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www.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
January 01, 2024 - attending physician, residents, interns, medical students, and various allied health
professionals), surgeons … Three surgeons and 11 physicians from different
medical specialties were video recorded during the … Analysis of errors reported by surgeons at
three teaching hospitals.
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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/teamstepps/evidence-base/simulation.html
July 01, 2015 - 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/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/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/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Others use data registries such as the American College of Surgeons’ National Surgical Quality Improvement
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/13-identifying-stakeholders-analysis.docx
June 01, 2023 - Typical ISCR stakeholder groups include: surgeons; anesthesiologists; nurses; advanced practitioners;
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www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
January 01, 2024 - for Patient Safety at the Institutional Level, in
Surgical Patient Safety: Essential Information for Surgeons … Rounds
New York, New York
Organizational reliability (panelist – patient safety)
American College of Surgeons … Systems Simulation Presentation and Demonstration – Leadership Event at the
American College of Surgeons … Meeting of the Ophthalmic Anesthesia Society – a
multidisciplinary society of anesthesiologists, surgeons
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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/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief-audio-facnotes.docx
April 21, 2014 - 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/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/downloads/pub/advances/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/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/research/findings/studies/index.html?page=425
January 01, 2024 - AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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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/wysiwyg/hai/tools/mrsa/063-protocol-training-nasal-decolonization-slides.pptx
October 01, 2024 - Nasal trauma:
If the patient has had a recent nasal surgery or trauma, work with your hospital’s ENT surgeons
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www.ahrq.gov/patient-safety/resources/liability/pichert.html
August 01, 2017 - For example, patient complaints about surgeons’ communication and respectfulness have been shown to be … complications, which may indicate that similar behaviors toward colleagues may negatively impact high-complaint surgeons … All trauma surgeons are not created equal: Asymmetric distribution of malpractice claims risk. … Academic urologic surgeons have greater exposure to risk management activity compared to community urologic … surgeons: An empirical analysis of patient complaint data.
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - For example, patient complaints about surgeons’ communication and respectfulness have been shown to be … complications, which may indicate that similar behaviors toward colleagues may negatively impact high-complaint surgeons … All trauma surgeons are not created equal: Asymmetric distribution of malpractice claims risk. … Academic urologic surgeons have greater exposure to risk management activity compared to community urologic … surgeons: An empirical analysis of patient complaint data.
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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-2/033-ss-action-chart-decolonization.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Action Chart for Implementing a
Preoperative Decolonization Program
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
CUSP = Comprehensive Unit-based Safety Program; MRSA = methicillin-resistant Staphylococcus au…