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1. Exhibit 47. Surgeon specialties and health system affiliations | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh47.html
   April 01, 2018 - Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … JAMIA Draft Manuscript Surgeon ID Surgical Specialty Health System Type Surgeon … #01 General Surgery Academic / Private Surgeon #02 General Surgery Academic Surgeon #03 … Net Surgeon #05 General Surgery – Trauma/Critical Care focus Private Surgeon #06 Surgical … Surgeon specialties and health system affiliations. Content last reviewed April 2018.

2. Appendix Q. Surgeon Focus Group Content Analysis | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapq.html
   April 01, 2018 - Surgeon Specialties and Health System Affiliations Surgeon ID Surgical Specialty Health System … Type Surgeon #01 General Surgery Academic / Private Surgeon #02 General Surgery Academic … Surgeon #03 General Surgery VA Surgeon #04 General Surgery – Trauma/Critical Care focus Academic … / Safety Net Surgeon #05 General Surgery – Trauma/Critical Care focus Private Surgeon #06 … Surgeon Focus Group Content Analysis. Content last reviewed April 2018.

3. CAHPS Surgical Care Survey Measures | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/cahps/surveys-guidance/surgical/about/survey-measures.html
   April 01, 2018 - your surgery, did this surgeon listen carefully to you? … surgeon listen carefully to you? … Q32        After your surgery, did this surgeon spend enough time with you? … Q33        After your surgery, did this surgeon encourage you to ask questions? … surgeon possible and 10 is the best surgeon possible, what number would you use to rate all your care

4. CAHPS Surgical Care Survey (doc file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/surgical-eng20-1451a.docx
   October 01, 2011 - named in Question 1 as “this surgeon.” … 1|_| An anesthesiologist did this 2|_| This surgeon did this  If This surgeon did this, go to #26 3|_ … After your surgery, did you talk with this surgeon by phone or visit the surgeon at his or her office … Using any number from 0 to 10, where 0 is the worst surgeon possible and 10 is the best surgeon possible … |_| 0 Worst surgeon possible |_| 1 |_| 2 |_| 3 |_| 4 |_| 5 |_| 6 |_| 7 |_| 8 |_| 9 |_| 10 Best surgeon

5. Appendix N. Surgeon Focus Group Guide | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapn.html
   April 01, 2018 - Surgeon Focus Group Guide SHARE: … Assessing Surgeon Acceptance of Risk Adjustment Models Chapter 5. Project Expansion Chapter 6. … Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon Focus Group Content Analysis Appendix R. Infection Prevention Support Tool Appendix S. … Surgeon Focus Group Guide. Content last reviewed April 2018.

6. Surgical Patient Experience of Care Survey Design Project (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
   November 20, 2008 - Surgeon Incidents % Other Provider Incidents % Prob. … In the second round, 2 of the 3 "No's" were because the surgeon knew the patient's history. … /staff give enough information – Surgeon/staff give easy-to-understand instructions – Surgeon … Surgeon visits you before surgery – Visit makes you more calm and relaxed – Surgeon visits and … recovery – Surgeon makes sure you are physically comfortable – Surgeon spends enough time with

7. Comparative Reports on Surgical Care | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/talkingquality/resources/comparative-reports/surgical-care.html
   October 01, 2022 - are examples of comparative information on the quality of surgical care by individual surgeons and surgeon … Report Title: Surgeon Scorecard Website: https://projects.propublica.org/surgeons/ . … Developer: ProPublica Sponsor Type: Private news organization Location: United States Synopsis: Surgeon … Surgeon Scorecard uses two measures to identify harm to elective surgical patients: in-hospital mortality … The website reports on the number of times a surgeon has performed a procedure, the number of complications

8. Chapter 4. Assessing Surgeon Acceptance of Risk Adjustment Models | Agency for Healthcare Research and Quality
   ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi4.html
   April 01, 2018 - Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon focus group. … Surgeon focus group. … Appendix P provides risk factor inputs from the surgeon focus group. 4.3.3. … Summary paper preparation and presentation Surgeon focus group.

9. Patient Experience Measures from the CAHPS® Surgical Care Survey (pdf file)
   ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/measures-surgical-409.pdf
   November 28, 2017 - Q31 After your surgery, did this surgeon listen carefully to you? … Q32 After your surgery, did this surgeon spend enough time with you? … Q33 After your surgery, did this surgeon encourage you to ask questions? … Q34 After your surgery, did this surgeon show respect for what you had to say? … Q35 Using any number from 0 to 10, where 0 is the worst surgeon possible and 10 is the best surgeon

10. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/operroom.html
    March 01, 2014 - The surgeon and anesthesia team request another anesthesia provider to assist. … The surgeon does want antibiotic prophylaxis, which is promptly given. … Larry is providing supplies and assisting the surgeon. … The vascular surgeon requests a natural collagen graft. … , with frustration growing for the surgeon and scrub.

11. TeamSTEPPS Specialty Scenarios: OR (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/operroom.pdf
    March 19, 2014 - The team is collaborating with the surgeon on ways to minimize between-case delays. … The surgeon does want antibiotic prophylaxis, which is promptly given. … Larry is providing supplies and assisting the surgeon. … The vascular surgeon requests a natural collagen graft. … , with frustration growing for the surgeon and scrub.

12. Appendix J. Additional Risk Factors | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapj.html
    April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models Chapter 5. Project Expansion Chapter 6. … Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon Focus Group Content Analysis Appendix R. Infection Prevention Support Tool Appendix S. … Patient Perioperative Surgeon Homelessness   N Y     Insurance/Payor Source   N … Experience (# Past 12 Months)   N     Y Surgeon Age   N     Y Alcohol Abuse

13. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/mincer.html
    August 01, 2017 - Presence of SDM Elements in Surgeon-Patient Decision-making Before and After Training Figure 3. … Surgeon Barriers and Solutions Subspecialty Buy-In. … Meetings were held to engage orthopedic surgeon subspecialty groups. … Surgeon Training. Surgeon training presented a series of implementation barriers. … This included trainer observation (“scorecard”) plus surgeon self-assessment.

14. Appendix D. Site Visit Process Comparison | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
    April 01, 2018 - (But unsure whether by surgeon or ASC). …     Notify anesthesia and surgeon if variation based on criteria.   … Yes, by surgeon. OR nurse or surgeon ask history and discuss surgery, previous procedures. … Surgery site is marked, potentially shaved   Surgeon uses one-time use marker to mark site. … Post op block for pain done right after surgeon sees them. Is done by anesthesiologist.

15. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
    December 01, 2017 - Slide 30: Role of Surgeon Leader Say: The surgeon leader is charged with advancing the initiative … Surgeon leaders— Serve as role models for surgical safety activities. … Communicate with surgeon groups as needed. Help carry out initiatives. … The surgeon leader is the surgeon equivalent of the nurse opinion leader or nurse manager on the safety … Listen to surgeon concerns. Develop plans to address concerns. Reward surgeon leaders.

16. Presentation: Auditing Your Briefings and Debriefings
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing.pptx
    December 01, 2017 - The best way to build engagement and surgeon buy-in is to add value for them. … ASK: Do you want to observe five briefings from each surgeon? … By surgeon? … As an example, we evaluated a few cases for each surgeon. … Then each individual surgeon could add specialty items if requested.

17. Appendix D, Table D3 | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapd3.html
    April 01, 2018 - If bleeding, call surgeon but do not take off dressings because the surgeon will redress the wound. … Looking for bleeding and bruising, if surgeon available ask to look, if not, add pressure with gauze … Frequent because there are many colonoscopies since it only takes a good surgeon 15 minutes and it does … The surgeon will find out about any infections on post-op visit. … Patient always calls surgeon back.  Surgeon sees patient a week later.  

18. Labor and Delivery Unit Safety: Safe Cesarean Section | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
    July 01, 2023 - The preoperative briefing is typically led by the obstetrician/surgeon. … room – Before skin incision Before mother leaves the operating room PREOP BRIEF (5 minutes) –  Surgeon … Circulating nurse initiates Confirm/all participants present: ___ Anesthesia provider ___ Surgeon … Operating room (OR) technician ___ Pediatrics ___ Primary maternity provider (if other than surgeon … member listed below either says "Yes" and states the issues or says "No Concerns" if none) ___ Surgeon

19. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Safe Cesarean Section (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - . · The preoperative briefing is typically led by the obstetrician/surgeon. … room – Before skin incision Before mother leaves the operating room PREOP BRIEF (5 minutes) – Surgeon … (2 minutes) – Circulating nurse initiates Confirm/all participants present: Anesthesia provider Surgeon … Charge nurse Operating room (OR) technician Pediatrics Primary maternity provider (if other than surgeon … Surgeon: |_| Yes______________________________________________________________ |_| No concerns Nursing

20. Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/index.html
    April 01, 2018 - Assessing Surgeon Acceptance of Risk Adjustment Models Chapter 5. Project Expansion Chapter 6. … Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon Focus Group Content Analysis Appendix R. Infection Prevention Support Tool Appendix S. … Surgeon Focus Group Guide Appendix O. Nursing Focus Group Guides Appendix P. … Surgeon Focus Group Content Analysis Appendix R. Infection Prevention Support Tool Appendix S.