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2701. Developing a Veterans Health Administration (VHA) Serious Injury Surveillance System that Includes Adverse Event Hospitalizations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
      January 01, 2003 - National Center for Patient Safety.27 These programs include well-established and effective programs in surgery … National Surgery Quality Improvement Program (NSQIP). http://www.nsqip.org/ main/summary.asp. 29.

2702. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/capacity/candor/demo-program/plan-grants/findings.html
      May 01, 2016 - implementation were identified and addressed as the result of implementing the SDM model in orthopedic spine surgery

2703. EvidenceNow: ABCS Fact Sheets (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/abcs-charts.pdf
      December 16, 2015 - Evidence: A) u Patients undergoing coronary artery bypass grafting Start aspirin within 6 hours after surgery

2704. TeamSTEPPS Specialty Scenarios: ED (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ed.pdf
      March 19, 2014 - The patient is resuscitated and rushed to surgery.

2705. TeamSTEPPS® Instructor Manual: Specialty Scenarios | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps/instructor/scenarios/ed.html
      March 01, 2014 - The patient is resuscitated and rushed to surgery.

2706. Baylor Scott & White Health: Building a Foundation for Continuous Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/lhs/lhs_case_studies_bsw.pdf
      April 01, 2019 - Today, the healthcare system includes 48 hospitals, 185 satellite outpatient facilities, 26 ambulatory surgery

2707. Final Progress Report: Diagnostic Error in Medicine Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/graber-report.pdf
      January 01, 2025 - unreadable and fewer slides so we have more time to digest them. 7 Including wider specialties, e.g., surgery

2708. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - implementation were identified and addressed as the result of implementing the SDM model in orthopedic spine surgery

2709. AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/rapidresponse_facguide.pdf
      May 01, 2017 - or operating room technician, additional L&D staff nurses, or surgeon with advanced gynecological surgery

2710. Evidence in Use of Clinical Reasoning Checklists for Diagnostic Error Reduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-error-reduction.pdf
      September 04, 2020 - Herbosa T, Joseph S, Kibatala PL, Lapitan MC, Merry AF, Moorthy K, Reznick RK, Taylor B, Gawande AA; Safe Surgery

2711. Scisafetynotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/understand/scisafetynotes.docx
      September 04, 2012 - implemented a pre-operation checklist for the emergency room unit to prepare a patient for emergency surgery

2712. Antibiotic Stewardship Program Development: Part 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
      November 01, 2019 - This includes working with surgery and anesthesia colleagues to determine antibiotic selection and

2713. Measure Descriptions for Daily Care Processes: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/dailycare-processes-facguide.html
      January 01, 2017 - hypotension, 2 to unstable psychological status, 3 to low cardiac index, 4 to cervical, thoracic, or lumbar surgery

2714. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/dailycare-processes-facguide.docx
      January 01, 2017 - hypotension, 2 to unstable psychological status, 3 to low cardiac index, 4 to cervical, thoracic, or lumbar surgery

2715. Introduction to Daily Care Processes: Evidence Behind Spontaneous Awakening Trials, Spontaneous Breathing Trials, and Head of Bed Elevation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/intro-daily-care-facguide.html
      February 01, 2017 - not have had any increased intracranial pressure in the previous 24 hours, and should not have any surgery

2716. Part One: Physician Feedback Report Fundamentals | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/physfeedback.html
      February 01, 2016 - bypass graft (CABG) procedures is shown for a database participant (i.e., typically a hospital cardiac surgery

2717. The History of Patient Roles | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
      September 01, 2024 - every hospital asks a patient or family member if they have an advance healthcare directive before surgery

2718. 2013 Annual Hospital-Acquired Condition Rate and Estimates of Cost Savings and Deaths Averted From 2010 to 2013 (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
      October 01, 2015 - Reduction of urinary tract infection and antibiotic use after surgery: A controlled, prospective, before-after … Infections. 2009. http://www.hhs.gov/ash/initiatives/hai/infection.html Venous Thromboembolisms (post-surgery … Obstetric Adverse Events Pressure Ulcers Surgical Site Infections Venous Thromboembolisms (post-surgery

2719. Creating a Culture of Patient Safety through Innovative Hospital Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Reiling.pdf
      January 01, 2004 - related events • Correct tube-correct connector-correct hole • Patient falls • Deaths related to surgery … heightened ceilings will allow for more services—such as enhanced radiology procedures, endoscopy, or minor surgery

2720. “Near-miss” Reporting System Development and Implications for Human Subjects Protection (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
      January 01, 2004 - surgical outcomes are aggregated by institution and benchmarked against national levels for the National Surgery … Annals of Surgery 1998;228:491–507. 27. Leape LL, Bates DW, Cullen DJ, et al.