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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/observation/observation.pptx
May 01, 2017 - Practices for Sustainability
Module 4: Observation and Integration
AHRQ Safety Program for Ambulatory Surgery … 0019-4-EF
May 2017
Module 4: Observation and Integration | ‹#›
AHRQ Safety Program for Ambulatory Surgery … Quality improvement
Module 4: Observation and Integration | ‹#›
AHRQ Safety Program for Ambulatory Surgery … Follow the recommendation from the AHRQ Safety Program for Ambulatory Surgery to give feedback to the … The AHRQ Safety Program for Ambulatory Surgery has great resources on coaching.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/10-frontline-provider.pptx
June 01, 2023 - site infections) and long lengths of stay
Care of [service line] surgery patients is highly variable … and expedite their surgery? … ISCR at [Hospital Name] 11
Key Preoperative Elements
(Day of Surgery)
Below are examples of ISCR … components that are relevant to the preoperative work area on the day of surgery. … For hip/knee replacement surgery, what is the process for tranexamic acid administration?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - Name]
[Service line, e.g., colorectal, hip fracture] surgery procedures may have high morbidity (e.g … ., surgical site infections) and long lengths of stay
Care of [service line] surgery patients is highly … Slide 10
Key Preoperative Elements
(Days and Weeks Prior to Surgery)
This slide lists examples of … and expedite their surgery so they are in the operating room within 24 hours of their fracture? … are relevant to the preop area on the day of surgery.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery … Protocol
Normothermia Audit Tool
AHRQ Safety Program for Surgery … You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication … https://www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery … You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication … QUESTION
DATA
Did the patient use chlorhexidine washcloths prior to surgery? … https://www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/ssi-investigation.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … You can use the AHRQ Safety Program for Surgery Toolkit to guide your team through the quality improvement … Surgery Attending
Anesthesia Attending
Surgery Resident
Anesthesia Resident
Nurse
Anesthesia … Surgery Attending
Surgery Resident
Anesthesia Attending
… https://www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/or-briefing-audit.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery … Slide 1: AHRQ Safety Program for Surgery—Sustainability
Deep-Rooting Your Data
Slide 2: Learning … Avoid elective surgery if remote infection present.
Appropriate wound protection. … https://www.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-slides.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/antibiotic-audit.html
December 01, 2017 - Question 4: Indicate whether colorectal surgery was performed. … Clinical practice guidelines for antimicrobial prophylaxis in surgery. … Question 4: Indicate whether colorectal surgery was performed. … Clinical practice guidelines for antimicrobial prophylaxis in surgery. … Clinical practice guidelines for antimicrobial prophylaxis in surgery.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … Slide 1: AHRQ Safety Program for Surgery—Sustainability
Sustainability: Learning From Defects … Slide 3: AHRQ Safety Program for Surgery
Comprehensive Unit-based Safety Program
Educate staff … ”
— James Reason, Human Error, 1990 1
Slide 8: AHRQ Safety Program for Surgery—Sustainability … https://www.ahrq.gov/hai/tools/surgery/modules/sustainability/learn-from-defects-slides.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery … Task Factors
The patient's midsection was exposed during surgery . … They were actually more accurate than bladder probes during colon surgery, because the bladder probe … https://www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - (within 1 hour before surgery) to help prevent infection. … Slide 6: What is the AHRQ Safety Program for Surgery? … Slide 7: What is the AHRQ Safety Program for Surgery? … Slide 13: How is Safety Program for Surgery Different? … Maybe no one even ever heard of Safety Program for Surgery and patient care hasn’t improved.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-slides.html
December 01, 2017 - Slide 1: AHRQ Safety Program for Surgery—Implementation
Learning From Defects through Sensemaking … Slide 24: AHRQ Safety Program for Surgery—Implementation
Communicating for Patient Safety
Case … What : Needs emergency surgery to correct.
When : Early morning 0530. … In OR: Patient stabilized and surgery begins. … Slide 31: AHRQ Safety Program for Surgery—Implementation
Learning From Defects Through Sensemaking
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - before surgery, who had hair removed using a safer method (electric clippers or hair removal cream, … Timely receipt of antibiotic
Surgery patients who were given an antibiotic at the right time (within … 1 hour before surgery) to help prevent infection. … Slide 6: Improvement Model Works in Surgery
Say:
Evidence shows this approach works. … Slide 9: Case Study: Laparoscopic Surgery Trays
Say:
We also know that this effort of reaching
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
December 01, 2017 - Slide 1: AHRQ Safety Program for Surgery—Onboarding
Performing an SSI Investigation
Slide 2: … Every hospital in AHRQ safety program for surgery is tracking the same outcome data. … Did the patient use chlorhexidine washcloths prior to surgery? … Present process data to the team at a routine safety program for surgery meeting. … https://www.ahrq.gov/hai/tools/surgery/modules/on-boarding/ssi-investigation-slides.html
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … The four primary types of critical team interactions in surgery are briefings, debriefings, huddles, … Slide 36: Case Study: Laparoscopic Surgery Trays
Say:
Debriefing also uncovered an inefficiency … Slide 37: Case Study: Laparoscopic Surgery Trays
Say:
Debriefing at the end of a case, the staff … We assured them that the surgery would continue, but the nurse would debrief to confirm the procedure
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ce.effectivehealthcare.ahrq.gov/hai/tools/enhanced-recovery/choosing.html
June 01, 2023 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery … recovery pathways for colorectal, gynecologic, hip and knee replacement, hip fracture, and emergency general … surgery (appendectomy, cholecystectomy, and major abdominal) service lines.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/26-patient-education-guide.docx
June 01, 2023 - of Booklets
The booklets were developed for patients and caregivers to engage and prepare them for surgery … and they highlight the important participatory role patients and caregivers have as they prepare for surgery … They are not a substitute for instructions or for surgery-specific education provided by healthcare team … Ask if they, their family members, or anyone they know had surgery before, and if they have questions … For example, many patients and family reviewers for the colorectal surgery booklet had questions about
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
October 01, 2020 - Home
Healthcare-Associated Infections Program
Tools
Safe Surgery … The Safety Program for Surgery has modified that tool for the surgical setting into the Perioperative … Say:
Key stakeholders in the surgical arena are critical to a successful safety program for surgery … Here is an example of a tool developed by the Johns Hopkins Colorectal Surgery team. … https://www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - In
addition, the mean number of surgery/procedure rooms per ASC is 2.8. … Communication in the Surgery/Procedure Room by ASC Type
ASC Type
Communication in the Surgery/ … Communication in the Surgery/Procedure Room by ASC Size
Number of Surgery/Procedure Rooms
Communication … Communication in the Surgery/Procedure Room by ASC Type
Table 16. … Communication in the Surgery/Procedure Room by ASC Size
Table 26.
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
April 01, 2018 - -0.02436
-1.36677
0.17172
Chronic lung disease
0.717234
1.299857
0.19365
Emergency surgery … Postop hemoglobin
-0.26253
-1.52152
0.12890
Preop hemoglobin
0.013404
0.231
0.82005
Surgery … -0.01718
-1.01601
0.30962
Chronic lung disease
1.181684
2.524745
0.01158
Emergency surgery … Results of logistic regression using the combined dataset for only total hip surgery
Variable
Estimate … -0.02085
-1.74905
0.08028
Chronic lung disease
0.930147
2.645746
0.00815
Emergency surgery