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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - Surgeon asks Susan if she has family history of venous thromboembolism (VTE). … Surgeon proceeds with surgery to repair Susan’s hip fracture. … Surgeon attributes this to postoperative discomfort, and orders pain medication. … Susan’s condition worsens, but the nurses are hesitant to contradict the surgeon and delay before escalating
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/033-ss-action-chart-decolonization.docx
April 01, 2025 - surgical group.
2
Garner institutional support from key stakeholders.
3
Develop a CUSP team.
4
Identify surgeon
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www.ahrq.gov/sites/default/files/2024-04/eskandari-raval-report.pdf
January 01, 2024 - Each site was encouraged to send several participants, including a surgeon
champion, surgical clinical … reviewer, surgical nurse, VTE clinical expert as appointed
by the surgeon champion, quality officer
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/01-intro-sops-action-planning-tool.pdf
January 17, 2019 - MD, MPH
Director, Center for Quality Improvement and Patient
Safety, AHRQ
Rear Admiral, Assistant Surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
September 18, 2011 - Financial burden significant
Hospital cost of ~$25,546 per SSI and ~$7 billion annually
Feedback on surgeon-specific … Finally, investigators will assess surgeon acceptance of the surveillance methodology using the risk-adjusted … collection
HHSA-290-2006-00020 ACTION task order #8
Methods
Identifying Potential Risk Factors
Surgeon … An active surgeon on the study team used his extensive experience with SSIs and a previous list of risk … SSI vs risk factor
Probably should focus only on non-modifiable risk factors (eg, obesity) and not surgeon
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www.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - Association between surgeon practice knowledge and venous thromboembolism . … Considering surgeon skill in randomized clinical trials. … Effect of surgeon age on bariatric surgery outcomes . Ann Surg. 2018;267(5):905-9.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/3_julie_susi.pdf
April 01, 2014 - Mercy Hospital
Fore River Campus
Portland, Maine
23
Breast Care Specialists of Maine
A two-surgeon
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www.ahrq.gov/research/findings/studies/index.html?page=425
January 01, 2024 - Methodologies, Respiratory Conditions, Quality of Care
Tamirisa NP , Sheffield KM , Parmar AD Surgeon … The researchers aimed to determine the variation in use attributable to the surgeon and facility and … determine the patient, surgeon, and facility characteristics associated with the use of minimally invasive … They found that lower surgeon and facility volume, longer surgeon years in practice, and smaller facility … Surgeon and facility variation in the use of minimally invasive breast biopsy in Texas.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Fried.pdf
January 01, 2003 - Uribe,
Michael Zeltsan, Harman Arora
Abstract
The training of a surgeon includes the acquisition … Perhaps most critical to the surgeon, however,
are the core technical skills of the profession. … As training is dependent upon the patients of the attending
surgeon, it is imperative that the operating … This
anatomical understanding is necessary if the surgeon is to navigate the patient’s
sinus passages … The surgeon trainee explores the virtual anatomy
by manipulating the simulated endoscope in the nose
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
December 01, 2017 - If your surgeon champion rarely attends meetings, it may be difficult to meet surgeon needs and garner … 5–6
ATTENDANCE
Number of meetings attended in the past 6 months by—
Team lead
Senior executive
Surgeon … ASK:
In addition to the senior executive, how many meetings did your surgeon champion attend in the last
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient.pptx
May 28, 2015 - Participate or Commit”
Rewards/Recognition
Individual Physicians : Surgeons
40
A Chief of Staff and a Surgeon … is a best practice at your hospital… you need to get….either the Chair of Surgery or some reasonable surgeon … to do is say ‘Look, you’re not one of us’…the way to get buy-in from surgeons is you got to have a surgeon … plus:
Engage medical leadership support ie Chief of Surgery
Participate in SCIP initiative
Engage a surgeon
-
www.ahrq.gov/research/findings/final-reports/stpra/stpraape.html
April 01, 2018 - component of the surgical site; (b) a deep incision spontaneously dehisces or is deliberately opened by a surgeon … reoperation, or by histopathologic or radiologic examination; or (d) diagnosis of a deep incisional SSI by a surgeon
-
www.ahrq.gov/sites/default/files/2024-07/martinez-report.pdf
January 01, 2024 - that intensivists were part of the primary
care structure of care delivery, and 23% identified the surgeon … centers, there may be unmeasured independent variables that contribute to the patient
outcomes, such as surgeon
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-fac-notes.html
December 01, 2017 - If your surgeon champion rarely attends meetings, it may be difficult to meet surgeon needs and garner … Ask:
In addition to the senior executive, how many meetings did your surgeon champion attend in the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard_facnotes.docx
December 01, 2017 - If your surgeon champion rarely attends meetings, it may be difficult to meet surgeon needs and garner … ASK:
In addition to the senior executive, how many meetings did your surgeon champion attend in the last
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast1-sorra-intro.pdf
July 25, 2018 - MD, MPH
Director, Center for Quality Improvement and
Patient Safety, AHRQ
Rear Admiral, Assistant Surgeon
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/conflict.html
April 01, 2013 - We work with a surgeon, Marty. … The surgeon ignored him. Ignored him completely. … And the surgeon looked up to him and said, “Well, that’s not my experience. … The resident said, not a big deal, but the surgeon still insisted, no. … He went to the phone this time, and the surgeon said, “What are you doing?”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
January 01, 2013 - is a best practice at your hospital…you need to get…either the chair of surgery or some reasonable surgeon … going to say, ‘Look, you’re not one of us’…the way to get buy-in from surgeons is you got to have a surgeon … *
A third approach entails enlisting a member of an appropriate tribe…
As a chief of staff (and a surgeon … is a best practice at your hospital…
you need to get…either the chair of surgery or some reasonable surgeon … going to say, ‘Look, you’re not one of us’.
the way to get buy-in from surgeons is you got to have a surgeon
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/143-cusp-tip-sheet-engaging-staff.docx
April 01, 2025 - Suggested Strategies2
· When a new nurse, surgeon, or other healthcare provider joins, have the SSI Prevention … Champion, Surgeon Champion, or Nurse Manager meet with them to share current patient safety and quality
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.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. … with other factors
e.g., BMI will influence surgery duration
High risk factors may influence surgeon … decision to operate
Patient modifiable vs. surgeon modifiable risk factors should also be considered