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pcmh.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
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pcmh.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/surgical-eng20-1451a.pdf
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 possible
CAHPS Surgical
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pcmh.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.
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pcmh.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
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pcmh.ahrq.gov/prevention/resources/index.html
October 01, 2018 - Vision Rehabilitation: Care and Benefit Plan Models: Literature Review
Resources
Surgeon … General
You can also access and download materials from the Surgeon General's Web site. … The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General, 2006 … Twenty years ago, the first Surgeon General's report on secondhand smoke created greater awareness
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pcmh.ahrq.gov/cahps/surveys-guidance/surgical/index.html
February 01, 2018 - questions ask patients to report on their experiences with office staff during visits and to rate the surgeon … following measures of patient experience:
Information to help you prepare for surgery
How well surgeon … Surgeon's attentiveness on day of surgery
Information to help you recover from surgery
How well surgeon … after surgery
Helpful, courteous, and respectful staff at surgeon's office
Patients' rating of the surgeon
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pcmh.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
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pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-d.html
April 01, 2017 - Surgeon, Nurse, and Anesthesia Professional perform the Timeout
|___| Patient's name
|___| Surgical … Briefing
Surgeon Shares:
|___| Any changes to operative plan and possible difficulties Anesthesia … Scrub Tech Confirm:
|___| All medications are correct and labeled
|___| Implant type and size
Surgeon
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving.pptx
May 01, 2017 - Communication and Teamwork | ‹#›
AHRQ Safety Program for Ambulatory Surgery
11
Surgeon rates OR nurse … % Rating quality of collaboration and communication high or very high 0.87 OR nurse rates surgeon % … Rating quality of collaboration and communication high or very high 0.48 Surgeon rates anesthesiologist … % Rating quality of collaboration and communication high or very high 0.84 Anesthesiologist rates surgeon … Team introductions
Surgeon/physician asks team members to voice concerns during the case
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pcmh.ahrq.gov/funding/grantee-profiles/grtprofile-catchpole.html
December 01, 2022 - Catchpole noted, “There is a lot of focus on the surgeon—the training of the surgeon, the abilities of … the surgeon—but a lot less focus on the other factors, particularly the operating room staff and this
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pcmh.ahrq.gov/teamstepps/instructor/fundamentals/module9/coachscenarios.html
March 01, 2014 - The attending surgeon is running a little late, so the resident assumes situational leadership and begins … Everything is proceeding without incident until the attending surgeon abruptly charges into the room … An orthopedic surgeon at the receiving facility examines the patient and determines that back surgery … The patient verbally expresses hostility toward the surgeon and about his room assignment; however, he
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pcmh.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - By surgeon?
Define process roles and responsibilities:
Schedule observations. … Attending surgeon - 20% NP, 0% FP, 80% POT.
Not Present = NP.
Fails to Pause = FP. … Attending surgeon - 0% NP, 40% DNC, 60% C. … Excessive delays upset surgeon and surgical team. … Revised card system to standardize core needs by procedure with individual surgeon special requests.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module9/coachscenarios.pdf
March 20, 2014 - The
attending surgeon is running a little late, so the resident
assumes situational leadership and … Everything is proceeding
without incident until the attending surgeon abruptly charges
into the room … An orthopedic surgeon
at the receiving facility examines the patient and determines
that back surgery … The patient verbally expresses hostility
toward the surgeon and about his room assignment;
however
-
pcmh.ahrq.gov/teamstepps/instructor/reference/learnbench.html
March 01, 2014 - A surgeon, anesthesiologist, nurse and technologist are in the OR for a complicated case, which will … The surgeon, as team leader, should:
Go scrub and tell the circulating nurse to "get the ball rolling … The surgeon ignores the request by the circulating nurse to help find a solution and continues the closure … Convince the anesthesiologist to make the surgeon respond. … The physician/surgeon may be the team leader in the OR, Clinic, etc.
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/improving/improving-facnotes.docx
May 01, 2017 - The surgeon shares the operative plan and difficulties anticipated during the operation, which lets team … Finally, the surgeon or physician sets the tone with this statement: “Does anybody have any concerns? … An example is when a surgeon keeps receiving the same pair of dull scissors. … During the briefing, the surgeon shares changes to the operative plan and the possible difficulties. … The team should include at least one—
· Administrator
· Surgeon/physician
· Anesthesia professional
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pcmh.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
May 31, 2023 - A surgeon, anesthesiologist, nurse, and technologist are in the OR for a complicated case,
which will … The surgeon, as team leader, should:
a. … The surgeon ignores the request by the circulating nurse to help find a
solution and continues the closure … Convince the anesthesiologist to make the surgeon respond.
12. … The physician/surgeon may be the team leader in the OR, Clinic,
etc.
-
pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/reference/learnbench.pdf
February 28, 2014 - A surgeon, anesthesiologist, nurse, and technologist are in the OR for a complicated case, which will … The surgeon, as team leader, should:
a. … The surgeon ignores the request by the circulating nurse to help find a solution and
continues the closure … Convince the anesthesiologist to make the surgeon respond.
12. … The physician/surgeon
may be the team leader in the OR, clinic,
etc.
-
pcmh.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/improving-fac-notes.html
May 01, 2017 - The surgeon shares the operative plan and difficulties anticipated during the operation, which lets team … Finally, the surgeon or physician sets the tone with this statement: “Does anybody have any concerns? … An example is when a surgeon keeps receiving the same pair of dull scissors. … During the briefing, the surgeon shares changes to the operative plan and the possible difficulties. … The team should include at least one—
Administrator
Surgeon/physician
Anesthesia professional
-
pcmh.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - The nurses, operating surgeon and anesthesiologist are all employed by the hospital, which is self-insured … The operating surgeon and anesthesiologist are both members of different multi-specialty physician groups … multi-factorial, but identifies a breakdown in communication between the anesthesiologist, perfusionist, and surgeon
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pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/communication-material-guide.docx
May 01, 2017 - Overview
Communication and Teamwork Defined
· Slides 4-11
Improving Surgical Team Communication With Briefings*
· Slides 12-17
· Example Briefing* (2 min 14)
Improving Surgical Team Communication With Debriefings*
· Slides 18-25
· Example Debriefing* (1 min 24)
The Surgical Checklist as a Communication and Teamwork …