-
pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/infection-surveillance.html
April 01, 2017 - Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … About the Toolkit
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.ahrq.gov/hai/tools/ambulatory-care/lab-testing-toolkit.html
January 01, 2018 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.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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pbrn.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.
-
pbrn.ahrq.gov/patient-safety/resources/index.html
December 01, 2022 - hospitals, nursing homes, ambulatory outpatient medical offices, community pharmacies, and ambulatory surgery … Survey on Patient Safety Culture
Community Pharmacy Survey on Patient Safety Culture
Ambulatory Surgery
-
pbrn.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
-
pbrn.ahrq.gov/hai/tools/mvp/index.html
August 01, 2017 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.ahrq.gov/hai/tools/cauti-hospitals/index.html
March 01, 2018 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … Information for Specialty Audiences
About the Toolkit
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.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.
-
pbrn.ahrq.gov/sops/databases/pharmacy/submission.html
November 01, 2023 - Community Pharmacy
Participating in the Community Pharmacy Database
Ambulatory Surgery … Community Pharmacy Survey Database Report that provides overall findings and results by ambulatory surgery
-
pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/prevent.html
July 01, 2018 - Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … About the Toolkit
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module2-speaker-notes.html
February 01, 2023 - Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … Information for Specialty Audiences
About the Toolkit
Reducing CLABSI Toolkit
Safe Surgery … scenario involves an ICU patient who has a urinary catheter because of recent extensive urological surgery
-
pbrn.ahrq.gov/hai/tools/cauti-hospitals/toolkit-use.html
December 01, 2017 - Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … Information for Specialty Audiences
About the Toolkit
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.ahrq.gov/hai/quality/tools/cauti-ltc/implement.html
March 01, 2017 - Unit-based Safety Program (CUSP)
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … About the Toolkit
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.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
-
pbrn.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Patient Safety Measures
Percentage of surgery patients with surgical complications or postoperative
-
pbrn.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
-
pbrn.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
December 01, 2017 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.ahrq.gov/hai/universal-icu-decolonization/index.html
September 01, 2013 - About the CUSP Method
Decolonization – Universal and Targeted
Tools
Ambulatory Surgery … CAUTI in LTC Facilities
Reducing CAUTI in Hospitals
Reducing CLABSI Toolkit
Safe Surgery
-
pbrn.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.