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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html?page=0
April 23, 2024 - Scientists
January 16, 2024
Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery … Leadership in Safety
July 25, 2023
Nonadherence With Guidelines Associated With Cardiac Surgery … June 27, 2023
New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery
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monahrq.ahrq.gov/news/newsletters/e-newsletter/index.html
April 30, 2024 - Scientists
January 16, 2024
Researchers Identify Risk Factors for Pneumonia After Cardiac Surgery … Leadership in Safety
July 25, 2023
Nonadherence With Guidelines Associated With Cardiac Surgery … June 27, 2023
New Toolkit Can Improve Post-Surgery Complications and Enhance Patient Recovery
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monahrq.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2017-materials/teamstepps_webinar_012017.pptx
January 01, 2017 - , 10 will die during surgery,
32 will have died by one year, and 66 will have died by five years.” … , 10 will die during surgery,
32 will have died by one year, and 66 will have died by five years.” … 50% Radiation
84% Surgery
16% Radiation
Change of 34%
The Power of Positive Framing
Study reported … Surgery. 2016 Sep;160(3):580-5.
Harp et al. J of Educ Psychology, Vol 90(3), Sept 1988, Pg 414-434. … Surgery. 2016 Jun 11. pii: S0039-6060(16)30124-6. Greenber CC et al.
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-databases.pdf
January 01, 2022 - Homes
(2019)
1,475
Medical
Offices
(2020)
331
Community
Pharmacies
(2019)
235
Ambulatory
Surgery … research purposes only
• De-identified Data Requests
► Hospital, medical office, nursing home, ambulatory surgery
-
monahrq.ahrq.gov/funding/process/study-section/hitrrst.html
January 01, 2024 - Associate Professor
Department of Surgery
University of Utah
School of Medicine
Salt Lake City, UT … Professor
Division of Transplant Surgery
Department of Surgery
Medical University of South Carolina
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
January 01, 2022 - Year: 2019
Sites: 191
N: 10,499
Community
Pharmacy
Year: 2019
Sites: 331
N: 2,157
Ambulatory
Surgery … safety culture improvement
30
SOPS Database Submission Schedule
31
SOPS Survey 2023
Ambulatory Surgery … research purposes only
• De-identified Data Requests
► Hospital, medical office, nursing home, ambulatory surgery … [ ] Nursing Homes (22)
[ ] Medical Offices (20)
[ ] Community Pharmacies (8)
[ ] Ambulatory Surgery
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monahrq.ahrq.gov/sops/webcasts.html
February 01, 2024 - 2023)
SOPS Medical Office Survey: What You Need to Know (Webcast) (July 19, 2023)
SOPS Ambulatory Surgery … Safety Supplemental Items for Medical Offices (June 2, 2021)
How To Use the AHRQ SOPS Ambulatory Surgery
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monahrq.ahrq.gov/research/findings/studies/index.html?page=2
January 01, 2024 - Keywords: Surgery, Antibiotics, Medication, Prevention, Obesity, Healthcare-Associated Infections (HAIs … Primary outcome was the adjusted cumulative incidence of repeat horizontal muscle surgery within 5 years … after the initial surgery. … Younger age at time of initial surgery was associated with a higher reoperation risk. … Semi-structured interviews were conducted with 28 healthcare workers that included physicians (surgery
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monahrq.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - 2019:
Version 2.0
Nursing
Home
2008
Medical
Office
2009
Community
Pharmacy
2012
Ambulatory
Surgery … Efficiency
Diagnostic
Safety
Hospital
Medical Office
Nursing Home In development
Ambulatory Surgery
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monahrq.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/apic-cost-calculator.html
April 01, 2022 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pptx
February 02, 2006 - to authority
Quadriplegic teen
$71 million lawsuit
High-Risk Settings and Situations
ED
OB/GYN
Surgery … some English…
Interpreter not called
Inaccurate medical history
Latex allergy almost missed before surgery
-
monahrq.ahrq.gov/news/newsletters/e-newsletter/846.html
January 01, 2023 - inappropriately written for patients’ spouses because patients did not fill prescriptions prior to surgery … In the study of more than 450,000 couples in which at least one person was prescribed opioids after surgery … , researchers found that the rate of opioid prescriptions written for spouses on the day of the surgery … was five times as high as the other days around the surgery.
-
monahrq.ahrq.gov/news/newsletters/e-newsletter/858.html
April 01, 2023 - Register Now for April 27 Webinar on Surveys on Patient Safety Culture™ Ambulatory Surgery Center Survey … The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: … Register Now for April 27 Webinar on Surveys on Patient Safety Culture™ Ambulatory Surgery Center Survey … ET on AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center (ASC) Survey.
-
monahrq.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/cusp-modules.html
April 01, 2022 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/traintrainers/lepslstafftrain.pdf
July 26, 2012 - authority
Quadriplegic teen
$71 million lawsuit
High-Risk Settings and Situations
ED
OB/GYN
Surgery … English…
Interpreter not called
Inaccurate medical history
Latex allergy almost missed before surgery
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/lepslhandouts.pdf
July 25, 2012 - Patient Safety | Essentials
Essentials
High-Risk Settings and Situations
ED
OB/GYN
Surgery … Interpreter not called
Inaccurate medical history
Latex allergy almost missed before surgery
-
monahrq.ahrq.gov/hai/telemedicine/index.html
December 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
-
monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - Unretrieved Device Fragment Count
• PDI 05 Iatrogenic Pneumothorax Rate
• PDI 06 RACHS-1 Pediatric Heart Surgery … • PDI 07 RACHS-1 Pediatric Heart Surgery Volume: Increasing heart surgery volume is
not a practice
-
monahrq.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - Adverse Drug Events (ADE)
(321)
Adverse Events
(737)
Alcohol Use
(61)
Ambulatory Care and Surgery … Keywords: Medicare, Orthopedics, Surgery
Paglino E , Lundberg DJ , Wrigley-Field E Excess … The post-operative 30-day adverse clinical outcomes in both hernia surgery cohorts were greatly increased … Ventral hernias were most commonly considered as urgent or emergency surgery (60%), while inguinal was … mostly presented as elective surgery (72%).
-
monahrq.ahrq.gov/hai/tools/enhanced-recovery/measuring.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