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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/briefing-debriefing.html
December 01, 2017 - Briefing and Debriefing Tool
AHRQ Safety Program for Surgery
Introduction
Problem Statement
Surgical site infection (SSI) prevention remains a global public health priority. Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States in 2010. 1 Usi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - owned by AAOS fellows or operated under a joint venture with another entity, so
long as orthopaedic surgeons … Data from facilities in cohorts 1–7 and the American Association of Orthopedic Surgeons (AAOS) pilot … Physicians included anesthesiologists and surgeons. … from cohorts 3–7 and AAOS
Pilot for all respondents, physicians (includes doctors (nonanesthesia), surgeons … The team agreed to make the Surgeon
Safety statement a facility-wide policy and to encourage all surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/169-cusp-science-safety-slides.pptx
October 01, 2024 - AHRQ Safety Program for MRSA Prevention
AHRQ Safety Program for MRSA Prevention
The Science of Safety:
Principles in Practice
ICU & Non-ICU
AHRQ Pub. No. 25-0007
October 2024
AHRQ Safety Program for MRSA Prevention | ICU & Non-ICU
The Science of Safety
1
Educational Objectives
Describe the patient safety risks tha…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
December 01, 2017 - How were we going to address the fact that surgeons like the OR cool when they’re operating? … We obviously couldn’t change the way our surgeons worked best.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - We want to involve other surgeons, other cases. … We've reached our goal, let's go ahead now, let's spread this intervention to other surgeons, other operating
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
July 01, 2004 - was needed to help patients better understand the different roles of
pharmacists, physicians, and surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4h_combo_psi11-postoprespfailure-bestpractices.pdf
May 20, 2016 - calculate-online/respirology/postoperative-respiratory-failure-risk-
calculator
Staff Required
• Surgeons
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cancer.html
June 01, 2018 - Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer … Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - surgery' 6 appropriate use of antimicrobial prophylaxis and 7 feedback of surgical infection rates to the surgeons … effectiveness of control programs based on surveillance with feedback of surgical infection rates to surgeons … Surgical wound infection surveillance with appropriate feedback to surgeons is one of the few effective … Methods
The study was restricted to spine operations performed by orthopedic surgeons.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/104-what-are-4-es.pptx
April 01, 2025 - Include people from every role relevant to the process
Perioperative staff in prep area, OR, and PACU
Surgeons … Communication8
CUSP Tip Sheet: Engaging Unit Staff in MRSA and SSI Prevention
CUSP Tip Sheet: Engaging Surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - for good practice
• Confirms roles and responsibilities of
team members
• Discusses care with surgeons … with others to achieve
goals
Behavioral markers for poor practice
• Does not coordinate with surgeons … now led to a similar investigation to develop a
behavioral marker system for the identification of surgeons … Rating
observations of surgeons’ non-technical skills. Anesth
& Analg 2004;98(5 suppl): May.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - Sixty-seven percent of anesthesiologists, 66 percent of other doctors/physicians or surgeons, and
82 … Doctors/Physicians (excluding Anesthesiologists) or Surgeons were more positive than other
staff positions … Doctors/Physicians (excluding Anesthesiologists) or Surgeons were more positive than most
other staff
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/004-ss-antimicrobial-prophylaxis-part-2.pptx
April 01, 2025 - American Academy of Orthopaedic Surgeons. … Perioperative antibiotic prophylaxis: surgeons as antimicrobial stewards. … American Academy of Orthopaedic Surgeons. … Perioperative antibiotic prophylaxis: surgeons as antimicrobial stewards.
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www.ahrq.gov/sites/default/files/2025-06/xu-report.pdf
January 01, 2025 - We also obtained research data from the American College of Surgeons National Surgical Quality
Improvement … completeness, currency, or suitability of the information provided here.
b The American College of Surgeons … morcellation affected clinical practice, we
analyzed data in 2012-2016 from the American College of Surgeons … Laparoscopic hysterectomy after the FDA safety statement on power morcellation”; American
College of Surgeons … American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP).
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www.ahrq.gov/teamstepps-program/evidence-base/simulation.html
July 01, 2023 - Journal of the American College of Surgeons . Select to access the abstract .
Patterson, M.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/physengagement-slides/Physician-Engagement-Sept-13-2011-508.ppt
January 01, 2011 - Project Report - Lean Sigma
Physician Engagement
*
Story of cardiac surgeon not doing check list. Cardiac SICU one year zero infections, then BAM! two infections linked to one noncompliant cardiac surgeon. Or other example story of physicians not being engaged in QI
*
One of the issues we hear our teams talk ab…
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www.ahrq.gov/sites/default/files/publications/files/simulproj11.pdf
June 30, 2014 - system and objective
assessment methods hold good potential
for coupling to any spatial task where
surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/124-cusp-science-safety-fg.docx
April 01, 2025 - Considering the perioperative setting, it would be important to include team members from the clinic or surgeons … Many of the hospital’s senior surgeons often bragged that they could push through 18-hour shifts and
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www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
January 01, 2024 - trial of clinician disclosure training on patient ratings of the quality of actual
disclosures, 419 surgeons … We recruited over 400 practicing
surgeons and interventional internal medicine physicians, randomized … experienced an unanticipated outcome
that met study inclusion criteria
Participating physicians were surgeons … (general surgery and all surgical subspecialties)
and non-surgeons who frequently performed invasive
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-4.html
August 01, 2023 - Less familiarity with pediatric values among emergency physicians, general surgeons, and anesthesiologists