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1761. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - surgical outcomes are aggregated by institution and benchmarked against national levels for the National Surgery … Annals of Surgery 1998;228:491–507. 27. Leape LL, Bates DW, Cullen DJ, et al.

1762. Learning from Errors in Ambulatory Pediatrics (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Mohr.pdf
      February 01, 2004 - communication with other providers “Infant showed up in office with significant distress after cardiac surgery … Parents of patient had not been given good instructions for follow up after surgery if child became

1763. Section 5, Tables 8 and 9 (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-131-section-5-table-8-9.pdf
      January 01, 2013 - procedure volumes and standardization of care on quality and efficiency in total joint replacement surgery … EJ, cohort study retrospective cohort study to determine whether readmission rates after major surgery

1764. Regulation of Health Policy: Patient Safety and the States (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Weinberg.pdf
      March 01, 2004 - outpatient settings.8, 9 Earlier research on patient safety focused on errors of commission (wrong surgery … major permanent loss of function … not present when the patient …[was] admitted to the facility; [or] surgery … Universal protocol for preventing wrong site, wrong procedure, wrong person surgery.

1765. Surveys on Patient Safety Culture (SOPS®) Medical Office Survey: 2022 User Database Report Part I (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/2022-mosops-database-report-part-I.pdf
      January 01, 2022 - Medicine 219 25% Gastroenterology 18 2% General Practice 15 2% General Preventive Medicine 1 <1% General … Surgery 7 1% Geriatrics 1 <1% Hematology/Oncology 29 3% Internal Medicine 43 5% Medical Genetics … Public Health and Rehabilitation 3 <1% Pulmonary Medicine 21 2% Radiology 2 <1% Rheumatology 9 1% Surgery … Specific Specialties (Table A-13 and Table A-18) • Database medical offices that specialize in surgery … • Database medical offices that specialize in surgery had the highest average percentage of respondents

1766. Final Progress Report: Medication Reconciliation: Bridging Communications Across the Continuum of Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/muller-report.pdf
      January 01, 2024 - Those individuals were placed in strategic areas, including the Emergency Department, Day Surgery, and … Several departments do not utilize the EMR at this time, including diagnostics, short stay, and day surgery

1767. Development of the Learning Health System Researcher Core Competencies (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/lhs-corecompetencies.pdf
      January 01, 2017 - Creating a learning healthcare system in surgery: Washington State’s Surgical Care and Outcomes Assessment … Surgery. 2012 151(2):146-52. Mangione-Smith R, DeCristofaro AH, Setodji CM, et al.

1768. Ten Considerations for Easing the Transition to a Web-based Patient Safety Reporting System (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
      January 01, 2004 - Should the employee choose to report a surgery-related event, the screens are unique to surgery events

1769. Building, Implementing, and Troubleshooting an Automatic Referral for Cardiac Rehabilitation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/implementing-automatic-referral-slides.pptx
      December 31, 2022 - are inappropriate. 24 Eligibility Criteria Heart attack in the last 12 months Coronary artery bypass surgery … medical interface Term Abbreviation AR Automatic referral CABG Coronary artery bypass surgery

1770. Presentation: Program Overview
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-slides.pptx
      January 01, 2017 - You will be able to distinguish the AHRQ Safety Program for Surgery from that of other national improvement

1771. CHIPRA 155: Bibliography (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-155-bibliography.pdf
      May 08, 2018 - Time to pediatric epilepsy surgery is longer and developmental outcomes lower for government compared

1772. CHIPRA 157 Bibliography (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-157-bibliography.pdf
      June 12, 2018 - Time to pediatric epilepsy surgery is longer and developmental outcomes lower for government compared

1773. 2016 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2016_cg_cahps_chartbook.pdf
      January 01, 2016 - Orthopedics 2,229 61% 82% 83% 81% Radiology 817 55% 78% 73% 73% Rheumatology 2,280 56% 75% 73% 70% Surgery … 83% 69% 85% Pulmonary Medicine 1,613 71% 91% 88% 75% 85% Rheumatology 1,520 67% 90% 85% 77% 84% Surgery

1774. 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

1775. Weighted Summary Statistics: PUF Medicare Inpatient File (Version 2) (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/data/SyH-DR-PUF-Summary-Statistics-Medicare-Inpatient-Weighted.pdf
      September 26, 2023 - gynecology 194 0.00 14,169,165 95.58 17: Hospice and Palliative Care 9,135 0.06 14,178,299 95.64 19: Oral surgery … (dentists only) 1,683 0.01 14,179,982 95.66 20: Orthopedic surgery 577,188 3.89 14,757,170 99.55 21 … 0.00 14,758,117 99.56 23: Sports medicine 272 0.00 14,758,389 99.56 24: Plastic and reconstructive surgery … Psychiatry 1,894 0.01 14,761,324 99.58 27: Geriatric Psychiatry 6,573 0.04 14,767,897 99.62 28: Colorectal surgery … 0.00 14,804,732 99.87 31: Intensive cardiac rehabilitation 810 0.01 14,805,543 99.88 33: Thoracic surgery

1776. 2022 National Healthcare Quality and Disparities Report Appendixes (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2022qdr-appendix-combined.pdf
      October 25, 2022 - MAPS Disparities Map Measure Title Data Source Data Year Postoperative sepsis per 1,000 elective-surgery … and over HCUP 2019 Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery … Report Quality Map Measure Title Data Source Data Year Postoperative sepsis per 1,000 elective-surgery … and over HCUP 2019 Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery … who received axillary node dissection or sentinel lymph node biopsy at the time of breast cancer surgery

1777. Making Healthcare Safer Practices: 14. Delirium (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
      March 01, 2020 - Precipitating risk factors for delirium include acute illness, surgery, pain, dehydration, sepsis, electrolyte … Family Confusion Assessment Method (FAM-CAM) and the researcher- led CAM 2 days after the patient’s surgery … with NuDESC Prospective study; 91 patients; adults aged 70+ receiving general anesthesia during surgery … Acute care; cardiac and orthopedic surgery units at a short-stay hospital The educational nursing … Size: n=59 (intervention), and n=63 (control) Patient Population: Adult abdominal or cardiac surgery

1778. Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize Unintended Consequences (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
      April 06, 2008 - Facilities include eight urgent care clinics, two outpatient surgery centers, comprehensive laboratory

1779. PowerPoint Presentation
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-implementation-slides.pptx
      February 28, 2022 - surgical procedure Who: Surgeons, anesthesiologists, operating room nurses, and scrub technicians in the General … Surgery Service When: Just prior to first incision Where: In the operating room 30 Step 3: Define

1780. Universal ICU Decolonization: An Enhanced Protocol (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
      September 01, 2013 - The protocol should continue for patients being transferred for procedures in radiology and surgery. … If your hospital has a policy for cardiac or orthopedic surgery patients to undergo nares screening … for Staphylococcus aureus prior to surgery, then this practice should continue. … • MRSA or MSSA decolonization prior to cardiac and orthopedic surgery.