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www.ahrq.gov/sites/default/files/2024-12/dimick-report.pdf
January 01, 2024 - procedures (e.g., colectomy morbidity rates were tested as inputs
to the composite measure for other general … surgery procedures). … and cardiac valve surgery)
are consistent with these findings. … Composite
measures for rating hospital quality with major surgery. … Hospital morbidity rankings and complication
severity in vascular surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - and Teamwork in the Surgical Environment
Sustainability Module
AHRQ Safety Program for Ambulatory Surgery … No. 16(17)-0019-2-EF
May 2017
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
1 … Learning Objectives
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
2
Define … Definition of Sustainability
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
4 … As seen in TeamSTEPPS®
Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
8
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/surgical-eng20-1451a.docx
October 01, 2011 - Before Your Surgery
2. Before your surgery, how many office visits did you have with this surgeon? … your surgery? … getting ready for your surgery? … want to have the surgery? … not want to have the surgery?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-debrief.pptx
June 01, 2015 - Teamwork in the Surgical Environment
Debrief Example
Quality Improvement Study
Ambulatory Surgery … Center
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix K. … Quality Improvement Study Framework
| ‹#›
AHRQ Safety Program for Ambulatory Surgery
Implementation … patients
Problem Statement
QI Study Debrief Example
| ‹#›
AHRQ Safety Program for Ambulatory Surgery … QI Study Debrief Example
| ‹#›
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
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www.ahrq.gov/cahps/surveys-guidance/surgical/index.html
March 01, 2025 - surgical care in both the inpatient and outpatient settings by asking respondents about their care: Before surgery … During surgery (11 items, including 8 about anesthesiology). After surgery (9 items). … Care Survey produces the following measures of patient experience: Information to help you prepare for surgery … How well surgeon communicates with patients before surgery Surgeon's attentiveness on day of surgery … Information to help you recover from surgery How well surgeon communicates with patients after surgery
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-n-part1.pptx
April 21, 2014 - Flexible Endoscope Processing:
Transport, Leak Testing, Cleaning
AHRQ Safety Program for Ambulatory Surgery … CIS, FCS
Endoscope Transport, Leak Testing, Cleaning| ‹#›
AHRQ Safety Program for Ambulatory Surgery … cleaning
Endoscope Transport, Leak Testing, Cleaning| ‹#›
AHRQ Safety Program for Ambulatory Surgery … facilities
Endoscope Transport, Leak Testing, Cleaning| ‹#›
AHRQ Safety Program for Ambulatory Surgery … Storage
Endoscope Transport, Leak Testing, Cleaning| ‹#›
AHRQ Safety Program for Ambulatory Surgery
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www.ahrq.gov/research/findings/final-reports/ssi/ssiapl.html
April 01, 2018 - , else 0
E
Outpat_surg
Numeric
1 if outpatient surgery, else 0
E
Age
Numeric (yrs … P
Postop_admit
Numeric
Hospital admission after surgery within 30 days=1, else 0
P … value after surgery
P
Preop_stay
Numeric (days)
Days from admission to surgery start day … P
Proeop_albumin
Numeric
Last albumin value before surgery start time
P
Rheum-dx … S
Surg_dur
Numeric
Surgery duration, minutes
S
Surg_proc
Character
Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
April 01, 2025 - Increase in SSIs in the cardiac surgery population, with most being MRSA infections
Why Did It Happen … When making the reminder call before surgery, staff noted that many patients were having issues getting … nasal swab applied in pre-op on day of surgery
Implementation Steps
CHG: Instructions for CHG shower … before and day of surgery given to patient
Patient to obtain CHG liquid soap from local pharmacy
Iodophor … : Applied in pre-op area on day of surgery
Care coordinator calls patient 1 to 2 days before surgery
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/019-ss-periop-infection-prevention-fg.docx
April 01, 2025 - Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery … Slide 12
Hypothermia In Surgery
SAY:
Mild hypothermia can be common in surgery. … Oxygen tension is often low in wounds after surgery. … optimization on the day of surgery, beginning with a study from Kwon and colleagues. … In looking at hyperglycemia on the day of surgery, receiving insulin during the day of surgery mitigated
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/019-perioperative-infection-prevention-strategies-notes.docx
April 01, 2025 - Prevention: Targeting SSI
Perioperative Infection Prevention Strategies
Surgical Services
For: Most Surgery … Slide 12
Hypothermia In Surgery
SAY:
Mild hypothermia can be common in surgery. … Oxygen tension is often low in wounds after surgery. … optimization on the day of surgery, beginning with a study from Kwon and colleagues. … In looking at hyperglycemia on the day of surgery, receiving insulin during the day of surgery mitigated
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/011-ss-decolonization-strategies-fg.docx
April 01, 2025 - , during the surgery itself, and the immediate post-operative period. … Similar outcomes were observed in a study on patients undergoing spinal surgery. … , plus CHG bathing the night before and morning of surgery in either arm. … Five percent intra-nasal iodophor was applied the morning of surgery. … , iodophor is applied the morning of or just prior to surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - or Anesthesia Incident 78.8% 100,596 2,228,834
Surgery or Anesthesia Near Miss 21.2% 27,024 2,228,834 … Surgery or Anesthesia Moderate Harm 4.9% 4,804 1,567,355
Surgery or Anesthesia Severe Harm 0.9% 860 … 1,567,355
Surgery or Anesthesia Death 0.8% 818 1,567,355
Surgery or Anesthesia Unknown Harm 28.3% … Surgery or Anesthesia Moderate Harm 11.6% 4,804 1,567,355
Surgery or Anesthesia Severe Harm 13.4% 860 … 1,567,355
Surgery or Anesthesia Death 10.3% 818 1,567,355
Surgery or Anesthesia Unknown Harm 8.1%
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - or Anesthesia Incident 80.1% 83,713 1,760,058
Surgery or Anesthesia Near Miss 19.9% 20,735 1,760,058 … Surgery or Anesthesia Moderate Harm 5.2% 4,273 1,267,662
Surgery or Anesthesia Severe Harm 0.8% 636 … 1,267,662
Surgery or Anesthesia Death 0.8% 631 1,267,662
Surgery or Anesthesia Unknown Harm 31.6% … Surgery or Anesthesia Moderate Harm 12.4% 4,273 1,267,662
Surgery or Anesthesia Severe Harm 12.9% 636 … 1,267,662
Surgery or Anesthesia Death 11.3% 631 1,267,662
Surgery or Anesthesia Unknown Harm 7.9%
-
www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - or Anesthesia Incident 80.9% 62,761 1,456,736
Surgery or Anesthesia Near Miss 19.1% 14,850 1,456,736 … Surgery or Anesthesia Moderate Harm 6.3% 3,913 1,075,547
Surgery or Anesthesia Severe Harm 1.0% 598 … 1,075,547
Surgery or Anesthesia Death 1.0% 615 1,075,547
Surgery or Anesthesia Unknown Harm 13.6% … Surgery or Anesthesia Moderate Harm 12.0% 3,913 1,075,547
Surgery or Anesthesia Severe Harm 13.2% 598 … 1,075,547
Surgery or Anesthesia Death 11.1% 615 1,075,547
Surgery or Anesthesia Unknown Harm 5.2%
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_premortem.pptx
December 01, 2017 - Maybe no one even ever heard of your safe surgery effort. … SAY:
Which failures would impede sustainability of the safe surgery project? … the list of reasons why your safe surgery project could fail. … ASK:
What elements of your safe surgery project do you want to maintain? … Premortem Tool ‹#›
AHRQ Safety Program for Surgery -- Sustainability
14
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - In
addition, the mean number of surgery/procedure rooms per ASC is 2.8. … Communication in the Surgery/Procedure Room by ASC Type
ASC Type
Communication in the Surgery/ … Communication in the Surgery/Procedure Room by ASC Size
Number of Surgery/Procedure Rooms
Communication … Communication in the Surgery/Procedure Room by ASC Type
Table 16. … Communication in the Surgery/Procedure Room by ASC Size
Table 26.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/056-patient-instructions-chg-shower.docx
April 01, 2025 - reduce the risk of life-threatening infections AFTER surgery. … It’s a simple but crucial step to protect your health following your surgery. … Start using CHG 5 days before your surgery. … On the morning of your surgery, shower again and use CHG one more time. … · Pay extra attention to the location where your surgery will take place.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
May 01, 2017 - Management Practices for Sustainability
1
Ensuring Safety in Ambulatory Surgery
Surgery volume in … Ambulatory Surgery in the United States, 2006. … An analysis of risk factors and adverse events in ambulatory surgery. … Ambulatory Surgery in the United States, 2006. … An analysis of risk factors and adverse events in ambulatory surgery.
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/surgical-eng20-1451a.pdf
October 01, 2011 - Before Your Surgery
2. … your
surgery? … getting ready
for your surgery? … might want to have
the surgery? … might not want to
have the surgery?
-
www.ahrq.gov/es/tools/index.html?page=4
June 01, 2023 - Centers
The Toolkit To Improve Safety in Ambulatory Surgery Centers helps ambulatory surgery centers … Date Published: June 2017
Setting of Care: Hospital, Outpatient Surgery
Toolkit … To Promote Safe Surgery
This toolkit helps surgical units improve safety culture and reduce surgical … Date Published: December 2017
Setting of Care: Hospital, Outpatient Surgery … Date Published: January 2012
Setting of Care: Hospital, Outpatient Surgery