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1741. Major Study Shows Significant Drop in In-Hospital Adverse Event Rates Pre-COVID | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/news/newsletters/e-newsletter/822.html
      July 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

1742. Neonatal Intensive Care All-Condition Readmissions with Gestational Age Reported (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-fullreport.pdf
      June 01, 2019 - 6.5 percent (Berry, Toomey, Zaslavsky, 2013; Yu, Wier, Elixhauser, 2011), many conditions such as surgery … States is approximately 6.5 percent (Berry, et al., 2013; Yu, et al., 2011), many conditions such as surgery … Effect of hospital safety-net burden on cost and outcomes after surgery. … Hospital variation in readmission after coronary artery bypass surgery in California.

1743. Making Healthcare Safer III: Executive Summary | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/research/findings/making-healthcare-safer/mhs3/exe-summary.html
      March 01, 2020 - Patient Identification Errors in the Operating Room Compliance audit Incidence of wrong-site surgery … countries included USA, UK, China, Canada, and Korea Use of aspirin following major orthopedic surgery

1744. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - National Center for Patient Safety.27 These programs include well-established and effective programs in surgery … National Surgery Quality Improvement Program (NSQIP). http://www.nsqip.org/ main/summary.asp. 29.

1745. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
      September 04, 2020 - Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA; Safe Surgery

1746. Module 3: Preparing for Implementation: Gap Analysis | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/notes.html
      August 01, 2022 - more information on building a measurement system, see the Sustainability module of AHRQ’s Ambulatory Surgery

1747. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - or operating room technician, additional L&D staff nurses, or surgeon with advanced gynecological surgery

1748. Baylor Scott & White Health: Building a Foundation for Continuous Improvement (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
      April 01, 2019 - Today, the healthcare system includes 48 hospitals, 185 satellite outpatient facilities, 26 ambulatory surgery

1749. TeamSTEPPS Essentials Course | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/slessentials.html
      July 01, 2018 - "Patient is a 62-year-old female post-op day one from abdominal surgery.

1750. Two-Day Training Content | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/communication/teach/two-day.html
      December 01, 2023 - to a party, or confusing which person a friend told you was going on vacation and which was having surgery

1751. TeamSTEPPS Specialty Scenarios: ED (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
      March 19, 2014 - The patient is resuscitated and rushed to surgery.

1752. TeamSTEPPS Learning Benchmarks | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/reference/learnbench.html
      March 01, 2014 - Pull out the x-rays and textbook and explain the details of the surgery to the rest of the crew, emphasizing

1753. TeamSTEPPS for Office-Based Care: Leading Teams | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/officebasedcare/module4/office_lead-ig.html
      September 01, 2015 - nonclinical aspects of the care team: Read the Scenario: Jack, an older man who just had cataract surgery

1754. Past Research on Patient Perceptions of Safety and Diagnostic Mishaps | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-3.html
      June 01, 2023 - The cardiologist insisted that the symptoms I had following open heart surgery could not be related to

1755. V. Challenges Identified and Lessons Learned | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/lessons5.html
      May 01, 2016 - post-discharge phone-call scripts for three patient cohorts: congestive heart failure, stroke, and outpatient surgery

1756. TeamSTEPPS Fundamentals Course: Module 7. Summary | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module7/igsummary.html
      March 01, 2014 - Debrief after the surgery or a huddle after Mrs.

1757. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/medsurg.html
      March 01, 2014 - lack of communication and the failure to provide an accurate handoff results in a delayed start for surgery

1758. Antibiotic Stewardship Program Development: Part 2 (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
      November 01, 2019 - This includes working with surgery and anesthesia colleagues to determine antibiotic selection and

1759. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - Reduction of urinary tract infection and antibiotic use after surgery: A controlled, prospective, before-after … Infections. 2009. http://www.hhs.gov/ash/initiatives/hai/infection.html Venous Thromboembolisms (post-surgery … Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Venous Thromboembolisms (post-surgery

1760. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
      February 01, 2005 - In these 293 consecutive days of surgery, the China Main portion OR/CMS staff worked an average of 21 … Humanitarian missions included trauma surgery along with a broad-based OR capability, which included … or pediatric surgery. … Surgeons and technicians must perform this procedure each time they prepare to perform surgery. … that were followed stated that a separate area should be designated for the veterinarians to perform surgery