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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nemeth.pdf
July 07, 2002 - There are many actors in operating rooms, including surgeons,
anesthesiologists, technicians, nurses … Nursing, equipment technicians, and surgeons also have
similar planning artifacts that are not shown
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www.ahrq.gov/prevention/guidelines/tobacco/5steps.html
December 01, 2012 - Five Major Steps to Intervention (The "5 A's")
Successful intervention begins with identifying users and appropriate interventions based upon the patient's willingness to quit. The five major steps to intervention are the "5 A's": Ask, Advise, Assess, Assist, and Arrange.
Ask - Identify and document tobacc…
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Scope
Adverse events (AEs) following spine surgery negatively impact patients, surgeons, and the
healthcare … databases and national registries.1–8 Post- and perioperative metrics have become a
benchmark to evaluate surgeons … These models can inform patient counseling by enabling surgeons to tailor their
assessment of risk to … By developing models for specific types of
complications, we also provide a tool for surgeons and patients
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/assess-adapt-060314.pptx
March 01, 2009 - CAUTI Prevention Implementation in a Community Hospital
Assess and Adapt: Understanding the Science of Safety and Reliability
Lisa H. Lubomski, PhD
Assistant Professor, Johns Hopkins Medicine
Armstrong Institute for Patient Safety & Quality
Department of Anesthesiology & Critical Care Medicine
1
1
Learning Ob…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/142-cusp-tip-sheet-engaging-leaders.docx
April 01, 2025 - CUSP Tip Sheet:
Engaging Senior Leaders in MRSA Prevention
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Purpose1-4
Senior leaders play an essential role in building staff engagement, ensuring accountability, and creating the infrastructure for safe care by providing necess…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - Assessment Tool
http://www.who.int/occupational_health/activities/2needlest.pdf
Staff Required
• Surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/57-senior-executives-facilitator.docx
June 01, 2023 - The ISCR national project team consisted of researchers and clinicians from the American College of Surgeons
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions4.html
June 01, 2023 - Studies examining the incidence of cognitive bias among surgeons 10 , 77 and anesthesiologists, 78
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-ASC_Webcast_2021-Famolaro.pdf
January 01, 2021 - surgical checklist developed by the Washington State Ambulatory Surgery Assoc iation and
Proliance Surgeons
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www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/diagnosis-treatment/surgery/tips/tipsurgery.pdf
June 02, 2025 - Quick Tips When Planning for Surgery
The single most important way you can stay
healthy is to be an active member of your own
health care team. One way to get high-quality
health care is to find and use information and
take an active role in all of the decisions made
about your care. This card will help you when
pl…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.docx
June 02, 2025 - Our intensivists are on board, but not all of our surgeons, so hopefully we'll get some help in figuring … The third group are the individual clinicians, and we'll divide them into the non-surgeons and surgeons … We'll turn to that last group of physicians, the surgeons. … Surgeons, as a group in general, they're very tribal, and they'll listen to someone they consider to
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - on Antithrombotic Therapy and Prevention of Thrombosis (AT9), and the American Academy of Orthopedic Surgeons
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/preface.html
March 01, 2016 - on Antithrombotic Therapy and Prevention of Thrombosis (AT9), and the American Academy of Orthopedic Surgeons
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/spreading-fac-notes.html
December 01, 2017 - multiple disciplines represented, such as nurse managers, scrub technicians, anesthesiologists, and surgeons
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/getting-ready.html
August 01, 2017 - Getting Ready for Your Ambulatory Surgery
Whether you call it outpatient surgery, ambulatory surgery * , office surgery, or same-day surgery, it means the same thing: surgical procedures that don't require an overnight hospital stay.
Patients and their family members or friends are important membe…
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - The value of a ventilation system providing 20 air changes each hour remains uncertain, and many surgeons … programs have been implemented that include feedback of postoperative wound infection rates to practicing surgeons
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www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-specialized-populations-icu-slides.html
December 01, 2017 - Preventing CAUTI in Specialized Patient Populations: The ICU
Slide Presentation
Slide 1
Preventing CAUTI in Specialized Patient Populations: The ICU
Hannah Wunsch, MD, MSc
Herbert Irving Assistant Professor of Anesthesiology and Epidemiology
Columbia University
Eugene Chu, MD, FHM
Director of Hospi…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast2-brady.pdf
June 02, 2025 - New AHRQ SOPS™ Health Information Technology Patient Safety Supplemental Items for Hospitals - Overview (Brady)
5
Overview of AHRQ’s Surveys on
Patient Safety Culture™
Jeffrey Brady, MD, MPH
Director, Center for Quality Improvement and Patient Safety,
Agency for Healthcare Research and Quality (AHRQ)
Rear Admira…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
December 01, 2017 - Our intensivists are on board, but not all of our surgeons, so hopefully we'll get some help in figuring … The third group are the individual clinicians, and we'll divide them into the non-surgeons and surgeons … We'll turn to that last group of physicians, the surgeons. … Surgeons, as a group in general, they're very tribal, and they'll listen to someone they consider to
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www.ahrq.gov/sops/events/webinars/action-plan.html
December 01, 2023 - Action Planning for the SOPS Surveys (Webcast)
January 17, 2019
Summary
Speakers and Presentation Slides
Recording
Transcript
Related Material
Summary
On Thursday, January 17, 2019, AHRQ hosted a webcast that provided an overview of the Action Planning Tool for the Surveys on Patient Safety Cu…