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healthcare411.ahrq.gov/talkingquality/plan/quality-measures.html
November 01, 2018 - the elderly may pay more attention to access to specialty care, care for chronic diseases, and heart surgery … For example, CalHospitalCompare’s Web site has information about heart attack, heart bypass surgery, … heart failure, maternity, pneumonia, other conditions and other surgery.
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healthcare411.ahrq.gov/research/publications/search.html?page=3
September 01, 2018 - Date: November 2017
Publication Number: 18-0011-EF
Toolkit To Promote Safe Surgery … The Toolkit To Promote Safe Surgery helps perioperative and surgical units in hospitals identify … For a toolkit that focuses on ambulatory surgery centers, access the AHRQ Toolkit To Improve Safety in … Ambulatory Surgery Centers.
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healthcare411.ahrq.gov/research/publications/search.html?page=10
September 01, 2015 - grant to develop and implement a bundled payment program, including health plans, hospitals, ambulatory surgery … 2014
Publication Number: 15-0011-EF
Toolkit To Improve Safety in Ambulatory Surgery … Centers
The Toolkit To Improve Safety in Ambulatory Surgery Centers helps ambulatory surgery centers
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
May 01, 2017 - for this process should specify—
· Involvement of all physicians and staff members engaged in the surgery … Key Perinatal Safety Elements
Examples
Use cognitive aids such as a checklist to guide the safe surgery … Studies have demonstrated that safe surgery checklists can facilitate the safe surgery perioperative … An informal debriefing may be an extension of the signout component of the safe surgery perioperative … Patient Safety: Safe Surgery: Why Safe Surgery Is Important. 2014 http://www.who.int/patientsafety/safesurgery
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4b_combo_psi05-foreignbody-bestpractices.pdf
November 01, 2012 - inclusion.5
Recommended Practice Details of Recommended Practice
Counts at Appropriate
Points During Surgery … Perform a sponge, sharp, and instrument count when
instruments/sponges are opened, as surgery begins … Recommended Practice: Counts at Appropriate Points During Surgery
• Count all sponges and instruments … Risk factors for retained instruments and sponges
after surgery. N Engl J Med 2003;348:229-35. … Safe surgery implementation in Thailand. AORN J 2009;90(5):743-9.
11. Bogner M.
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healthcare411.ahrq.gov/hai/index.html
March 01, 2024 - implement evidence-based practices to improve outcomes and prevent complications among patients who undergo surgery … Toolkit To Promote Safe Surgery
This toolkit helps surgical units improve safety culture and reduce … Toolkit To Improve Safety in Ambulatory Surgery Centers
This toolkit helps ambulatory surgery centers
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healthcare411.ahrq.gov/teamstepps/webinars/previous-webinars-2015.html
September 01, 2017 - July Webinar: Partnering with Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS … Medical Officer and Senior Vice-President at Hospitals Insurance Company, discussed patient safety in surgery … The presentation sought to:
Describe how a malpractice insurance company can facilitate a safe surgery … Discuss the components of a multi-faceted safe surgery program and where TeamSTEPPS fits in. … Describe the metrics that can be used to show results from a safe surgery program.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/neonatalicu.pdf
March 19, 2014 - Scenario 46
Appropriate for: Neonatal ICU
Setting: Hospital
A premature infant is scheduled for surgery … Surgery is
scheduled for 0700, and he is placed NPO after 0330. … Surgery states they will start the fluids in the OR. … Unfortunately, the surgery is delayed because the surgical team is involved with an emergency
trauma
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healthcare411.ahrq.gov/questions/question-builder/online.html
April 28, 2024 - talking about a problem or health condition, getting a prescription, or discussing a medical test or surgery … change a medicine
To get medical tests
To talk about surgery
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healthcare411.ahrq.gov/data/infographics/outpatient-surgery.html
August 01, 2018 - Skip to main content
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healthcare411.ahrq.gov/sops/news.html
March 01, 2024 - Access the recording of the webcast and presentation slides .
2023 Ambulatory Surgery Center ( … Report (December 2023)
Results from the Surveys on Patient Safety Culture® (SOPS®) Ambulatory Surgery … AHRQ Post-Webcast Materials for “SOPS ® Ambulatory Surgery Center Survey—What You Need to Know” (April … This webcast provided information on the AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
January 01, 2014 - with
a specific medical focus, the most common
specialties were anesthesiology, emergency
medicine, general … surgery, and pharmacy. … “Other” providers included
ambulance and emergency medical services,
ambulatory surgery centers, and … PSOs that collect patient
safety event reports for single event types did so
only for anesthesia, surgery … Other Providers,
6.7%
Specialty/Other
Hospitals, 6.5%
Licensed
Practictioners, 6.2%Ambulatory Surgery
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healthcare411.ahrq.gov/funding/grantee-profiles/grtprofile-hernandez-boussard.html
April 01, 2024 - Hernandez-Boussard, who also is a professor of medicine, biomedical data science, and surgery at Stanford … Utilization Project (HCUP), she profiled adverse events for various surgical events such as heart bypass surgery … metrics for different types of surgeries, this project focused on metrics for pain management care after surgery
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healthcare411.ahrq.gov/teamstepps/events/webinars/jan-2017.html
January 01, 2017 - , 10 will die during surgery, 32 will have died by one year, and 66 will have died by five years." … And 78 will die by five years."
50% Surgery 50% Radiation
Study reported in NEMJ V. 306 #21, 1982 … surgery, 68 will survive past one year, and 34 will survive past five years." … Surgery. 2016 Sep;160(3):580-5.
Harp et al. … Surgery. 2016 Jun 11. pii: S0039-6060(16)30124-6.
Greenber CC et al.
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healthcare411.ahrq.gov/teamstepps/instructor/scenarios/neonatalicu.html
March 01, 2014 - Scenario 46
Appropriate for:
Neonatal ICU
Setting:
Hospital
A premature infant is scheduled for surgery … Surgery is scheduled for 0700, and he is placed NPO after 0330. … Surgery states they will start the fluids in the OR. … Unfortunately, the surgery is delayed because the surgical team is involved with an emergency trauma
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2016-materials/teamstepps-monthly-webinar-april2016.pptx
January 01, 2016 - 1958
One of the nation’s leading providers of healthcare services
168 hospitals and 125 freestanding surgery … Culture
Slide ‹#›
Begin the Journey
2006 to 2008: 35 hospitals engaged a vendor to focus on pre-surgery … time out and checklists in surgery services
Soon recognized the need to expand to other clinical areas … Clinical focus areas:
Nursing units
Intensive Care Units
Neonatal Intensive Care Units
Labor & Delivery
Surgery
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healthcare411.ahrq.gov/talkingquality/translate/labels/explain-score.html
March 01, 2016 - example, a model report on the AHRQ Quality Indicators shows a bar graph about the death rate for brain surgery … www.qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
Death rate for brain surgery … This graph shows you the percent of patients who died after brain surgery (called a craniotomy).
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
May 20, 2016 - ∗ Death within 48 hours of admission or surgery
∗ Held in emergency department longer than 6 hours … hospitalization
∗ Procedural complication during hospitalization
∗ Restraints used
∗ Return to surgery … occur during the hospitalization (check all that apply)
∗ Death within 48 hours of admission or surgery … hospitalization
∗ Procedural complication during hospitalization
∗ Restraints used
∗ Return to surgery … and Society for Vascular Surgery.
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
January 01, 2022 - 2019:
Version 2.0
Nursing
Home
2008
Medical
Office
2009
Community
Pharmacy
2012
Ambulatory
Surgery … Diagnostic
Safety
Hospital
Medical Office
Nursing Home
In
Development
Ambulatory
Surgery
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healthcare411.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - The most visible advances occurred in the services and nursing units (a 50% reduction in general surgery … , a 57% reduction in orthopedic surgery, and an 80% reduction in the medical surgical nursing unit serving