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psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
October 19, 2022 - Intraoperative and postoperative. … These articles review preoperative, intraoperative, and postoperative safety risks for plastic surgery … Intraoperative and postoperative.
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psnet.ahrq.gov/issue/coping-errors-operating-room-intraoperative-strategies-postoperative-strategies-and-sex
September 09, 2020 - Study
Coping with errors in the operating room: intraoperative strategies, postoperative … Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex … Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_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. … 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 … X
PSI 11 Postoperative Respiratory
Failure
X Postoperative respiratory failure is acute
in nature
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
May 01, 2017 - Materials: Slides 4-7
Audience: All staff, including pre- and postoperative care staff
Topic: Patient … Materials: Slides 8-10
Audience: All staff, including pre- and postoperative care staff
Topic: Barriers … Environment Module
Material Use Guide
Material Use Guide
Audience: All staff, including pre- and postoperative … Materials: Slides 13-29 and tools
Audience: All staff including pre- and postoperative care staff
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - Compared with parenteral opioids, epidural analgesia results in better postoperative pain control.( 2 … ) Compared with general anesthesia, neuraxial methods result in fewer postoperative cardiac events, … pulmonary complications, and cases of venous thromboembolism.( 3-5 ) Postoperative epidural anesthesia … Effectiveness of acute postoperative pain management: I. Evidence from published data. … The second postoperative dose should occur no sooner than 24 hours after the first dose.
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psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
August 02, 2011 - classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative … classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative … classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative
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psnet.ahrq.gov/issue/post-operative-mortality-missed-care-and-nurse-staffing-nine-countries-cross-sectional-study
December 12, 2014 - are associated with lower inpatient mortality and that reduced staffing increases the risk for postoperative … a significant association between nurse staffing and missed nursing care with 30-day risk-adjusted postoperative … October 25, 2017
Evaluation of postoperative handover using a tool to assess information … More About The Topic
Operating Room
Health Care Providers
Nurse Managers
Surgery
Postoperative
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psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
December 21, 2014 - are rife with communication and teamwork problems, and suboptimal teamwork has been linked to poor postoperative … The training also included implementation of preoperative and postoperative checklists . … April 25, 2016
Predictors of successful implementation of preoperative briefings and postoperative … January 16, 2010
Predictors of successful implementation of preoperative briefings and postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
June 02, 2025 - staff for improvement
project
Ellen Robinson, PT, a clinical
quality specialist
Quality measure
Postoperative … 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 … 03 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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
April 01, 2025 - infection preventionist
Discussion of challenging cases at a regular meeting
Comparison to postoperative … infection preventionist
Discussion of challenging cases at a regular meeting
Comparison to postoperative … infection preventionist
Discussion of challenging cases at a regular meeting
Comparison to postoperative … infection preventionist
Discussion of challenging cases at a regular meeting
Comparison to postoperative … infection preventionist
Discussion of challenging cases at a regular meeting
Comparison to postoperative
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psnet.ahrq.gov/node/49485/psn-pdf
August 29, 2024 - The Commentary
This case illustrates the insidious and surprising nature of many cases of postoperative … Major Postoperative Visual Loss Lesions
The most common POVL defects are (i) anterior ischemic optic … Most cases of PION do not progress in the postoperative
period if the patient has stable hemodynamics … Postoperative visual loss caused by pressure on the globe results in CRAO and is usually associated … Except for acute angle-closure glaucoma, there are no proven beneficial treatments for postoperative
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psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - January 23, 2019
Association of postoperative readmissions with surgical quality using … August 17, 2018
Predictors of in-hospital postoperative opioid overdose after major elective … September 12, 2016
Automated identification of postoperative complications within an … 2014
An observational study of the frequency, severity, and etiology of failures in postoperative … See More About The Topic
Ambulatory Care
Health Care Providers
Surgery
Postoperative
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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - On postoperative day 2, the patient was
weaned off the PCA and started on a clear liquid diet. … In my institution as well as others,
postoperative protocols include triggers that prompt review of … Other triggers that are relevant to
postoperative patients (but perhaps not this case) include hypoxia … Postoperative care should be protocol-based and there should be triggers to escalate care. … Early relaparoscopy for management of
suspected postoperative complications.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b2b_combo_ratesgenbywin.pdf
March 01, 2016 - 0 - 0.03771004
PDI8 PDI #8 Perioperative Hemorrhage or Hematoma Rate 0 0 - 0.00462178
PDI9 PDI #9 Postoperative … Respiratory Failure Rate 0 0 - 0.01018098
PDI10 PDI #10 Postoperative Sepsis Rate 0 0 - 0.01602384 … Sepsis Rate 0 0 - 0.01180386
PSI14 PSI #14 Postoperative Wound Dehiscence Rate 0 346 0 0.00186825 … Physiologic
and Metabolic Derangement Rate
0.00047
PSI #11 Postoperative Respiratory
Failure … Sepsis Rate 0.011804
PSI #14 Postoperative Wound
Dehiscence Rate
0 346 0 0.001265 0 0.001868
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psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
August 21, 2019 - However, despite implementing five evidence-based practices in a bundled approach, the incidence of postoperative … October 3, 2012
Postoperative sepsis in the United States. … Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative
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psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter
September 13, 2023 - optimizing predictive power of the trigger tool, including broad spectrum antibiotherapy, unscheduled postoperative … November 26, 2014
Automated identification of postoperative complications within an electronic … Operating Room
Quality and Safety Professionals
Gastroenterology
General Surgery
Postoperative
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effectivehealthcare.ahrq.gov/sites/default/files/cer-240-acute-pain-evidence-summary.pdf
December 01, 2020 - • Being prescribed an opioid for acute low back pain or postoperative pain might be
associated with … manipulation
might be effective for acute back pain with radiculopathy, massage might be
effective for postoperative … effectiveness of therapies for sickle
cell pain, acute neuropathic pain, neck pain, and management of postoperative … Postoperative pain (47 trials): Trials of postoperative pain focused on treatment in the
immediate postoperative … Being prescribed
an opioid for acute low back pain or postoperative pain was associated with increased
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psnet.ahrq.gov/issue/association-hydrocodone-schedule-change-opioid-prescriptions-following-surgery
June 07, 2017 - overall there was no significant difference in the total amount of opioids prescribed within the 30-day postoperative … hydrocodone prescribing may have resulted in surgeons giving larger initial prescriptions in order to ensure postoperative … RIS
Download Citation
Related Resources From the Same Author(s)
Postoperative … January 23, 2019
Association of state opioid duration limits with postoperative opioid
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.pdf
June 02, 2025 - Hemorrhage or
Hematoma Rate
0.0 4.9 0 $75,932 $ - N 6 6 6 Y Y Y Y Y
PDI 09 Postoperative … 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
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-ptsafety.html
September 01, 2015 - Postoperative Catheter-Associated Urinary Tract Infection
Adult surgery patients age 18 and over with … postoperative catheter-associated urinary tract infection, by sex, 2009-2012
Year
Total … From 2009 to 2012, there was no statistically significant change in the percentage of women with postoperative … Groups With Disparities:
From 2009 to 2012, the percentage of adults with postoperative CAUTI was … In 2012, women were 1.5% more likely to have a postoperative CAUTI than men.