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1801. ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
      June 28, 2012 - pre-op and pp surg Gate310 SSI risk, pt w/ vascular compromise in limb Event626 Postpone surgery … Event236 Fail to notice drape not sterilize Q:0.3 Q:0.01 Event644 Fail to readmin for longer surgery

1802. II. Hotline Design and Development | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/hotline/design2.html
      May 01, 2016 - and/or negative effect experienced: Mistake Related to medicine Related to test, procedure, or surgery … or more than one mistake Negative effect Related to medicine Related to test, procedure, or surgery

1803. 2018-Actioniii-Projectsummaries (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/translating/action3/2018-ACTIONIII-ProjectSummaries.pdf
      January 01, 2018 - safety culture in hospitals, medical offices, nursing homes, community pharmacies, and ambulatory surgery … staff in hospitals, nursing homes, outpatient medical offices, community pharmacies, and ambulatory surgery

1804. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/index.html
      April 01, 2024 - connected experienced clinicians in the NYU departments of Radiology, Emergency Medicine, Medicine, Surgery … built as a high-fidelity physical mockup, implementation of OR design concepts in two new ambulatory surgery … The postoccupancy evaluation of the new pediatric ambulatory surgery center demonstrated a reduction … Identify opportunities to enhance the counting process before the surgery starts and to improve the discovery

1805. Ed-Catheter-Insertions-Transcript (doc file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/ed-catheter-insertions-transcript.doc
      September 10, 2013 - found to have – at that point, after the fall, he was found to have a left hip fracture and he goes for surgery … Possibly, the patient needs immobilization for trauma or surgery, patient is incontinent with open wounds

1806. Sustaining Change Webinar Transcript | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/sustaining-change-transcript.html
      December 01, 2017 - About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery … Information for Specialty Audiences About the Toolkit Reducing CLABSI Toolkit Safe Surgery

1807. A Unit Guide To Infection Prevention for Long-Term Care Staff | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html
      March 01, 2017 - About the CUSP Method Decolonization – Universal and Targeted Tools Ambulatory Surgery … About the Toolkit Reducing CAUTI in Hospitals Reducing CLABSI Toolkit Safe Surgery

1808. Rapid Response for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-fac-guide.html
      July 01, 2023 - D or operating room technician, additional L&D staff nurses, or surgeon with advanced gynecological surgery

1809. Urine Culturing Stewardship in the ICU Setting Facilitator Notes
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urine-culturing.pptx
      April 01, 2022 - Has the patient had recent urologic manipulation such as trauma to the GU tract or surgery?

1810. Chapter 6. Measure Maps and Profiles (continued, 25) | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/ncepcr/care/coordination/atlas/chapter6x.html
      June 01, 2014 - consulting physician, (3) communications from the consulting physician, (4) coordination of care, (5) surgery

1811. TeamSTEPPS Speciality Scenarios - Combat Care (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
      March 18, 2014 - The patient is resuscitated and rushed to surgery.

1812. TeamSTEPPS Webinars | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/webinars/index.html
      September 01, 2019 - simulation, Christiana Care Health System, and Barbara Albani, M.D., director of neurointerventional surgery

1813. Section 2: Explanation of Key Team Leadership Concepts and Tools | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps-program/curriculum/team/tools/index.html
      July 01, 2023 - , anesthesia staff, and operating room staff who can be called on if the patient requires emergency surgery

1814. Clinical Impact of an Anticoagulation Screening Service at a Pediatric Tertiary Care Facility (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
      May 01, 2007 - Patients on the cardiology and cardiothoracic surgery services at our center who receive warfarin are

1815. Final Progress Report: Videotaping communication between physicians and nurses: A methods study (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/manojlovich-report.pdf
      January 01, 2024 - Surgery. 2003;133(6):614-621. doi:10.1067/msy.2003.169. 14. Joint Commission.

1816. Findings | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - implementation were identified and addressed as the result of implementing the SDM model in orthopedic spine surgery

1817. Lessons from the Field: Measuring Intermediate Progress (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-intermediate-progress.pdf
      November 04, 2018 - extent to which health plans include coverage for mammography or postoperative follow-up care from surgery

1818. TeamSTEPPS Fundamentals Course: Module 2. Team Structure | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/fundamentals/module2/igteamstruct.html
      March 01, 2014 - , anesthesia staff, and operating room staff who can be called on if the patient requires emergency surgery

1819. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
      ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
      March 19, 2014 - The patient is resuscitated and rushed to surgery.

1820. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
      ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/scenarios/ed.html
      March 01, 2014 - The patient is resuscitated and rushed to surgery.