful that smoking poses an increased risk
of postoperative wound dehiscence.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
May 20, 2016 - Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence? … • Not only does postoperative wound dehiscence cause patient harm, it also significantly
increases … • Educate patient about risk factors of noncompliance with postoperative instructions. … Postoperative Care. … Wound Dehiscence
Why Focus on Postoperative Wound Dehiscence?
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh44-46.html
April 01, 2018 - hemoglobin
0.272209
0.822076
0.42317
Preop hemoglobin
-0.0374
-0.0374
0.79751
Postop = postoperative … hemoglobin
0.310595
1.163695
0.24698
Preop hemoglobin
-0.04081
-0.31694
0.75426
Postop = postoperative … hemoglobin
0.304609
1.439065
0.16263
Preop hemoglobin
-0.07631
-0.6829
0.51247
Postop = postoperative
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh35-37.html
April 01, 2018 - rheumatism
1.80024
1.428812
0.15310
Wound class
0.812588
1.409284
0.15876
Postop = postoperative … rheumatism
0.632211
0.536855
0.59137
Wound class
0.407113
0.76837
0.44228
Postop = postoperative … of rheumatism
1.226935
1.51136
0.13070
Wound class
0.490776
1.44229
0.14923
Postop = postoperative
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
April 01, 2018 - hemoglobin
0.013404
0.231
0.82005
Surgery duration
0.007371
2.714224
0.00665
Postop = postoperative … hemoglobin
0.019021
0.361141
0.44228
Surgery duration
0.002467
1.890769
0.05866
Postop = postoperative … hemoglobin
0.014634
0.464605
0.64256
Surgery duration
0.003186
2.997669
0.00272
Postop = postoperative
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 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
PSI 14 Postoperative Wound Dehiscence … Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4g_combo_psi10-postopmetaderangement-bestpractices.pdf
May 20, 2016 - Physiologic and Metabolic Derangement
Why Focus on Postoperative Physiologic and Metabolic Derangement … Manage Prevention Strategies
for Postoperative Patients
Avoid risk factors for acute renal failure … in postoperative
patients. … strategies to prevent acute renal failure into the care of
postoperative patients7-10:
o Identify … Prevention of postoperative acute renal failure. J Postgrad Med 2002;48(1):64-
70.
8.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh29-31.html
April 01, 2018 - CABG = coronary artery bypass grafting; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative … CABG = coronary artery bypass grafting; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative … CABG = coronary artery bypass grafting; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
April 01, 2018 - Not only were history of MRSA infection and a postoperative admission within 30 days significant in all … As before, postoperative admission was indicative for admission due to a postoperative wound. … In this case, only postoperative admission within 30 days and BMI was significant in all three tests. … Only postoperative admission within 30 days was significant in all three tests. … Postop hematocrit along with postoperative admission within 30 days was significant in all three tests
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh41-43.html
April 01, 2018 - hematocrit
-0.03908
-1.20797
0.22750
MRSA = methicillin-resistant Staphlococcus aureus ; Postop = postoperative … hematocrit
-0.07291
-1.99583
0.04627
MRSA = methicillin-resistant Staphlococcus aureus ; Postop = postoperative … hematocrit
-0.05078
-2.00126
0.04697
MRSA = methicillin-resistant Staphlococcus aureus ; Postop = postoperative
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh32-34.html
April 01, 2018 - 2.02865
0.04249
BMI = body mass index; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative … 1.3105
0.19003
BMI = body mass index; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative … 2.36402
0.01809
BMI = body mass index; MRSA = methicillin-resistant Staphylococcus aureus ; Postop = postoperative
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapamattabs.html
April 01, 2018 - Joint Infection Following Total Joint Arthroplasty *
Risk Factors
Barbari et al. 3
Postoperative … Comorbidities (increased Charlson index)
Lack of use of antibiotic impregnated cement
Postoperative … Preoperative, Intraoperative, and Postoperative Strategies Used to Decrease the Rate of Periprosthetic … Personalized protection suit
Surgical environment
Operating room traffic
Airflow
Postoperative … further divided into an early period (prior to the day of surgery) and the day of surgery, whereas the postoperative
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Hip Fracture Rate
• PSI 09 Perioperative Hemorrhage or Hematoma Rate
• PSI 10 Postoperative Physiologic … and Metabolic Derangement Rate
• PSI 11 Postoperative Respiratory Failure Rate
• PSI 12 Perioperative … Pulmonary Embolism or Deep Vein Thrombosis Rate
• PSI 13 Postoperative Sepsis Rate
• PSI 14 Postoperative … 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
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www.qualitymeasures.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.
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/ssi/ssiexh12.html
April 01, 2018 - integer [0,1]
0 if routine surveillance found no infection; 1 for + organ space SSI
postopabx
postoperative … 1 if any antibiotics given between postop day 3 and 30, but not day -1 to -7; else 0
postopcx
postoperative … integer [0,1]
1 if any microbiology culture sent between postop day 3 and 30; else 0
postopadmit
postoperative
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www.qualitymeasures.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
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www.qualitymeasures.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 Wound Dehiscence … KB] 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
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www.qualitymeasures.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.