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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - Mortality
Why focus on pediatric heart surgery mortality? … National Voluntary Consensus Standards for Pediatric Cardiac Surgery: A Consensus Report. … Heart Surgery Survival Rates by Type of Procedure. … Quality measures for congenital and pediatric cardiac
surgery. … Mortality
Why focus on pediatric heart surgery mortality?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/126-monthly-team-checkup-tool.docx
April 01, 2025 - 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery … 25 to 50 percent
51 to 75 percent
Greater than 75 percent
N/A
*Procedure of interest is the specific surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
December 01, 2017 - Surgical Improvments
Sustaining and Spreading Surgical Safety Improvements
AHRQ Safety Program for Surgery … No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Sustainability
SAY:
This module … – Sustainability
SAY:
When a safe surgery project is sustainable, the accomplishments are more likely … Effective safe surgery teams have active members working for team goals. … Here is a list of activities to sustain your safe surgery efforts.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/052-sample-script-patient-ed-mupirocin.docx
April 01, 2025 - But when you’re having surgery, there is an increased risk that the bacteria end up causing a serious … To protect your health, in the days leading up to your surgery, you should apply the mupirocin to your … How To Use Mupirocin
Key points to convey:
· Apply the mupirocin twice a day for 5 days before surgery … Start using the mupirocin 5 days before your day of surgery. … Then do it one more time on the morning of your surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/ascwebcast0715_transcript.pdf
September 01, 2015 - Introducing the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Webcast Transcript … Well, the issue of ambulatory surgery is quite prevalent, as there are more than 5,300
ambulatory surgery … So that is the focus of
AHRQ’s Program for Patient Safety in Ambulatory Surgery. … So an example of a surgery would be an arthroscopic surgery of the knee that would require general
anesthesia … that typically involved general anesthesia, such as orthopedic surgery or plastic surgery,
in some
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/117-decolonization-agent-one-pager.docx
April 01, 2025 - infections are from endogenous strains, meaning they arise from strains already on the patients’ body.2
Surgery … Mupirocin
Iodophor
Prescription,
can be costly
Prescription not needed, less costly
5 days prior to surgery … Morning of/prior to surgery
Extremely well studied4-12
Less well-studied10,12,13
Resistance … bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery … Individual decontamination measures reduce by the two the incidence of surgical site infections in spinal surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - · Proven effective in several large studies and across several surgery types.2,3,5
· Can inform antimicrobial … the better choice if—
· Local MRSA prevalence rates are low.
· This strategy is preferred by local surgery … bundled intervention with surgical site infections among patients undergoing cardiac, hip, or knee surgery … Individual decontamination measures reduce by the two the incidence of surgical site infections in spinal surgery … Preoperative Staphylococcus aureus screening and targeted decolonization in cardiac surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/58-frontline-presentation-template.docx
June 01, 2023 - Name]
[Service line, e.g., colorectal, hip fracture] surgery procedures may have high morbidity (e.g … ., surgical site infections) and long lengths of stay
Care of [service line] surgery patients is highly … Slide 10
Key Preoperative Elements
(Days and Weeks Prior to Surgery)
This slide lists examples of … and expedite their surgery so they are in the operating room within 24 hours of their fracture? … are relevant to the preop area on the day of surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_ssibundle.pptx
December 01, 2017 - Prevention Bundle
Implementing Your
Surgical Site Infection Prevention Bundle
AHRQ Safety Program for Surgery … No. 16(18)-0004-15-EF
December 2017
AHRQ Safety Program for Surgery – Implementation
This module is … The Safety Program for Surgery has modified that tool for the surgical setting into the Perioperative … and cumbersome
Same form used in all operating room departments, such as–
Neurosurgery
Orthopedics
General … Development and pilot evaluation of a preoperative briefing protocol for cardiovascular surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
April 01, 2025 - replacement6
59 percent reduction in SSIs
70 percent reduction in SSIs due to MRSA; 50 percent MSSA
Surgery … No difference in rates of deep SSI or deep SSI due to S. aureus
Elective orthopedic surgery with hardware … implantation11
CHG bathing plus iodophor on morning of surgery
76 percent decreased risk of developing … twice daily for 5 days pre-op
Start as soon as possible with as many doses, even if just one prior to surgery … Preoperative Staphylococcus aureus screening and targeted decolonization in cardiac surgery.
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www.ahrq.gov/research/findings/final-reports/ssi/ssiexh38-40.html
April 01, 2018 - Results of logistic regression using the derivation dataset for only total hip surgery
Variable … 0.02436
-1.36677
0.17172
Chronic lung disease
0.717234
1.299857
0.19365
Emergency surgery … hemoglobin
-0.26253
-1.52152
0.12890
Preop hemoglobin
0.013404
0.231
0.82005
Surgery … Results of logistic regression using the validation dataset for only total hip surgery
Variable … Results of logistic regression using the combined dataset for only total hip surgery
Variable
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Management Practices for Sustainability
Module 2: Daily Huddles
AHRQ Safety Program for Ambulatory Surgery … . 16(17)-0019-4-EF
May 2017
Module 2: Daily Huddles | ‹#›
AHRQ Safety Program for Ambulatory Surgery … Safety Standard Work
Module 2: Daily Huddles | ‹#›
AHRQ Safety Program for Ambulatory Surgery … , flagging safety concerns
Module 2: Daily Huddles | ‹#›
AHRQ Safety Program for Ambulatory Surgery … ASC Quality Manager
11
Module 2: Daily Huddles | ‹#›
AHRQ Safety Program for Ambulatory Surgery
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - major trauma, spinal cord injury or major spinal surgery, abdominal-pelvic surgery for cancer. … quantitative point-based model that had been externally validated as being predictive of VTE risk in general … surgery, plastic surgery, and—in a modified form—in a sample of Jordanian oncology patients. 43 , 44 … previous 4 hours or expected within next 12 hours
* Leeway times:
24 hours maximum for most general … surgery, orthopedic surgery.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide4.html
October 01, 2022 - major trauma, spinal cord injury or major spinal surgery, abdominal-pelvic surgery for cancer. … quantitative point-based model that had been externally validated as being predictive of VTE risk in general … surgery, plastic surgery, and—in a modified form—in a sample of Jordanian oncology patients. 43 , 44 … previous 4 hours or expected within next 12 hours
* Leeway times:
24 hours maximum for most general … surgery, orthopedic surgery.
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www.ahrq.gov/news/newsroom/case-studies/202504.html
June 01, 2025 - adopting QIs in 2011, the hospital has reduced the percentage of potentially preventable blood clots after surgery … PSI reporting and review process well-established, the hospital uses PSI modules across its medical, surgery … the PSI efforts are geared toward evaluating and addressing patient safety in Harborview’s medical/surgery
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/measures-surgical-409.pdf
November 28, 2017 - about your surgery? … about getting ready for your surgery? … of their surgery. … Q31 After your surgery, did this surgeon listen carefully to you? … Q32 After your surgery, did this surgeon spend enough time with you?
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
April 01, 2018 - Many offices have surgical coordinator that schedules the surgery and surgeon provides details of surgery … Surgery history, cardiac issues, breathing, illnesses.
… Diabetic patients, on day before surgery, do half their insulin, then day of surgery they do not consume … Confirm everything that pediatrician sent on day of surgery. … Patient can brush teeth day of surgery, no gum or mints.
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www.ahrq.gov/sites/default/files/2025-02/platt-report.pdf
January 01, 2025 - or in the 30 days prior to surgery. … or within 60 days before surgery. … , hip arthroplasty, knee arthroplasty, vascular surgery, colon surgery, and
hysterectomy. … or within 30
days prior to surgery. … censored our surveillance at the time of the
subsequent surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-194-section-1-tables-1-5.pdf
June 02, 2025 - , simple 61684
Surgery of intracranial arteriovenous malformation; infratentorial, complex 61686
Surgery … malformation; dural, complex 61692
Surgery of complex intracranial aneurysm, intracranial approach; … 61700
Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation … carotid artery (Selverstone-Crutchfield type) 61703
Surgery of aneurysm, vascular malformation or … carotid-cavernous fistula; by intracranial and
cervical occlusion of carotid artery 61705
Surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - , with an additional dose on the morning of surgery. … the morning of surgery. … and during surgery. … Jones was scheduled for spinal surgery. … Slide 26
Patient Calendar for Surgery Prep
SAY:
Among the resources provided are Surgery Prep Calendars