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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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psnet.ahrq.gov/node/838068/psn-pdf
September 14, 2022 - Potentially inappropriate medication administration is
associated with adverse postoperative outcomes … Potentially inappropriate medication administration is
associated with adverse postoperative outcomes … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-
postoperative-outcomes … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
July 01, 2020 - Acute Kidney Injury Requiring Dialysis Rate
PSI 11 Postoperative Respiratory Failure Rate
PSI … 12 Perioperative Pulmonary Embolism (PE) or Deep Vein Thrombosis (DVT) Rate
PSI 13 Postoperative … Sepsis Rate
PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Abdominopelvic Accidental Puncture … Acute Kidney Injury Requiring
Dialysis Rate
0.3584 0.0340 0.0623
PSI 11 Postoperative Respiratory … Sepsis Rate 0.3102 0.1510 0.2395
PSI 14 Postoperative Wound Dehiscence Rate 0.1441 0.0137 0.0101
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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/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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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 2016 - Respiratory Failure
Why Focus on Postoperative Respiratory Failure? … Postoperative Respiratory Failure Risk Calculator
http://www.qxmd.com/calculate-online/respirology/postoperative-respiratory-failure-risk … 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?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/43-pathway-worksheet.docx
June 01, 2023 - VTE Prophylaxis 34
Postoperative Multimodal Pain Management 35
Postoperative Early Alimentation 36
Postoperative … Early Mobilization 37
Prevention of Postoperative Ileus and Constipation 38
Postoperative Indwelling … Urinary Catheter Avoidance or Early Removal 39
Postoperative IV Fluid Discontinuation 40
Postoperative … Antibiotics 41
Postoperative Discharge Pain Control 42
Postoperative Discharge Planning 43
Appendix: … Prevention of Postoperative Ileus and Constipation
Use of postoperative laxatives and chewing gum
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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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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/association-surgical-resident-wellness-medical-errors-and-patient-outcomes
November 20, 2019 - well-being, but researchers did not find any significant association between well-being and adverse postoperative … February 14, 2017
Association of the 2011 ACGME resident duty hour reform with postoperative … September 18, 2019
A comprehensive estimation of the costs of 30-day postoperative complications … October 14, 2020
Association between state medical malpractice environment and postoperative … Related Resources
Coping with errors in the operating room: intraoperative strategies, postoperative
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psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
August 04, 2021 - first, an incidental approach, uses a multidisciplinary conference format to discuss cases in which a postoperative … February 8, 2023
An observational study of postoperative handoff standardization failures … January 13, 2021
Cognitive bias impact on management of postoperative complications, … November 4, 2020
A comprehensive estimation of the costs of 30-day postoperative complications … September 28, 2010
View More
See More About The Topic
Surgery
Postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
April 04, 2008 - hip fracture
(PSI 8), postoperative hemorrhage or hematoma (PSI 9), postoperative physiologic and … 2
metabolic derangements (PSI 10), postoperative respiratory failure (PSI 11), postoperative
pulmonary … embolism or deep vein thrombosis (PE/DVT) (PSI 12), postoperative sepsis (PSI 13),
and postoperative … 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
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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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ce.effectivehealthcare.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
-
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/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
-
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
-
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/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
March 14, 2022 - Study
Lack of association between intraoperative handoff of care and postoperative … Lack of association between intraoperative handoff of care and postoperative complications: a retrospective … Lack of association between intraoperative handoff of care and postoperative complications: a retrospective … February 24, 2012
Postoperative video debriefing reduces technical errors in laparoscopic