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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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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/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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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - Second, his concern about the cost of postoperative rehabilitation would not be mitigated by traveling … In fact, problems with obtaining postoperative rehabilitation services are more likely to be exacerbated … Without arrangements for provision of postoperative care by a surgical team familiar with the patient … stabilization, it is difficult to provide standard postoperative care. … This patient developed a postoperative problem, but even absent this, he needs a physician to arrange
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Hunt.pdf
July 01, 2004 - pneumonia,
postoperative venous thromboembolic events; postoperative urinary tract
infection; and … Our second topic not rated by AHRQ, postoperative pneumonia, is the
second most frequent postoperative … percentage
of postoperative wound infections out of the inpatient setting. … in postoperative days 3–7). … pneumonia, postoperative venous thromboembolic
events; postoperative urinary tract infection; and ventilator
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - The findings from this study suggest that perioperative and postoperative hyperglycemia are associated … These authors found that the risk for postoperative infection was decreased by 41 percent among those … For cardiac, joint, and spine surgery, multiple guidelines suggest maintaining a postoperative blood … The ideal method for maintaining postoperative blood glucose control is not established. … ”
· Control blood glucose levels in the immediate postoperative period for all patients for 24 to 48
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - The findings from this study suggest that perioperative and postoperative hyperglycemia are associated … These authors found that the risk for postoperative infection was decreased by 41 percent among those … For cardiac, joint, and spine surgery, multiple guidelines suggest maintaining a postoperative blood … The ideal method for maintaining postoperative blood glucose control is not established. … ”
· Control blood glucose levels in the immediate postoperative period for all patients for 24 to 48
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www.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - difficile
MPSMS
Mechanical Complications Associated With Central Venous Catheters
MPSMS
Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
MPSMS
Postoperative Pneumonia
PSI … Complications Associated With Central Venous Catheters
4.00
5.25
0.76
All Other HACs
Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
4.00
8.70
0.46
All Other HACs
Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
43,120
32,750,000
1.317
MPSMS
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/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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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/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - March 10, 2021
A comprehensive estimation of the costs of 30-day postoperative complications … December 21, 2014
Postoperative handover: problems, pitfalls, and prevention of error … December 23, 2012
Postoperative sepsis in the United States. … June 20, 2011
Evaluation of postoperative handover using a tool to assess information … Topic
Operating Room
Health Care Providers
Quality and Safety Professionals
Surgery
Postoperative
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psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
April 12, 2019 - 3, 2020
View More
Related Resources
An observational study of postoperative … 2021
Interprofessional training and communication practices among clinicians in the postoperative … March 11, 2020
Association between handover of anesthesia care and adverse postoperative … January 16, 2019
Factors influencing patient safety during postoperative handover.
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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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psnet.ahrq.gov/node/45679/psn-pdf
January 03, 2018 - to address
factors that contribute to surgical site infections in preoperative, intraoperative, and postoperative … readmission-after-delayed-diagnosis-surgical-site-infection-focus-prevention-using-american
https://psnet.ahrq.gov/primer/surgical-site-infections
https://psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical … https://psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections
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psnet.ahrq.gov/node/45579/psn-pdf
November 01, 2017 - Factors influencing patient safety during postoperative
handover. … https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
Patient … https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
https:/
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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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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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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