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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh19.html April 01, 2018 - Text Description 
 The Exhibit shows the annual number of each type of surgery done in the United States 
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html October 01, 2020 - Select audio symbol to play audio, or access audio at: 
 https://www.ahrq.gov/hai/tools/ambulatory-surgery … Select audio symbol to play audio, or access audio at: 
 https://www.ahrq.gov/hai/tools/ambulatory-surgery … Percentage of on-time administration of prophylactic antibiotics 
 Safe surgery checklist use/implementation 
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www.ahrq.gov/hai/tools/surgery/modules/implementation/ssi-bundle-fac-notes.html October 01, 2020 - Implementing Your Surgical Site Infection Prevention Bundle: Facilitator Notes 
 
 
 
 AHRQ Safety Program for Surgery … The Safety Program for Surgery has modified that tool for the surgical setting into the Perioperative … Say: 
 Key stakeholders in the surgical arena are critical to a successful safety program for surgery … Here is an example of a tool developed by the Johns Hopkins Colorectal Surgery team. 
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html April 01, 2017 - Learn From Defects - Implementation Guide 
 
 
 
 AHRQ Safety Program for Ambulatory Surgery 
 Purpose 
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html December 01, 2017 - Optimize Briefings and Debriefings: Facilitator Notes 
 
 
 
 AHRQ Safety Program for Surgery 
 Slide … The four primary types of critical team interactions in surgery are briefings, debriefings, huddles, … Slide 36: Case Study: Laparoscopic Surgery Trays 
 
 Say: 
 Debriefing also uncovered an inefficiency … Slide 37: Case Study: Laparoscopic Surgery Trays 
 
 Say: 
 Debriefing at the end of a case, the staff … We assured them that the surgery would continue, but the nurse would debrief to confirm the procedure 
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/normothermia-audit.html December 01, 2017 - Normothermia Audit Tool 
 
 
 
 
 
 
 
 
 
 AHRQ Safety Program for Surgery 
 Introduction 
 Problem … You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication 
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www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html December 01, 2017 - Auditing Your Briefings and Debriefings Process: Facilitator Notes 
 
 
 
 AHRQ Safety Program for Surgery … More accurate supply needs and preparation for surgery would result in fewer delays. … Comments 
 
 Say: 
 When the radiology department changed the process for calling a technician, the surgery … Prior to the change, surgery called radiology and requested a technician, and a technician was sent. 
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www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html December 01, 2017 - Learn From Defects Tool—Perioperative Setting 
 
 
 
 
 
 
 
 
 
 AHRQ Safety Program for Surgery 
 What … Task Factors 
 The patient's midsection was exposed during surgery . … being NPO and having a bowel preparation . 
 2 
 4 
 
 
 The patient's midsection was exposed during surgery … A lot of our anesthesia providers wanted to trial the bladder temperature probes that the cardiac surgery … They were actually more accurate than bladder probes during colon surgery, because the bladder probe 
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide 
 
 
 
 Study Elements 
 
 
 
 Element 
 Definition 
 Things To Keep in Mind 
 
 
 
 
 
 The Purpose 
 
 
 Define the problem and why it is important. 
 
 
 
 Avoid suggesting causes in the purpose statement. Cause determination will come later afte…  
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html June 01, 2017 - Management Practices for Sustainability - Module 2: Daily Huddles 
 
 
 
 Slide 1: Management Practices for Sustainability Module 2: Daily Huddles 
 
 Management Practices for Sustainability 
 Module 2: Daily Huddles 
 Slide 2: A Frontline Management System To Promote Safety Standard Work 
 
 Image: This image shows th…  
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html June 01, 2017 - Management Practices for Sustainability Module 5: Visual Management 
 
 
 
 Slide 1: Management Practices for Sustainability Module 5: Visual Management 
 
 Management Practices for Sustainability 
 Module 5: Visual Management 
 Slide 2: A Frontline Management System To Promote Safety Standard Work 
 
 Image: This imag…  
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html June 01, 2017 - Sample “Plan-Do-Study-Act” Form 
 
 
 
 
 
 
 
 
 
 Use this form to help you plan your introduction of visual management.  It includes sections to help you plan and manage all the tasks necessary to introduce a visual management board.  You can also use it to gauge the success of your initial attempt at introducing vi…  
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html June 01, 2017 - Sustainability Tool - Sustainability Module 
 
 
 
 
 
 
 
 
 
 Background:  This tool can be used to identify sustainability issues in planning and implementing your improvement efforts. 
 How to use this tool:  The Implementation Team leader (or individual designated by the leader) should complete this checklist. 
Us…  
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html May 01, 2017 - Learn From Defects - Implementation Guide 
 
 
 
 
 
 
 
 
 
 Purpose:  To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety. 
 Who should use this tool?  Senior leaders, facility team leads, …  
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/readiness.html May 01, 2017 - Readiness To Partner With Patient and Family Advisers - Patient and Family Engagement in the Surgical Environment Module 
 
 
 
 
 
 
 
 
 
 As a clinician or staff member, I am ready to work with patient and family advisers when— 
 |___| I believe in the importance of patient and family participation in planning and d…  
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-h.docx June 02, 2025 - incontinent patients
· Hospice/comfort/palliative care
· Required strict immobilization for trauma or surgery 
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www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html March 01, 2016 - Patient Safety Measures 
 
 Percentage of surgery patients with surgical complications or postoperative 
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www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html April 01, 2018 - needs to be at the surgical procedure level and not the surgical service level, i.e., orthopedics, general … surgery, thoracic, etc. … Based on this, we are now looking at surgery specific risk factor assessment, accounting for differential … We need to investigate risk factors as surgery specific. 
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-e.pdf September 01, 2015 - ■  Hospice, comfort care, or palliative care
 ■  Required strict immobilization for trauma  
or surgery 
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html April 01, 2018 - Hx
		 
 History data will be collected from diagnosis during the time period of the surgery. … We are now looking at surgery specific risk factor assessment. This is a limitation of our work. … We need to investigate risk factors as surgery specific. … We are now looking at surgery specific risk factor assessment, accounting for differential impact of … We need to investigate risk factors as surgery specific.