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psnet.ahrq.gov/node/73184/psn-pdf
April 28, 2021 - Interprofessional training and communication practices
among clinicians in the postoperative ICU handoff … Interprofessional training and communication practices among clinicians in
the postoperative ICU handoff … https://psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-
postoperative-icu … https://psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu … https://psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu
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psnet.ahrq.gov/node/47536/psn-pdf
March 09, 2019 - Evaluation of wound photography for remote
postoperative assessment of surgical site infections. … Evaluation of Wound Photography for Remote Postoperative
Assessment of Surgical Site Infections. … https://psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical- … https://psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections … https://psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
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psnet.ahrq.gov/node/843051/psn-pdf
February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of
Postoperative Cervical Hematoma. … Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical
Hematoma. … https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical … She was observed for 24 hours and discharged home on postoperative day 1. … These two cases demonstrate disparate outcomes in cases of postoperative cervical hematoma.
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www.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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psnet.ahrq.gov/node/46371/psn-pdf
February 14, 2018 - Changing operating room culture: implementation of a
postoperative debrief and improved safety culture … Changing Operating Room Culture: Implementation of a
Postoperative Debrief and Improved Safety Culture … https://psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and … -
improved-safety
Postoperative debriefing is a strategy to improve teamwork. … safety culture,
as measured by the Safety Attitudes Questionnaire, improved after implementation of postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c2_combo_prioritizationworksheetexample.xlsx
June 02, 2025 - 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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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - Hemorrhage or Hematoma Rate
• PSI 10- Postoperative Acute Kidney Injury Requiring
Dialysis Rate
• … PSI 11- Postoperative Respiratory Failure Rate
• PSI 12- Perioperative Pulmonary Embolism or Deep
Vein … Thrombosis (PE/DVT) Rate
• PSI 13- Postoperative Sepsis Rate
• PSI 14 - Postoperative Wound Dehiscence … Accidental Puncture or Laceration Rate
• PDI 05 - Iatrogenic Pneumothorax Rate
• PDI 08 - Postoperative … Hemorrhage or Hematoma Ra
• PDI 09- Po stoperative Respiratory Failure Rate
• PDI 10 - Postoperative
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psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
December 09, 2020 - cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative … 2020
Interprofessional training and communication practices among clinicians in the postoperative … classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-surv-report-2-acute-pain.xlsx
May 29, 2025 - Key Question 5: Postoperative pain (excluding inpatient management of pain following major surgical procedures … complications NR Fair
Brouwers, 2021 Postoperative to outpatient The Netherlands Total knee arthroplasty … care NA 100
A: 50
B: 50 100
A: 50
B: 50 31 100% NR NR NR NR NR 100% Postoperative 0.3 (estimated from … 4-hour postoperative pain: 0.9 (NR) 7 days Every 4 hours while on ward, then daily for 7 postoperative … B
Highest inpatient pain (median [IQR], 0 to 10 NRS): 6 (3-7) vs. 6 (4-7); p=NS
Highest postoperative
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - Predictors of in-hospital postoperative opioid overdose
after major elective operations: a nationally … Predictors of In-hospital Postoperative Opioid Overdose After
Major Elective Operations: A Nationally … https://psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective- … This retrospective study revealed that risk
of postoperative inpatient opioid overdose increased over … Patients with a substance abuse history
were more likely to experience a postoperative opioid overdose
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psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - Postoperative adverse events inconsistently improved by
the World Health Organization surgical safety … Postoperative adverse events inconsistently improved by the
World Health Organization surgical safety … https://psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-
organization-surgical … checklist garnered a great deal of attention after initial
studies showed remarkable reductions in postoperative … complications did not decrease, but postoperative mortality
improved, raising questions about what
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psnet.ahrq.gov/node/39216/psn-pdf
January 13, 2010 - How valid is the ICD-9-CM based AHRQ Patient Safety
Indicator for postoperative venous thromboembolism … How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator
for Postoperative Venous Thromboembolism … https://psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous … -
thromboembolism
Postoperative venous thromboembolism is one of several preventable conditions for … However, this study found that the PSI for postoperative venous thromboembolism lacks
sufficient predictive
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psnet.ahrq.gov/node/39602/psn-pdf
August 09, 2013 - Postoperative handover: problems, pitfalls, and
prevention of error. … Postoperative handover: problems, pitfalls, and prevention of error. … https://psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
This qualitative … study interviewed 18 providers and found that postoperative handovers are informal,
unstructured, and … Prior studies have used insights from Formula One auto
racing to inform improvement strategies for postoperative
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psnet.ahrq.gov/node/40145/psn-pdf
November 14, 2011 - Postoperative sepsis in the United States. … Postoperative sepsis in the United States. … https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
The safety of patients undergoing surgery … A comprehensive surgical care pathway has been shown to
decrease both complications and postoperative … https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
https://psnet.ahrq.gov/primer/checklists
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psnet.ahrq.gov/node/47141/psn-pdf
August 17, 2018 - Association of postoperative readmissions with surgical
quality using a Delphi consensus process to … Association of Postoperative Readmissions With Surgical Quality
Using a Delphi Consensus Process to … https://psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-
consensus-process … Using a modified Delphi process, an expert panel
reviewed 30-day postoperative readmissions over a 7 … The study suggests that more than 50% of postoperative readmissions
may be related to the quality of
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_factsheet.docx
December 01, 2017 - Consider specifying targets for glucose control (e.g., less than 200 mg/dL on postoperative days 1 and … 18–24 hours after anesthesia end time. 4 , 6-9
Evidence of an Association Between Hyperglycemia and Postoperative … complications.10-14
· In a study of general surgery patients, postoperative blood glucose was the only … Cardiac Surgery Patients with Controlled Postoperative Blood Glucose. … Postoperative hyperglycemia and surgical site infection in general surgery patients.
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
December 01, 2017 - To be consistent with the Surgical Care Improvement Project measures, SHEA and IDSA suggest focusing postoperative … Consider specifying targets for glucose control (e.g., less than 200 mg/dL on postoperative days 1 and … complications. 10-14
In a study of general surgery patients, postoperative blood glucose was the only … Cardiac Surgery Patients with Controlled Postoperative Blood Glucose. Washington, DC: NQF, 2013. … Postoperative hyperglycemia and surgical site infection in general surgery patients.
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psnet.ahrq.gov/issue/impact-weekend-effect-postoperative-mortality-patients-undergoing-emergency-general-surgery
December 04, 2016 - Review
Impact of weekend effect on postoperative mortality in patients undergoing … Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery … This meta-analysis pooled data from over 390,000 patients and found there was a higher risk of postoperative … Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/app-e-surv-report-3-acute-pain.xlsx
May 29, 2025 - complications NR Fair
Brouwers, 2021 Postoperative to outpatient The Netherlands Total knee arthroplasty … care NA 100
A: 50
B: 50 100
A: 50
B: 50 31 100% NR NR NR NR NR 100% Postoperative 0.3 (estimated from … opt-in narcotics treatment vs. usual care A: Preoperative opioids education (postoperative opt-in narcotics … 4-hour postoperative pain: 0.9 (NR) 7 days Every 4 hours while on ward, then daily for 7 postoperative … B
Highest inpatient pain (median [IQR], 0 to 10 NRS): 6 (3-7) vs. 6 (4-7); p=NS
Highest postoperative
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psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
March 09, 2022 - Study
Cognitive bias impact on management of postoperative complications, medical … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … See More About The Topic
Operating Room
Quality and Safety Professionals
Surgery
Postoperative