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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2025.xlsx
January 01, 2025 - Surgery or Anesthesia Labor and delivery 2703 1.8%
Surgery or Anesthesia Laboratory, including … 1.6%
Surgery or Anesthesia Outpatient care area 4081 2.7%
Surgery or Anesthesia Outside … Surgery or Anesthesia Special care area (e.g., ICU, CCU, NICU) 7000 4.6%
Surgery or Anesthesia … or Anesthesia Communication 5855 6.2%
Surgery or Anesthesia Data 186 0.2%
Surgery or … Anesthesia Environment 1048 1.1%
Surgery or Anesthesia Human Factors 22274 23.7%
Surgery
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
April 01, 2018 - Standardization of these measures resulted in a 3.6% absolute risk reduction in SSI incidence for all general … surgery patients. … general surgery but rarely enters contaminated areas and might benefit from a different method of skin … Articles on General Surgery
The efficacy of infection surveillance and control programs in preventing … follows:
60% female and 40% male
69% between the age of 31 and 70; 18% greater than 70.
79% general
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www.ahrq.gov/sites/default/files/2025-07/catchpole-report.pdf
January 01, 2025 - A Novel Approach for
Engagement in Team Training in High-Technology Surgery: The Robotic-Assisted Surgery … Room Size Influences Flow in
Robotic-Assisted Surgery. … Human Factors Integration in
Robotic Surgery. … A Novel Apporach for Engagement in Team Training in
High-Technology Surgery: The Robotic-Assisted Surgery … Designing an Engaging Team Training for
High-Technology Surgery: The Robotic-Assisted Surgery Olympics
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
December 01, 2017 - Slide 1: AHRQ Safety Program for Surgery—Onboarding
The Science of Improving Patient Safety and … Slide 3: AHRQ Safety Program for Surgery 1
Safety Program for Surgery
Educate staff on the science … Complications impact 25% of inpatient surgeries.
1 million deaths follow surgery. … Surgery is linked to 50% of all hospital adverse events. … Slide 15: AHRQ Safety Program for Surgery 1
Safety Program for Surgery
Educate staff on the science
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-slides.html
December 01, 2017 - Optimize Briefings and Debriefings: Slide Presentation
AHRQ Safety Program for Surgery
Slide … 1: AHRQ Safety Program for Surgery—Implementation
Optimize Briefings and Debriefings
Slide 2: … Image: Photograph of colorectal surgery set of tools. … Slide 37: Case Study: Laparoscopic Surgery Trays
Images: "Before" photograph of laparoscopic GI Surgery … Haynes AB, Weiser TG, Berry WR, et al.; Safe Surgery Saves Lives Study Group.
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www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
October 01, 2014 - Hopkins University, Baltimore
Grant Title: Improving the Safety of Care Transitions for Cardiac Surgery … Description: The proposal has three main aims:
Identify hazards that threaten post-operative cardiac surgery … intervention bundle and pilot test its impact on the safety of care transitions for post-operative cardiac surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - , during the surgery itself, and the immediate postoperative period. … , hip and knee joint replacements, and spinal fusion surgery. … For skin antisepsis, CHG bathing should be performed for 5 days prior to surgery. … Alternatively, CHG bathing can be done the night before and the morning of surgery. … will transition to an orthopedic surgery office in a community hospital.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
December 01, 2017 - Program Overview: Slide Presentation
AHRQ Safety Program for Surgery
Slide 1: AHRQ Safety Program … Surgery is linked to 50% of all hospital adverse events. … Slide 6: What is the AHRQ Safety Program for Surgery? … Slide 7: What is the AHRQ Safety Program for Surgery? … Slide 13: How is Safety Program for Surgery Different?
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
March 01, 2020 - for wrong-site/wrong-patient
surgery. … After the surgery, the site of surgery was compared with:
a. Surgeon’s mark.
b. … Avoiding wrong site surgery: a systematic review. … No wrong-site surgery
occurred during the study. … causes of wrong-site
surgery?).
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - implementation of an enhanced recovery pathway requires coordinated care from all providers who care for surgery … · Yes
· No
Allow clear liquids before surgery? … N/A if patient was not hip or knee replacement surgery patient
Abbreviations: N/A = not applicable … Date:
Time:
If no, note reason:
· Yes
· No
Postoperative antibiotics administered for emergency general … surgery patients?
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www.ahrq.gov/patient-safety/settings/ambulatory/tools.html
February 01, 2018 - These settings include medical offices and clinics, ambulatory surgery centers, hospital outpatient departments … Ambulatory Surgery Center (ASC) Survey on Patient Safety Culture is a survey in the suite of AHRQ Surveys … Environment features slide sets, facilitator notes, guides, tools, and videos help staff of ambulatory surgery … The Toolkit to Improve Safety in Ambulatory Surgery Centers helps ambulatory surgery centers (ACSs)
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/laparotomy-patient.pdf
November 01, 2023 - Laparotomy Surgery
When surgery needs to happen suddenly, it’s stressful. … Surgery may be done later that day or the next day.
Surgery may take many hours. … It depends on what happened during surgery
and on your health before surgery. … This is major surgery, and most people have pain after surgery. … Surgery for an Abdominal Hernia (uhb-DAA-muh-nuhl HUR-nee-uh)
Surgery for an Ulcer [UHL-ser]
Surgery
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www.ahrq.gov/cpi/about/nac/snac-hernandez-boussard.html
December 01, 2021 - Subject Matter Expert
Associate Professor of Medicine, Biomedical Data Sciences, and Surgery
Stanford … associate professor at Stanford University in medicine (Biomedical Informatics), biomedical data sciences, surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
May 01, 2017 - Getting Ready for Your
Ambulatory Surgery
Whether you call it outpatient surgery, ambulatory surgery … *, office surgery, or same-day surgery, it means the same
thing: surgical procedures that don’t require … steps to get ready for surgery. … surgery. … That’s where a nurse
will prepare you for surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/005-ss-preop-chlorhexidine-fg.docx
April 01, 2025 - , hip or knee joint replacement, or spinal fusion surgery. … , and intranasal iodophor the morning of surgery. … An alternative strategy is utilizing CHG the night before and morning of surgery. … Jones is given a mupirocin dose in the pre-op area before surgery. … and during surgery.
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www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Executive Summary … Next Page
Table of Contents
Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery … study to conduct a proactive risk assessment of surgical site infections (SSIs) within the ambulatory surgery … the realm of risk factors associated with SSIs that result from procedures performed at ambulatory surgery … under study (e.g., the preoperative, operative, and postoperative processes for an arthroscopic knee surgery
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
January 01, 2024 - ., medical/ surgical unit) 6,795 6.6%
Surgery or Anesthesia Labor and delivery 1,071 1.0%
Surgery or … Unknown 93 0.1%
Surgery or Anesthesia Other location 2,404 2.3%
Surgery or Anesthesia Outside area … (i.e., grounds of this facility) 78 0.1%
Surgery or Anesthesia Pharmacy 44 0.0%
Surgery or Anesthesia … 97 0.2%
Surgery or Anesthesia Human Factors 1,067 2.4%
Surgery or Anesthesia Policies and Procedures … , including Clinical Protocols 88 0.2%
Surgery or Anesthesia Staff qualifications 455 1.0%
Surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Tuinen.pdf
March 01, 2004 - Surveillance of Surgery-related Adverse Events in Missouri Using ICD-9-CM Codes
245
Surveillance … They identified AEs specifically related to surgery with a PVP of 37
percent. … Surveillance Using ICD-9-CM Surgery Codes
247
Surgery AEs were defined as harm events related to … the preoperative care, the
surgery, or the postoperative care. … Seven of these had surgery PVPs of 67
percent or better.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/065-ssi-prevention-periop-roadmap-checklist.docx
April 01, 2025 - Pathway Checklist
Preoperative Area (day of surgery)
Topic
Questions
Answers
Nasal Decolonization … *If last dose was not the morning of surgery, apply intranasal mupirocin in the pre-op area.
_______ … the patient complete home treatment prior to surgery? … CHG Bathing—Night before and morning of surgery*
Night before?
Yes No N/A
Morning of? … (Only If the patient was not bathed with CHG the morning of surgery.)
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - , orthopedic knee and hip surgery
Bundled intervention among S. aureus colonized patients—intranasal … Using CHG bathing before surgery can help reduce the risk of infection. … Received a reminder call 1 week before surgery
Stated he understood all instructions
In pre-op area … Jones
Spinal fusion surgery
64-year-old single male
Lives alone
| 19
Case Example
AHRQ Safety … Check adherence with CHG bathing before surgery and perform in pre-op area if needed.