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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/hai/tools/clabsi-cauti-icu/difficult-conversations-transcript.pdf
April 01, 2022 - insertion
process change at our organization, we ensured that the chief of medicine and
chief of surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/132-gap-analysis-hospital-level.pdf
April 01, 2025 - Is surveillance performed for SSIs associated with other types of surgery with sternotomy (not CABG or … How are cases for SSIs associated with other types of surgery with sternotomy detected? … Are the data for SSIs associated with other types of surgery with sternotomy fed back to the surgical … Indicate the frequency of data feedback on SSIs associated with other types of surgery with
sternotomy … How is the surveillance data for SSIs associated with other types of surgery with sternotomy validated
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-d.pdf
June 02, 2025 - measurement of urinary
output in critically ill patients
■ Required strict immobilization
for trauma or surgery
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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/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
December 01, 2017 - ; that include fair field surgery, (PH :00:20:52) engrohernialorthy, or scrotal surgery. … So, we collected data prospectively in January of 2012 on our general surgery ward, including patients … So, our surgery ward here is highlighted by the blue arrow; general surgery. … that rate was closer to 4 in 2011 when we started, so we did see some success in our CAUTI rate in our general … surgery unit.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
July 08, 2014 - ; that include fair field surgery, (PH :00:20:52) engrohernialorthy, or scrotal surgery. … So, we collected data prospectively in January of 2012 on our general surgery ward, including patients … So, our surgery ward here is highlighted by the blue arrow; general surgery. … that rate was closer to 4 in 2011 when we started, so we did see some success in our CAUTI rate in our general … surgery unit.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
April 01, 2025 - evidence for nasal decolonization is the use of mupirocin twice daily for 5 days leading up to the day of surgery … skin decolonization supports skin decolonization with CHG bathing for 5 days leading up to the day of surgery … As an alternative, CHG bathing the night before and morning of surgery also provides some benefit in … If a patient arrives for surgery and they haven’t completed CHG bathing, is the product easily accessible
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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-f.docx
June 02, 2025 - Required strict immobilization for trauma or surgery
6.
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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
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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/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.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - When discussing the issue with the front line staff, they report that the chief of surgery has created … You approach the Chief of Surgery but he is non engaged and somewhat hostile. … teaching hospital
Unit 450 – 16 bed ICU:
Neuro/Neurosurgical
Medical
Pulmonary
Vascular surgery … General surgery
Slide 31
Our Journey
Building a Team
Choosing strong peers to support