-
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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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.
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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/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
-
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
-
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
-
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/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.
-
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/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/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - Citation
Related Resources From the Same Author(s)
A partially structured postoperative … 2019
Interprofessional training and communication practices among clinicians in the postoperative … February 16, 2022
An observational study of postoperative handoff standardization failures … 2021
Interprofessional training and communication practices among clinicians in the postoperative … March 10, 2021
A partially structured postoperative handoff protocol improves communication
-
psnet.ahrq.gov/node/47240/psn-pdf
March 06, 2019 - intraoperative medical errors
(iMEs) and intraoperative adverse events (iAEs) and their
contribution to postoperative … intraoperative medical errors (iMEs) and
intraoperative adverse events (iAEs) and their contribution to postoperative … They found a positive
association between the presence of intraoperative events and increased postoperative
-
psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - 2020
Interprofessional training and communication practices among clinicians in the postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative … 2021
Interprofessional training and communication practices among clinicians in the postoperative … 2021
Association between paediatric intraoperative anaesthesia handover and adverse postoperative
-
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/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
-
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/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
-
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/issue/handover-after-pediatric-heart-surgery-simple-tool-improves-information-exchange
July 03, 2016 - Use of a structured tool improved the quality of handoffs for postoperative pediatric cardiac surgery … 2022
Association between paediatric intraoperative anaesthesia handover and adverse postoperative … cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
June 02, 2025 - 08 Perioperative Hemorrhage or Hematoma Rate 0.0 4.9 0 $75,932 $ - 0 N 6 6 6 Y Y Y Y Y
PDI 09 Postoperative … 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