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  1. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new_sops_diagnostic_safety-ginsberg.pdf
    June 02, 2025 - Hospital (2004) Nursing Home (2008) Medical Office (2009) Community Pharmacy (2012) Ambulatory Surgery … Safety Workplace Safety (expected 2021) Hospital    Medical Office   Nursing Home Ambulatory Surgery
  2. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new-sops-workplace-safety-ginsberg.pdf
    June 02, 2025 - Hospital (2004) Nursing Home (2008) Medical Office (2009) Community Pharmacy (2012) Ambulatory Surgery … Technology Diagnostic Safety Workplace Safety Hospital    Medical Office   Nursing Home Ambulatory Surgery
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docx
    April 01, 2025 - Pre-op, he was seen in the clinic and completed all labs and testing in preparation for surgery. … He was given instructions on chlorhexidine (CHG) bathing and mupirocin nasal decolonization prior to surgery … On the day of his surgery, he declared that he had completed his preparation. … These patient-level factors meant that on the day of surgery, when the pre-op holding area nurse had … The pre-op nurse on the day of surgery asked the patient a general question whether they had followed
  4. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/133-translating-research-into-practice-fg.docx
    April 01, 2025 - evidence for nasal decolonization is the use of mupirocin twice daily for 5 days leading up to the day of surgery … skin decolonization supports skin decolonization with CHG bathing for 5 days leading up to the day of surgery … As an alternative, CHG bathing the night before and morning of surgery also provides some benefit in … If a patient arrives for surgery and they haven’t completed CHG bathing, is the product easily accessible
  5. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
    December 01, 2017 - Improving Patient Safety and Identifying Defects: Facilitator Notes AHRQ Safety Program for Surgery … Slide 3: AHRQ Safety Program for Surgery Say: As the arrow indicates, we are at the first step: … Despite these advances, instruments and sponges are still left inside patients undergoing elective surgery … 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.
  6. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-safe-csection.html
    July 01, 2023 - Studies have demonstrated that safe surgery checklists can facilitate the safe surgery perioperative … An informal debriefing may be an extension of the signout component of the safe surgery perioperative … The L&D/OR/neonatal/anesthesia teams maintain a shared mental model for the safe surgery perioperative … Is respected as the unit’s mechanism for guiding the safe surgery perioperative process. … Patient Safety: Safe Surgery: Why Safe Surgery Is Important. 2014 http://www.who.int/patientsafety/safesurgery
  7. www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
    January 01, 2024 -   on  the  wrong  body  part  or  site;  13%  involved  surgery  on  the  wrong  patient;  and  11%  … Root causes of wrong-site surgery in 2005, as reported by The Joint Commission Figure 2. … Participants: The department of Radiation Oncology and Surgery in University Hospital of Case Western … In addition, we developed a surgery procedure verification component within the system, as shown in …  photo  of  the  surgical  patient  in  correct  orientation  for  the  surgery  (taken  in   pre‐op
  8. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/52-regional-analgesia-arthroplasty-facilitator.docx
    June 01, 2023 - Today I'll be discussing regional analgesia for total knee and total hip replacement surgery, components … When you consider the use of regional analgesia techniques for both elective hip and knee replacement surgery … Certainly, patients who undergo joint replacement surgery are at an elevated risk for DVT/PE, and one … The type of regional technique depends on the location of the surgery, the side effect profile of the
  9. www.ahrq.gov/data/infographics/outpatient-surgery.html
    August 01, 2018 - Inpatient vs. Outpatient Surgeries Inpatient vs. Outpatient Surgeries (PDF, 1.1 MB) Source: HCUP Statistical Brief #188: Surgeries in Hospital-Owned Outpatient Facilities, 2012
  10. www.ahrq.gov/sites/default/files/2024-11/kowozer-report.pdf
    January 01, 2024 - first study is the largest study to date and uses the Society of Thoracic Surgeons General Thoracic Surgery … Long term satisfaction and medication dependence after antireflux surgery. … Induction chemoradiotherapy and surgery for esophageal cancer: survival benefit with down staging. … at the American College of Surgeons Meeting and will attend the American Association for Thoracic Surgery … The clinical work of caring for patients and performing thoracic surgery provides the foundation for
  11. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_safe-csection.docx
    May 01, 2017 - for this process should specify— · Involvement of all physicians and staff members engaged in the surgery … Key Perinatal Safety Elements Examples Use cognitive aids such as a checklist to guide the safe surgery … Studies have demonstrated that safe surgery checklists can facilitate the safe surgery perioperative … An informal debriefing may be an extension of the signout component of the safe surgery perioperative … Patient Safety: Safe Surgery: Why Safe Surgery Is Important. 2014 http://www.who.int/patientsafety/safesurgery
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/building-team-040814.pptx
    January 01, 2013 - cord 25 Perioperative Use in Selected Surgeries Intraoperative Anticipated prolonged duration of surgery … , large volume infusions during surgery, or need for intraoperative urinary output monitoring Surgical … Site Urologic surgery or other surgery on contiguous structures of the genitourinary tract 26 Perioperative … should prevent need for urinary catheter placement) The goal is to remove the catheter shortly after the surgery … depends on what the patient perceives as more comfortable 29 Required Immobilization for Trauma or Surgery
  13. www.ahrq.gov/research/findings/final-reports/ssi/ssiexh3.html
    April 01, 2018 - Program (vertical axis = y-axis) for hernia repair, total hip replacement, and total knee replacement surgery … Each type of surgery is indicated by a specific color for the time points and connecting lines.
  14. www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
    December 01, 2017 - ; that include fair field surgery, (PH :00:20:52) engrohernialorthy, or scrotal surgery. … So, we collected data prospectively in January of 2012 on our general surgery ward, including patients … So, our surgery ward here is highlighted by the blue arrow; general surgery. … that rate was closer to 4 in 2011 when we started, so we did see some success in our CAUTI rate in our generalsurgery unit.
  15. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
    July 08, 2014 - ; that include fair field surgery, (PH :00:20:52) engrohernialorthy, or scrotal surgery. … So, we collected data prospectively in January of 2012 on our general surgery ward, including patients … So, our surgery ward here is highlighted by the blue arrow; general surgery. … that rate was closer to 4 in 2011 when we started, so we did see some success in our CAUTI rate in our generalsurgery unit.
  16. www.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
    April 01, 2018 - days) 5 4 0 Skin carriage of staphylococci 3 1 1 Skin disease in the area of surgery … Chronic inflammation 2 1 1 Corticosteroid therapy  w/in 30 Days 4 3 0 Duration of Surgery … Anesthetic) 0 1 0 Implant 3 3 0 Anesthetic Drugs 0 0 0 Outpatient Surgery … 2 2 0 Inpatient Surgery 2 2 0 Post-Op Admit 1 1 0 Laminar Airflow
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
    January 01, 2003 - Two residency settings (i.e., surgery and intensive care) were subjected to direct observation for a … dynamics that surround its occurrence.35 The care settings selected for observation were the trauma/generalsurgery unit and the medical intensive care unit (MICU). … in trauma care and general surgery), a chief surgical resident, a senior surgical resident, one surgical … Two-thirds of the surgery mistakes and near misses involved mistakes of commission.
  18. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/translating-research-into-practice.html
    September 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Translating Research Into Practice Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Surve…
  19. www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-cusp-tools-resources.html
    September 01, 2025 - MRSA Prevention Toolkit: Targeting SSI Index of CUSP Tools and Resources Previous Page Next Page Table of Contents MRSA Prevention Toolkit: Targeting SSI The Four Key Strategies of MRSA Prevention: Targeting SSI MRSA and SSI Prevention Phases Importance of MRSA and SSI Prevention MRSA Survei…
  20. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/7-implementation-guide.docx
    June 01, 2023 - The ISCR service line pathways are listed below: · Colorectal surgery · Emergency general surgery (appendectomy … , cholecystectomy, major abdominal surgery such as hernia repair) · Gynecologic surgery · Hip fracture … surgery · Total knee and total hip replacement surgery Use the Gap Analysis and Goal-Setting Form to … Kick off and follow your pathway for your designated surgery patients 9. … and facilitator guide) Oral Antibiotics and Mechanical Bowel Prep for SSI Prevention for Colorectal Surgery

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