-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - 0.34 0346 2012
PSI 07 Central Venous Catheter-related
Bloodstream Infection Rate
X 0.21
PSI 08 Postoperative … Hip Fracture Rate 0.04
PSI 09 Perioperative Hemorrhage or Hematoma
Rate
X 5.11
PSI 10 Postoperative … Physiologic and Metabolic
Derangement Rate
0.69
PSI 11 Postoperative Respiratory Failure Rate … PSI 12 Perioperative Pulmonary Embolism or
Deep Vein Thrombosis Rate
4.99 0450 2012
PSI 13 Postoperative … Sepsis Rate 9.61
PSI 14 Postoperative Wound Dehiscence Rate X 1.86
PSI 15 Accidental Puncture
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - [Fill in postoperative nausea and vomiting prophylaxis that are a component of your intraoperative anesthesia … First postoperative VTE chemoprophylaxis dose
Date:
Time:
· Yes
· No
Multimodal pain management … Date:
Time:
If no, note reason:
· Yes
· No
Postoperative antibiotics administered for emergency … If no, note reason:
Abbreviations: IV = intravenous; N/A = not applicable; POD = postoperative day
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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/hai/tools/mrsa-2/020-ss-periop-infection-prevention.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention| Surgical Services
Perioperative Infection Prevention
25
Postoperative … Maintain postoperative blood glucose of 110 to 150 mg/dL for all patients, for 24 to 48 hours. … The clinical significance of an elevated postoperative glucose value in nondiabetic patients after colorectal … Postoperative tight glycemic control significantly reduces postoperative infection rates in patients … Continuous postoperative insulin infusion reduces deep sternal wound infection in patients with diabetes
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/020-perioperative-infection-prevention-strategies-slides.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention| Surgical Services
Perioperative Infection Prevention
25
Postoperative … Maintain postoperative blood glucose of 110 to 150 mg/dL for all patients, for 24 to 48 hours. … The clinical significance of an elevated postoperative glucose value in nondiabetic patients after colorectal … Postoperative tight glycemic control significantly reduces postoperative infection rates in patients … Continuous postoperative insulin infusion reduces deep sternal wound infection in patients with diabetes
-
psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - Postoperative Pseudomeningocele, Hematoma, and Seroma. … Postoperative lumbar pseudomeningocele. J Indian Med Assoc. 1995;93(7):280, 282. … Postoperative Cervical pseudomeningocele as a cause of delayed myelopathy. … Postoperative cervical pseudomeningocele. AJNR Am J Neuroradiol. 1990;11(4):784. … Postoperative cervical pseudomeningocele with herniation of the spinal cord.
-
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
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - Slide 16
Postoperative Urinary Retention (POUR)
Incidence: varies widely:
General surgery … Slide 24
Duration of Postoperative Urinary Catheter Use
Question—Appropriate duration of IUC … Slide 25
Duration of Postoperative Urinary Catheter Use
Question—Duration of IUC use for patients … Slide 27
Duration of Postoperative Urinary Catheter Use
Q—Duration of post-op catheterization … Slide 30
Recommended Intervention
Develop a protocol for management of postoperative urinary
-
psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - 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
-
psnet.ahrq.gov/web-mm/blind-spot
July 30, 2020 - 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 … Visual loss secondary to AION has been reported to occur anytime from the immediate postoperative period … Except for acute angle-closure glaucoma, there are no proven beneficial treatments for postoperative
-
psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-postoperative-patient-outcomes-surgical
February 14, 2017 - Study
Association of the 2011 ACGME resident duty hour reform with postoperative … Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical … Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical … November 3, 2015
Association between state medical malpractice environment and postoperative
-
psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent
December 30, 2014 - clinic and subsequent information retention among receivers: a prospective interventional study of postoperative … clinic and subsequent information retention among receivers: A prospective interventional study of postoperative … clinic and subsequent information retention among receivers: A prospective interventional study of postoperative … June 14, 2023
An observational study of postoperative handoff standardization failures
-
psnet.ahrq.gov/node/49476/psn-pdf
March 02, 2005 - 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.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
September 01, 2014 - combined for 17 procedures based on CDC NHSN data
VAP MPSMS Ventilator-Associated Pneumonia
VTE MPSMS Postoperative … Clostridium difficile
MPSMS Mechanical Complications Associated With Central Venous Catheters
MPSMS Postoperative … Cardiac Events for Cardiac and Noncardiac Surgeries
MPSMS Postoperative Pneumonia
PSI Iatrogenic Pneumothorax … 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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
June 02, 2025 - 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 … staff for improvement
project
Ellen Robinson, PT, a clinical
quality specialist
Quality measure
Postoperative … 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
-
psnet.ahrq.gov/issue/persistent-opioid-use-among-pediatric-patients-after-surgery
January 29, 2020 - Researchers found that postoperative opioid use was associated with persistent opioid use . … Related Resources From the Same Author(s)
Association of state opioid duration limits with postoperative … April 18, 2019
Postoperative opioid prescribing and the pain scores on Hospital Consumer
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - Acute Kidney Injury Rate2
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 Unrecognized Abdominopelvic Accidental Puncture … Hip Fracture” prior to v6.0.
2 Previously entitled “Postoperative Physiologic and Metabolic Derangement … Sepsis Rate 0.057308 0.216046 277.0%
PSI 14 Postoperative Wound Dehiscence
Rate
0.018205 0.013269
-
psnet.ahrq.gov/issue/burden-opioid-related-adverse-drug-events-hospitalized-previously-opioid-free-surgical
March 24, 2021 - The presence of an ORADE was associated with longer postoperative length of stay, higher hospitalization … 5, 2017
View More
Related Resources
Addressing bias in acute postoperative … December 21, 2022
Opioid stewardship program and postoperative adverse events: a difference-in-differences
-
psnet.ahrq.gov/issue/mortality-due-hospital-acquired-infection-after-cardiac-surgery
February 12, 2020 - Surgical site infections and other postoperative healthcare-acquired infections (HAIs) can lead to … This retrospective study examined the relationship between HAIs after cardiac surgery and postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative
-
psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
April 19, 2023 - This study sought to validate the accuracy of ICD-10-based PSIs for detecting postoperative adverse events … February 3, 2015
Automated identification of postoperative complications within an electronic … About The Topic
Hospitals
Quality and Safety Professionals
Policy Makers
Surgery
Postoperative