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41. Appendix M. Example of a Nurse-Driven Protocol for Catheter Removal (doc file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/implementation-guide/implementation-guide-appendix-m.docx
    August 03, 2015 - . · Short perioperative use in selected surgeries (less than 24 hours) and for urologic studies or surgery

42. Appendix A. Literature Review | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
    April 01, 2018 - age of 31 and 70; 18% greater than 70. 79% general surgery; 19% gynecology; 2% other. 42% clean surgeries … Wound Infection: Unadjusted predicted probability of infection for clean operations (2.2%); Clean surgeries … occurrence of positive intraoperative cultures: surgical wound class (35% of contaminated and dirty surgeries … The groupings of cases by surgical wound class included 42% clean surgeries, 54% clean-contaminated, … Orthopedic surgical procedures accounted for 41.8% of surgeries. 1684 patients developed an SSI (1.2%

43. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/pfphac.pdf
    September 01, 2014 - Associated With Central Venous Catheters MPSMS Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries … Catheters 4.00 5.25 0.76 All Other HACs Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries … Catheters 114,689 32,750,000 3.502 MPSMS Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries

44. Selected Best Practices and Suggestions for Improvement (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4k_combo_psi14-dehiscence-bestpractices.pdf
    May 20, 2016 - • Postoperative wound dehiscence occurs in up to 3% of abdominal surgeries, and is associated with significant … mortality between 14% and 50%.1 Other adverse events include prolonged length of stay, subsequent surgeries

45. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
    January 01, 2004 - Among the patients with potentially preventable complications (N = 25,392; 6.8 percent of all surgeries … .6 In this study, for example, we found that 25 percent of Florida Medicare FFS patients had major surgeries … Conversely, another 25 percent of the same Florida Medicare patient group had major surgeries at the … of patient safety, we examined a broad spectrum of patient safety measures relevant to all major surgeries … (N = 25,392; 6.8 percent of all surgeries).

46. Background and Overview: Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/battlesslides.pdf
    July 18, 2015 - More than 25 million procedures are performed in ASCs each year (2014) • Nearly two-thirds of US surgeries

47. Underwood Surgery Center: Slide Presentation (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
    September 01, 2015 - Center (USC) • Physician owned multi-specialty surgery center • Performs endoscopic procedures, surgeries

48. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Key Findings: • Drawing meaningful statistical comparisons is difficult because wrong-site surgeries … The estimated rate of wrong-site surgery varies from 0.0 to 4.5 per 10,000 surgeries performed.1 Contributing … Errors in the Operating Room 11-9 Gaps and Future Directions The prevalence of reported wrong-site surgeries … Operating room The estimated rate of wrong-site surgery varies, ranging from 0.09 to 4.5 per 10,000 surgeries … Wrong-site surgeries are rare, and showing any statistically significant reduction in occurrences with

49. Appendix C. Data Dictionary | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapc.html
    April 01, 2018 - VA, IHC, DH, VA-NSQIP for example) OUTCOMES SURG_ID Varchar(10) A unique identifier for all surgeries … data (VA, IHC, DH, VA-NSQIP for example) RISK SURG_ID Varchar(10) A unique identifier for all surgeries

50. Be More Involved in Your Health Care: Tips for Patients (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/beinvolved.pdf
    August 01, 2011 - n Know your current medical conditions, past surgeries, and illnesses.

51. SOPS Ambulatory Surgery Center Webcast - HARE (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
    January 01, 2023 - • ASCs are facilities: ► (1) where patients have surgeries, procedures, and treatments and are not … Patient Safety Rating (1 item) • Screener Question Asking Whether the Respondent is in the Room During Surgeries

52. Appendix D. Mapping ICD9 and CPT Codes | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiapd.html
    April 01, 2018 - Sampling surgeries based on ICD9 alone in the VA may lead to unrepresentative samples. … For the other surgeries, this may give an acceptable result. … recommend that the combined set of ICD9 and CPT codes be used for all procedures in the VA to identify surgeries

53. Methods To Estimate the Baseline 2010 PFP National Hospital-Acquired Condition Rate | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/pfp/methods.html
    December 01, 2017 - Associated With Central Venous Catheters MPSMS Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries … Catheters 4.00 5.25 0.76 All Other HACs Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries … Catheters 114,689 32,750,000 3.502 MPSMS Postoperative Cardiac Events for Cardiac and Noncardiac Surgeries

54. Surgical Patient Experience of Care Survey Design Project (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
    November 20, 2008 - 49 surgical patients • Heterogeneous with respect to age, gender, type of surgery, number of surgeries … Either consider deleting or add an item asking how many surgeries this doctor has performed on the

55. Ambulatory Surgery Center Survey on Patient Safety Culture | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/sops/surveys/asc/index.html
    March 01, 2023 - ASCs are facilities: (1) where patients have surgeries, procedures, and treatments and are not expected

56. Chapter 5. Project Expansion | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
    April 01, 2018 - This is not surprising since the Intermountain data contributed over 95 percent of the CABG surgeries … The difference would be attributed to the 78 CABG surgeries from the VA and the inclusion of the eight … Total hip surgeries from Intermountain contributed to 85 percent of the total dataset. E3.5.5.

57. Technical Interventions To Prevent CAUTI | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/guides/implguide-pt3.html
    October 01, 2015 - Perioperative use in selected surgeries —According to the 2009 HICPAC guideline, urinary catheters are … Catheters also are indicated for urologic surgeries or other surgeries on contiguous structures of the … Based on local findings suggestive of CAUTI (e.g., pelvic discomfort or flank pain) Prior to urologic surgeries … constitute signs of infection) Screening of urine cultures (whether on admission or before nonurologic surgeries … Preoperative urine cultures in patients who are not undergoing urologic surgeries are discouraged. 32

58. Part 3: National Quality Strategy Priority—Patient Safety | Agency for Healthcare Research and Quality
    ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part3-nqs2.html
    June 01, 2018 - Colorectal Surgery Mortality Unadjusted mortality rate (%) 30 days postoperation for colorectal surgeries … Overall Rate: In 2013, the unadjusted rate of 30-day postoperative mortality for colorectal surgeries

59. Updated Information on the Annual Hospital-Acquired Condition Rate: 2011 and 2012 (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/updatedhacrateinfo.pdf
    June 01, 2014 - Catheters 130,000 3.84 120,000 3.74 MPSMS Postoperative Cardiac Events for Cardiac and Non- cardiac Surgeries

60. Final Progress Report: Improving Patient Safety in Orthopedic Trauma Surgical Training (pdf file)
    ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-04/anderson-report.pdf
    January 01, 2024 - Being able to incorporate more difficult surgeries, such as pelvic or spine procedures, will provide … Every fluoroscopy image collected during these surgeries was saved to the patient’s electronic medical … Seven surgeries were performed by seven different orthopedic residents. … The 15 different hip fracture repair surgeries were recorded using a head-mounted point-of-view camera … that surgical skill is not directly related to duration of surgical practice but to the number of surgeries