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1221. Exhibit 19. HCUP estimates of the total number of target procedures | Agency for Healthcare Research and Quality
      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

1222. Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
      January 01, 2024 - an unanticipated outcome that met study inclusion criteria Participating physicians were surgeons (general … Regardless of medicine or surgery, in the first case, the standardized patient played a sad patient; … Therefore, we began working with the general surgery department to collect unanticipated events that … General surgery sent M&M sheets to UW risk management biweekly. … Clinical Crossroads: A 62 year-old woman with skin cancer who experienced wrong site surgery.

1223. PROMPTLY REMOVE (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-f.docx
      June 02, 2025 - Required strict immobilization for trauma or surgery 6.

1224. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
      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

1225. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      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

1226. Normothermia Audit Tool | Agency for Healthcare Research and Quality
      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

1227. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
      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.

1228. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality
      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

1229. Engaging Senior Executives: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
      December 01, 2017 - Engaging Senior Executives: Facilitator Notes AHRQ Safety Program for Surgery Slide 1: Engaging … before surgery, who had hair removed using a safer method (electric clippers or hair removal cream, … Timely receipt of antibiotic Surgery patients who were given an antibiotic at the right time (within … 1 hour before surgery) to help prevent infection. … Slide 6: Improvement Model Works in Surgery Say: Evidence shows this approach works.

1230. Appendix K. Quality Improvement Study Framework - Implementation Guide | Agency for Healthcare Research and Quality
      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…

1231. Management Practices for Sustainability - Module 2: Daily Huddles | Agency for Healthcare Research and Quality
      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…

1232. Management Practices for Sustainability Module 5: Visual Management | Agency for Healthcare Research and Quality
      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…

1233. Sample “Plan-Do-Study-Act” Form | Agency for Healthcare Research and Quality
      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…

1234. Sustainability Tool - Sustainability Module | Agency for Healthcare Research and Quality
      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…

1235. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
      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, …

1236. Readiness To Partner With Patient and Family Advisers - Patient and Family Engagement in the Surgical Environment Module | Agency for Healthcare Research and Quality
      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…

1237. Chapter 6. Conclusions and Recommendations | Agency for Healthcare Research and Quality
      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.

1238. Examples of Hospital Quality Measures for Consumers | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
      March 01, 2016 - Patient Safety Measures Percentage of surgery patients with surgical complications or postoperative

1239. Appendix B. In-Person Meetings | Agency for Healthcare Research and Quality
      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.

1240. The Mobile Mock Operating Room: Bringing Team Training to the Point of Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Paige_6.pdf
      January 24, 2008 - surgery attending staff and all of the general surgery residents rotating at the hospital that month … A typical team included a general surgery resident, circulating nurse, nurse anesthetist, and surgical … When one of the three general surgery attending staff participated, he/she was paired with a lower level … At the second hospital, all members of the OR and anesthesiology departments and all general surgery … We acknowledge the leadership and members of the OR, Anesthesiology, and General Surgery Departments