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www.ahrq.gov/research/findings/studies/index.html?page=195
January 01, 2024 - Paredes AZ , Malik AT , Cluse M Discharge disposition to skilled nursing facility after emergent general … surgery predicts a poor prognosis. … Emergency general surgery can have a profound impact on the functional status of even previously independent … Discharge disposition to skilled nursing facility after emergent general surgery predicts a poor prognosis … Surgery 2019 Oct;166(4):489-95. doi: 10.1016/j.surg.2019.04.034..
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www.ahrq.gov/research/findings/studies/index.html?page=202
January 01, 2024 - sleeve gastrectomy surgery. … Ethnic Minorities, Women
Ingraham AM , Ayturk MD , Kiefe CI Adherence to 20 emergency general … surgery best practices: results of a national survey. … The authors used a hybrid questionnaire to examine national adherence to emergency general surgery (EGS … Adherence to 20 emergency general surgery best practices: results of a national survey.
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www.ahrq.gov/patient-safety/resources/vtguide/appb.html
May 01, 2016 - Orthopedic surgery of pelvis, hip, or total knee replacement.
Major surgery * , age >60 years. … * Major surgery = any intra-abdominal surgery and all other surgery lasting >45 minutes. … Orthopedic surgery of pelvis, hip, or total knee replacement.
Major surgery * , age >60 years. … Arthroscopic knee surgery and elective spinal surgery with VTE risk factors. … * Major surgery = any intra-abdominal surgery and all other surgery lasting >45 minutes.
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www.ahrq.gov/downloads/monahrq/xls/MONAHRQ_50_Measure_List.xlsx
August 05, 2014 - IQI 08 Esophageal Resection Mortality Rate How often patients die in the hospital during or after surgery … Pancreatic Resection Mortality Rate How often patients die in the hospital during or after pancreas surgery … end time Antibiotics stopped within 24 hours after surgery Yes 0529 2.0
SCIP-INF-4 Cardiac Surgery … on the first or second day after surgery Yes 0453 3.0
SCIP-VTE-1 Surgery Patients Whose Doctors Ordered … 24 hours prior to surgery to 24 hours after surger Surgery patients prescribed treatment to prevent
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www.ahrq.gov/news/newsletters/e-newsletter/603.html
February 01, 2018 - Informal Physician Interaction Could Result in Lower Payments for Surgery, AHRQ Study Finds … Today's Headlines:
Informal Physician Interaction Could Result in Lower Payments for Surgery, AHRQ … Informal Physician Interaction Could Result in Lower Payments for Surgery, AHRQ Study Finds
Increased … , according to AHRQ-funded research in JAMA Surgery . … Such informal integration could provide a model to reduce surgery costs nationally, researchers said.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/measures-surgical-409.pdf
November 28, 2017 - 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/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/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
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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/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/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/hai/tools/mrsa-prevention/surgery/nasal-decolonization.html
April 01, 2025 - This technique protects patients when they are at high risk for infection, such as during surgery.
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www.ahrq.gov/hai/tools/mrsa-prevention/surgery/premortem-assessment.html
April 01, 2025 - Sustainability and Premortem Tool This module on Sustainability and the Premortem Tool is part of the AHRQ Safe 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/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/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - -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. … Science of
Improving Patient Safety ‹#›
AHRQ Safety Program for Surgery – Onboarding
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www.ahrq.gov/research/findings/studies/index.html?page=3
January 01, 2024 - the odds of revisit were 84% higher (OR, 1.84) vs higher-volume centers, and for those who underwent general … Assessing the ambulatory surgery center volume-outcome association. … Keywords: Surgery, Ambulatory Care and Surgery, Outcomes
Westafer LM , Beck SA , Simon C … The purpose of this study was to compare general surgery outcomes at flagship systems, flagship hospitals … researchers utilized Medicare claims data from 2018 and 2019 to match patients undergoing inpatient general
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www.ahrq.gov/research/findings/studies/index.html?page=180
January 01, 2024 - Most prior literature focuses on the comparison of clinical outcomes between robotic surgery and other … laparoscopic or open surgery. … in states with a bariatric surgery essential health benefit. … Impact of statewide essential health benefits on utilization of bariatric surgery. … Long-term functional decline after high-risk elective colorectal surgery in older adults.
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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 … Turning Data into Action ‹#›
AHRQ Safety Program for Surgery – Onboarding
SAY:
Before your team … Turning Data into Action ‹#›
AHRQ Safety Program for Surgery – Onboarding
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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.