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psnet.ahrq.gov/node/73857/psn-pdf
September 22, 2021 - surgery
This study classified flow disruptions affecting the anesthesia team during cardiothoracic surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/010-ss-evidence-decolonization.pptx
April 01, 2025 - MRSA Decolonization
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries … and preoperative skin antisepsis with chlorhexidine, as it applies to MRSA and SSI prevention, for surgeries … and observational (n=12) studies
Population: patients undergoing cardiac or total joint replacement surgeries … S. aureus (MSSA, MRSA)
Results
59 percent reduction in SSIs in cardiac and total joint replacement surgeries
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psnet.ahrq.gov/node/866158/psn-pdf
June 19, 2024 - anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
An increasing proportion of surgeries
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hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
July 01, 2011 - , but 13 percent of the Medicaid stays
had a CMS HAC of surgical site infection following selected surgeries … risk but only 32 percent of the stays with a CMS
HAC of surgical site infection following selected surgeries … 68.8% 3.0% 24.3%
Population at riskb 100.0% 40.4% 5.6% 44.3%
Surgical site infection (selected surgeries … , ME, MI, NJ, NV, NY, OR, and TN.
0.00 0.50 1.00 1.50 2.00 2.50
Surgical site infection (selected surgeries … NJ, NV, NY, OR, and TN.
0.00 1.00 2.00 3.00 4.00 5.00 6.00 7.00
Surgical site infection (selected surgeries
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psnet.ahrq.gov/node/41979/psn-pdf
January 16, 2013 - thinking-threes-changing-surgical-patient-safety-practices-complex-modern-
operating-room
This commentary explores strategies to prevent surgical fires, wrong-site surgeries
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psnet.ahrq.gov/node/44240/psn-pdf
June 23, 2015 - risks-are-high-low-volume-hospitals
This news article reports an independent analysis of patient risk at hospitals that provide surgeries
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psnet.ahrq.gov/node/45003/psn-pdf
July 18, 2016 - These findings are
similar to a prior study that included mostly adult surgeries.
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psnet.ahrq.gov/node/44243/psn-pdf
November 09, 2015 - psnet.ahrq.gov/issue/concept-analysis-wrong-site-surgery
Despite large-scale efforts to prevent wrong-site surgeries
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/045-ss-tips-patient-ed.docx
April 01, 2025 - Decolonization to Patients
Surgical Services
For: Cardiac, Hip and Joint Knee Replacement, and Spinal Fusion Surgeries
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/058-patient-instructions-iodophor.docx
April 01, 2025 - Decolonization With Iodophor
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
June 02, 2025 - Perioperative use in selected surgeries
3.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - Decolonization Implementation
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries … presentation will review the evidence for MRSA decolonization as it applies to MRSA and SSIs for high-risk surgeries … including cardiac, hip and knee joint replacement and spinal fusion surgeries; identify key strategies … nasal decolonization and skin antisepsis have been shown to significantly reduce the risk of SSIs in surgeries … 15
Neuro Spine Surgery Case Example—1
SAY:
In reviewing the process and SSI data for neuro-spine surgeries
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www.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - While her initial grant identified quality metrics for different types of surgeries, this project focused … Her published findings on pain treatments for specific surgeries, such as breast , carpal tunnel ,
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www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Scenarios depicted
different types of ambulatory surgery procedures (pediatric and orthopedic surgeries … test their performance against the flow patterns obtained from coding video
observations of actual surgeries … The videos of the 25 surgeries, flow maps, pictures, and
interviews were then analyzed to understand … Given that most pediatric surgeries are of a short duration with
a longer preoperative stage involving … future research related to other types
of OR environments, such as hybrid ORs and robotic-assisted surgeries
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psnet.ahrq.gov/node/60763/psn-pdf
August 05, 2020 - medical-staff-and-general
https://psnet.ahrq.gov/issue/covid-19-bears-down-doctors-confront-difficult-choices-elective-surgeries
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psnet.ahrq.gov/node/846759/psn-pdf
March 29, 2023 - surgery between 2013 and 2020 concluded that the risk of
wrong-site surgery increases with spinal surgeries
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psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - cancer treatment alone in 2010, primarily in the office setting.( 7 ) Our best estimates of wrong-site surgeries … recent analysis described 46 deaths and 263 procedure-related complications occurring from office-based surgeries … from occurring should focus on the role of photography and standardized protocols for office-based surgeries … access to preoperative biopsy site photographs in an EHR is incredibly useful for preventing wrong-site surgeries … a protocol over a 6-year period, there were 0 cases of wrong-site surgery in 7983 Mohs micrographic surgeries
-
psnet.ahrq.gov/node/40150/psn-pdf
January 19, 2011 - causes-and
Faulty or missing equipment resulted in operating room delays in nearly 16% of scheduled surgeries
-
psnet.ahrq.gov/node/39769/psn-pdf
August 18, 2010 - led to successful implementation of the Joint Commission's
Universal Protocol to prevent wrong-site surgeries
-
psnet.ahrq.gov/node/44255/psn-pdf
November 09, 2015 - identify the correct biopsy site for subsequent surgical excision, potentially
avoiding wrong-site surgeries