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psnet.ahrq.gov/node/46522/psn-pdf
October 29, 2017 - organizational,
level is important to help patients make decisions regarding provider choice and establish surgeon … psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
https://psnet.ahrq.gov/issue/surgeon-scorecard
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www.qualitymeasures.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.
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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.
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psnet.ahrq.gov/issue/personal-best
September 28, 2017 - By submitting to observation in the operating room, the author—a surgeon—examines how coaching might … August 14, 2019
When is the surgeon too old to operate?
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - The patient was then referred to a dermatologic surgeon to have his SCC excised. … The surgeon then excised a lesion on the left cheek. … The patient returned to the surgeon to report the mistake. … The Mohs surgeon is specially trained as a cancer surgeon, pathologist, and reconstructive surgeon. … 16.6% to 31.4% of the time when attempting to identify their surgical site.( 10,11 ) The dermatologic surgeon
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
May 01, 2017 - – - Circulating Nurse
– - Scrub Technician
– - Surgeon … Intervention:
Example: The surgeon … role to initiate the debrief (circulator) as well as a specific trigger to prompt debrief initiation (surgeon … Completion of the timeout
Completion of surgeon sharing any changes to operative plan and possible
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapm.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. … Ventilation
N
Y
1
chart review
D
Manual
NSQIP for >48h
Surgeon … Surgeon Beard
Y
Y
?
self-report
??
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - The OR front desk stated that neuromonitoring had not been called, but the attending surgeon decided … Despite advances in microsurgical technique, vessel branches
that are not visible to the surgeon can … Direct communication between the
attending surgeon and the operating room staff may have informed the … missing information or discrepancies in the plan prior to starting the procedure.19 Presence of the surgeon … Procedural pause should always involve the primary surgeon.
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psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
May 28, 2014 - Before discharge, the surgeon instructed her to return in 10 days for suture removal. … The surgeon also told the patient not to soak her hand in water, which would reduce the risk of infection … The MA did not document each call but reportedly discussed each call with the surgeon. … One day later, the patient called and asked to see the surgeon, but she was denied because the MA said … At that appointment, the surgeon recommended immediate surgery to treat the infection.
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psnet.ahrq.gov/node/49562/psn-pdf
May 01, 2008 - In the OR, the patient was surrounded by an attending surgeon, two surgical residents (but not the PA … The first is a delay
waiting for the anesthesiologist to arrive, potentially pushing the busy surgeon … If the time out occurs at the time of incision, the surgeon is already scrubbed in, leaving only
the … Furthermore, in hospitals where time outs occur regularly
and with meaning, it is the attending surgeon … The surgeon
was confronted about his behavior and apologized to the nurse, but was also told that the
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 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. … Identifying Potential Risk Factors:
Surgeon PI used experience with SSIs and a list of risk factors … Probably should focus only on nonmodifiable risk factors (eg, obesity) and not surgeon factors (duration
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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.
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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.
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psnet.ahrq.gov/issue/national-mixed-methods-evaluation-preparedness-general-surgery-residency-and-association
September 02, 2020 - September 2, 2020
Association between surgeon technical skills and patient outcomes. … Related Resources
The good, the bad, and the ugly: operative staff perspectives of surgeon … August 7, 2019
Influence of surgeon behavior on trainee willingness to speak up: a randomized
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapt.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.
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www.qualitymeasures.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.
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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.
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psnet.ahrq.gov/node/73549/psn-pdf
July 28, 2021 - Intraoperatively, the surgeon also infiltrated the arthroplasty
wound with 200 mg of 0.5% ropivacaine … anesthesiologist inquired about the surgeon’s use of local anesthesia, it was discovered that the
surgeon … The anesthesiologist who plans to do a local anesthetic block in addition to surgeon-performed wound … infiltration must advise the surgeon and other surgical team members of the safe total dose of local … The anesthesia provider must check constantly intraoperatively with the scrub nurses and the
surgeon
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psnet.ahrq.gov/node/49726/psn-pdf
March 01, 2015 - The day following the surgery, the pathologist contacted the surgeon to report no evidence of cancer. … The
surgeon then reviewed the initial CT scan and realized his mistake. … Once the
surgeon decided he did not need the imaging to proceed with surgical treatment, the proverbial … Either way, the surgeon would have been given the opportunity to review the
imaging and identify the … The
surgeon moves down one level and completes the
procedure appropriately.
Table 2.
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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