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www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
November 01, 2015 - any change in the condition, they know it better than someone let's say, another doctor or another surgeon
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/coaching-slides.html
May 01, 2017 - I think it is safe practice to have the surgeon read the consent form in the operating room so it can
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - Clinical scenario: During the removal of an abdominal mass, the surgeon documents, in the
description … 03 Retained Surgical Item or
Unretrieved Device
Fragment
X Foreign body intentionally left by
surgeon … 05 Retained Surgical Item or
Unretrieved Device
Fragment
X Foreign body intentionally left by
surgeon
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Learning From Defects
SAY:
Welcome to this presentation on Learning From Defects as part of an o…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Use of Preoperative Chlorhexidine Antisepsis
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title and Commentary
Slide Number and Slide
Use of Preoperative Chlorhexidine Antisepsis
SAY:
This presentation will …
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www.ahrq.gov/news/newsletters/e-newsletter/927.html
August 01, 2024 - AHRQ-Funded Research Highlights Impact of Private Equity in Healthcare
Issue Number
927
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
August 27, 2024
AHRQ Stats: Cost and Billing Trends for Sepsis-Related Stays Since 2016, aggregate hospital costs for sepsi…
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www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
January 01, 2024 - “Public Reporting of Surgeon-Specific Data: Friend or Foe?”
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Kleinpeter.pdf
January 01, 2004 - the hospital, to
trend infection rates by surgical unit, patient care area, type of procedure, and
surgeon
-
www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
January 01, 2025 - Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations
1
Title: Improving Patient Safety: Health Systems Reporting, Analysis and Safety
Improvement Research Demonstrations
Principal Investigator: Victoria J. Fraser, MD
Co-Principal Inv…
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
January 01, 2021 - How to Use the AHRQ SOPS Ambulatory Surgery Center Survey to Improve Patient Safety - Famolaro
SOPS ASC Database and Resources
20
Theresa Famolaro, MPS, MS, MBA
Senior Study Director
User Network for the AHRQ Surveys on Patient Safety Culture (SOPS)
Westat
SOPS Databases
21
Hospital Nursing
Home
Medical
Of…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4i_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Pediatric Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4i
Selected Best Practices and Suggestions for Improvement
PDI 11: Postoperative Wound Dehiscence
Why focus on postoperative wound dehiscence in…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/standalone_pdi_casestudy.pdf
December 01, 2015 - Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring Physicians Together To Reduce CLABSIs
Children’s Hospital Uses AHRQ’s Pediatric QI Toolkit To Bring
Physicians Together To Reduce CLABSIs
Abstract
The Ann & Robert H. Lurie Children’s Hospital
used the tools from the Pediatric QI Toolkit – which …
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-factsheet.html
December 01, 2017 - Glucose Control Factsheet
AHRQ Safety Program for Surgery
Facts About Glucose Control and the Prevention of Surgical Site Infections
Definition of Tight Glucose Control
Tight glucose control refers to getting as close to a normal (nondiabetic) blood glucose level as you safely can. Ideally, th…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4w_combo_pdi11-dehiscence-bestpractices.pdf
May 17, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4w
Selected Best Practices and Suggestions for Improvement
PDI 11: Postoperative Wound Dehiscence
Why focus on postoperative wound dehiscence in children?…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4m_combo_psi18-19-obstetriclaceration-bestpractices.pdf
May 20, 2016 - Selected Best Practices and Suggestions for Improvement
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
1 Tool D.4m
Selected Best Practices and Suggestions for Improvement
PSI 18 and 19: Obstetric Trauma Rate – Vaginal Delivery With and Without Instrument
Why Focus o…
-
www.ahrq.gov/sites/default/files/2025-06/haut-report.pdf
January 01, 2025 - Surgeon General's Call to Action to Prevent Deep
Vein Thrombosis and Pulmonary Embolism. 2008. … In: The Surgeon General's Call to Action to Prevent Deep Vein Thrombosis and Pulmonary
Embolism.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
February 01, 2005 - who role-plays the circulating nurse and an
anesthesiologist instructor who role-plays the operating surgeon … In 2001, the Air Force Surgeon General mandated MTM training for all high-
risk specialties: emergency
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/grand-rounds-presentation-slides.pptx
January 01, 2014 - The surgeon gave her an immediate and sensitive apology for the error, accepting full responsibility. … But no one offered her compensation, beyond the surgeon waiving his portion of the bill.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design
1
PATIENT
SAFETY
AHRQ-Funded Patient Safety
Project Highlights
Improving Healthcare Safety by
Enhancing Healthcare Facility Design
Overview
Research has shown that optimizing the physical, function…
-
www.ahrq.gov/patient-safety/reports/engage/interventions/teachback-slides.html
May 01, 2017 - Teach-Back
Patient and Family Engagement in Primary Care
Slide 1: Teach-Back
AHRQ Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families.
Slide 2: Speaker
Kelly Smith, PhD
Scientific Director, Quality & Safety
Co-PI, AHRQ Guide to Improve Patient Safety in Pri…