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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - Identifying Defects
The Science of Improving Patient Safety
and Identifying Defects
AHRQ Safety Program for Surgery … -EF
December 2017
Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery … Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery – Onboarding
SAY:
We … In addition, surgery is linked to half of all hospital adverse events. … This safety program for surgery will help hospital teams build capacity and learn new skills.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
December 01, 2017 - Turning Data Into Action:
Using HSOPS and SSI Data as
Part of a Meaningful Change
AHRQ Safety Program for Surgery … improvement efforts.
1
USING SAFETY CULTURE SURVEY
RESULTS FOR IMPROVEMENT
AHRQ Safety Program for Surgery … safety culture in their work area
3
Turning Data into Action ‹#›
AHRQ Safety Program for Surgery … reduction in
infection rates
YES
NO
Turning Data into Action ‹#›
AHRQ Safety Program for Surgery … Turning Data into Action ‹#›
AHRQ Safety Program for Surgery – Onboarding
SAY:
Before your team
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-l.html
May 01, 2017 - Prevention Infographic - Implementation Guide
It Takes a Team
Everyone in ambulatory surgery … Surgical site infections are infections that can occur after surgery in the part of the body where … the surgery took place. 1
Surgical site infections are— *
Dangerous
Each year in the U.S
-
www.ahrq.gov/research/findings/final-reports/ssi/ssi3.html
April 01, 2018 - within 30 days, surgery duration) remained significant in the model. … set, and the probability related to surgery duration was 0.05866. … We also found that the risk factors for total hip surgery differed from those for total knee surgery. … needs to be at the surgical procedure level and not the surgical service level (i.e., orthopedics, general … surgery, thoracic, etc.).
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiexh62-64.html
April 01, 2018 - Results of logistic regression using the derivation dataset for only total hip surgery
Variable … lung disease
1.85
2.33
0.0197
Charlson score *
-0.47
-1.07
0.2827
Emergency surgery … Preop hematocrit
-0.03
-0.28
0.7829
Preop hemoglobin
-0.25
-0.68
0.4966
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
-
www.ahrq.gov/sites/default/files/2024-03/gawande-report.pdf
January 01, 2024 - The ambulatory surgery checklist was created with the input of seven ambulatory surgery
centers that … Patterns in neurosurgical adverse events:
intracranial neoplasm surgery. … Surgery. 2010;147(3):318-330.e6.
PMID:20004924.
14. Staal MA. … Safe Surgery Saves Lives. … Safe Surgery Checklist Implementation Guide. Boston; 2015.
-
www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - This
checklist is for elective general surgery but may be modified for patients undergoing major
orthopedic … surgery. … Patients undergoing THA,
TKA, hip fracture surgery
(HFS). … Patients undergoing major
lower extremity orthopedic
surgery. … Patients undergoing high-risk
orthopedic surgery.
-
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
November 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide
Measurement … Previous Page Next Page
Table of Contents
Creating a Culture of Safety in the Ambulatory Surgery … Ambulatory Surgery Center Survey on Patient Safety Culture – Spanish
Ambulatory Surgery Center Survey … Surgery Center Survey on Patient Safety Culture: User's Guide
The User's Guide includes information … Surgery Center Survey on Patient Safety Culture
This document contains references to Web sites that
-
www.ahrq.gov/sites/default/files/2024-02/hoff-report.pdf
January 01, 2024 - Emergency medicine fell in between the
percentages for surgery and the MICU. … in trauma care and general surgery), a chief surgical resident, a senior
surgical resident, one surgical … Learning best practices observed in relation to surgery and MICU errors
Learning Best Practice Surgery … , and (d) the “over focus on technique
training” paradox in surgery. … In surgery, the primary attending response to
mistakes was anger.
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-1-tables-1-2.pdf
June 02, 2025 - 207RI0011X
Pediatric Cardiology 2080P0202X
Dermatology Dermatology 207N00000X
MOHS-Micrographic Surgery … 2084V0102X
Otolaryngology Otolaryngology 207Y00000X
Pediatric Otolaryngology 207YP0228X
Facial Plastic Surgery … 207YS0123X
Plastic Surgery within the Head and Neck 207YX0007X
Otolaryngic Allergy 207YX0602X … Otology and Neurotology 207YX0901X
Otolaryngology/Facial Plastic Surgery 207YX0905X
Pulmonology Pulmonary
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
May 01, 2017 - Practices for Sustainability
Module 3: Problem Solving
and Escalation
AHRQ Safety Program for Ambulatory Surgery … EF
May 2017
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery … improvement
Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery … Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management … Module 3: Problem Solving and Escalation | ‹#›
AHRQ Safety Program for Ambulatory Surgery
Management
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
June 02, 2025 - Strategy 2: Communicating to Improve Quality (Tool 3)
AHRQ Safety Program for Ambulatory Surgery
Implementation … “There is no evidence that the checklist works in ambulatory surgery centers. … Surgery is surgery. It's complicated, and it puts patients at risk. … The burden really is on all of us, whether we practice in an ambulatory surgery center or in a tertiary
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/017-ss-importance-ssi-mrsa-prevention-fg.docx
April 01, 2025 - bathing, hand hygiene, hair removal, antimicrobial prophylaxis, contact precautions (if appropriate)
· Surgery … An SSI is simply an infection present at the site of surgery. … This is in part due to the inherent breach of the skin barrier with surgery. … MRSA SSIs occur when there is infection at the site of surgery that is due to MRSA. … Given the timing of this in relation to surgery, this highlights that this is a multidisciplinary effort
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0192-tables1-10.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
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0198-tables1-9.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
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
April 01, 2025 - In addition, because the patient undergoing surgery
engages with multiple settings and healthcare teams … in preparation for surgery, the toolkit offers access to the
four key strategies organized by phase … MRSA is one of the most invasive and deadly
https://www.ahrq.gov/hai/tools/mrsa-prevention/surgery/ … https://www.ahrq.gov/hai/tools/mrsa-prevention/surgery/nasal-decolonization.html
https://www.ahrq.gov … Surgery: This stage encompasses the time in the OR and the procedure itself.
4.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/userguide/ascguide.pdf
April 01, 2015 - SURGERY
CENTER
SURVEY
ON PATIENT
SAFETY
CULTURE
User’s Guide
AHRQ Ambulatory Surgery Center Survey … Ambulatory Surgery Center Definition
Ambulatory Surgery Centers are those facilities that have been … This survey has not been
tested in office-based surgery settings. … safety in ambulatory surgery centers (ASCs). … Communication in the Surgery/Procedure Room
(Yes, No)
G0.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-user-guide.pdf
July 01, 2018 - SURGERY
CENTER
SURVEY
ON PATIENT
SAFETY
CULTURE
User’s Guide
AHRQ Ambulatory Surgery Center Survey … Ambulatory Surgery Center Definition
Ambulatory Surgery Centers are those facilities that have been … This survey has not been
tested in office-based surgery settings. … safety in ambulatory surgery centers (ASCs). … Communication in the Surgery/Procedure Room
(Yes, No)
G0.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/ascguide.pdf
April 01, 2015 - SURGERY
CENTER
SURVEY
ON PATIENT
SAFETY
CULTURE
User’s Guide
AHRQ Ambulatory Surgery Center Survey … Ambulatory Surgery Center Definition
Ambulatory Surgery Centers are those facilities that have been … This survey has not been
tested in office-based surgery settings. … safety in ambulatory surgery centers (ASCs). … Communication in the Surgery/Procedure Room
(Yes, No)
G0.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
April 01, 2025 - , during the surgery itself, and the immediate postoperative period. … And, across the board for all surgery types, Staphylococcus aureus is the most common pathogen identified … Slide 7
S. aureus Causes SSIs in High-Risk Surgeries
SAY:
In examining some surgery types that are … Slide 24
How Should CHG Be Used Prior to Surgery? … as directed, CHG bathing the night before and morning of surgery is recommended.