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www.ahrq.gov/hai/tools/surgery/materials.html
December 01, 2017 - Toolkit Materials
Toolkit To Promote Safe Surgery
The products consist of two guides, supplemental … Guides
Applying CUSP To Promote Safe Surgery ( PDF , 508 KB)
This guide provides an overview of
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psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon
February 19, 2020 - Study
Surgical site infections in colon surgery: the patient, the procedure, the … Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. … Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. … See More About The Topic
Operating Room
Physicians
Quality and Safety Professionals
General … Surgery
Surgical Site Infections
View More
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
June 01, 2013 - 7
Background: Emergency Surgery
Emergency general surgery is common and has significantly greater morbidity … and mortality than elective surgery
Emergency surgery makes up around 50% of general surgery workload … Variation in quality of care after emergency general surgery procedures in the elderly. … A multi-method analysis of decision-making in emergency surgery. … their role resulted in significant improvement in process reliability during admission of emergency general
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psnet.ahrq.gov/issue/integrating-simulation-surgery-teaching-tool-and-credentialing-standard
July 02, 2008 - Commentary
Integrating simulation in surgery as a teaching tool and credentialing … Integrating simulation in surgery as a teaching tool and credentialing standard. … Integrating simulation in surgery as a teaching tool and credentialing standard. … strategic approach to quality improvement and patient safety education and resident integration in a general … surgery residency.
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psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions
October 19, 2022 - This survey of general surgery residents found that most are struggling with balancing duty hour requirements … July 13, 2016
Readiness of US general surgery residents for independent practice. … About The Topic
Operating Room
Physicians
Quality and Safety Professionals
Educators
General … Surgery
View More
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psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
February 24, 2011 - approximately 1 case per 112,000 surgeries, but WSPEs may occur in the outpatient setting or in ambulatory surgery … October 19, 2022
Readiness of US general surgery residents for independent practice. … hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery … April 26, 2023
Statement on the prevention of retained foreign bodies after surgery … March 28, 2011
Operating room briefings and wrong-site surgery.
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psnet.ahrq.gov/issue/distracting-communications-operating-theatre
August 18, 2017 - has implicated poor communication between team members as a possible factor in adverse events during surgery … to further characterize suboptimal communication patterns by using psychologists to directly observe general … surgery cases. … May 25, 2011
Engineering the system of communication for safer surgery. … May 11, 2011
Defining the technical skills of teamwork in surgery.
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psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
July 10, 2017 - This study describes the introduction of perioperative checklists at a pediatric ambulatory surgery … Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general … surgery interns. … Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery … August 28, 2019
Surgical safety checklists in children's surgery: surgeons' attitudes
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psnet.ahrq.gov/issue/surgical-safety-checklist-and-patient-outcomes-after-surgery-prospective-observational-cohort
May 28, 2015 - Classic
The surgical safety checklist and patient outcomes after surgery … The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort … The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort … 23, 2019
Effect of day of the week on short- and long-term mortality after emergency general … surgery.
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-User-Guide-v2023-1.pdf
February 01, 2024 - SURGERY FLAGS SOFTWARE FOR SERVICES AND
PROCEDURES? … AND PROCEDURES
Definition of Surgery Flags
The Surgery Flags Software-Services and Procedures tool … Surgery Flags to Data
To download, modify, and run the software to apply the Surgery Flags Software-Services … INTRODUCTION
DESCRIPTION OF THE SURGERY FLAGS SOFTWARE-SERVICES AND PROCEDURES
Definition of Surgery … Add Surgery Flags to Data
Table 2.
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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-blank-template.pptx
June 02, 2025 - in the Surgical Environment
Quality Improvement Study Template
Ambulatory Surgery … Center
AHRQ Safety Program for Ambulatory Surgery
Implementation Guide
Appendix K. … Study Framework
Quality Improvement Study Template | ‹#›
AHRQ Safety Program for Ambulatory Surgery … statement here>
Quality Improvement Study Template | ‹#›
AHRQ Safety Program for Ambulatory Surgery … Preventionist
Quality Improvement Study Template | ‹#›
AHRQ Safety Program for Ambulatory Surgery
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psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress
November 10, 2017 - Stress , information overload, and high-risk decisions are prevalent in surgery. … February 17, 2011
Detecting adverse events in dermatologic surgery. … Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general … surgery. … View More
See More About The Topic
Operating Room
Health Care Providers
Surgery
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psnet.ahrq.gov/issue/consensus-bundle-prevention-surgical-site-infections-after-major-gynecologic-surgery
January 15, 2014 - Consensus bundle on prevention of surgical site infections after major gynecologic surgery … Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. … Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery. … January 15, 2014
Readiness of US general surgery residents for independent practice. … June 13, 2018
Toolkit to Promote Safe Surgery.
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www.ahrq.gov/sites/default/files/2024-11/stulberg-report.pdf
January 01, 2024 - adults (at least 18 years of age), any gender, who spoke English or Spanish and were undergoing a
general … surgery procedure with a high likelihood of receiving an opioid prescription. … The general surgery
clinic schedules were screened daily to identify potential patients for the study … Procedure
Minor General Surgery 71 (50%) 37 (49%) 34 (50%) Ref
Major MIS 59 (41%) 33 (44% … The opioid epidemic: impact on orthopaedic surgery.
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psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
September 09, 2020 - August 10, 2022
A national mixed-methods evaluation of preparedness for general surgery … February 5, 2020
Guidelines for opioid prescribing in children and adolescents after surgery … May 1, 2019
Readiness of US general surgery residents for independent practice. … February 14, 2017
Current issues in patient safety in surgery: a review. … April 11, 2012
Resident duty hours in surgery for ensuring patient safety, providing
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SurgeryFlags_Services_Procedures_v2024-1/SF-SvcProc-ChgLg-v20231-v20241.xlsx
July 01, 2024 - Change log for Surgery Flags Software for Services and Procedures, v2024.1
Table_of_Contents
This Excel … file enumerates the changes between the following releases of the Surgery Flags for Services and Procedures … v2023.1 (released March 2024) to v2024.1 (released July 2024)
Table of Contents
Comparison of the surgery … flag assignments by type of HCPCS Level I (CPT) codes
v2023.1 surgery flag assignments versus v2024.1 … The comparison of the difference between software versions was performed at the level of surgery flag
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www.ahrq.gov/hai/tools/surgery/modules/index.html
December 01, 2017 - Instructional Modules
Toolkit To Promote Safe Surgery
Fifteen instructional modules cover topics … Onboarding
Implementation
Sustainability
Onboarding
Overview of the Improvement Model—Safe Surgery … MB)
Facilitator notes ( Word , 7.49 MB)
Science of Safety Training & Identifying Defects—Safe Surgery … 6.55 MB)
Facilitator notes ( Word , 8.94 MB)
Auditing Your Briefing and Debriefing Process—Safe Surgery … PowerPoint , 1.47 MB)
Facilitator Notes ( Word , 2.62 MB)
Premortem for Sustainability—Safe Surgery
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - 411
Identification Errors
18
443
-- Wrong Patient
7
444
-- Wrong-Site Surgery … 37
352
---- Cardiothoracic Surgery
0
353
---- General Surgery
1
354
… ---- Neurosurgery
0
356
---- Orthopedic Surgery
1
355
---- Otolaryngology
0 … 357
---- Pediatric Surgery
1
358
---- Plastic Surgery
0
359
---- Surgical … Oncology
0
360
---- Urology
0
371
---- Vascular Surgery
0
361
Nursing
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hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/SF-SvcProc-ChgLg-v20221-v20231.xlsx
March 01, 2024 - Surgery Flag Software For Services and Procedures Change Log V2023.1
Table_of_Contents
This Excel file … enumerates the changes between the following releases of the Surgery Flags for Services and Procedures … v2022.1 (released May 2022) to v2023.1 (released March 2024)
Table of Contents
Comparison of the surgery … flag assignments by type of HCPCS Level I (CPT) codes
v2022.1 surgery flag assignments versus v2023.1 … The comparison of the difference between software versions was performed at the level of surgery flag
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-appendix-b.pdf
September 01, 2015 - cardiology
43 2 50% Pediatric cardiology
44 55 67% Pediatric cardiology
45 38 29% General … surgery, thoracic
cardiovascular surgery
NPPES=cardiothoracic
vascular surgery
46 40 3% 5 0% Pediatrics … neurology - psychiatry
32 459 0% Psychiatry NPPES-neurology;
state=general practice
33 340 24% General … Surgery, Vascular
Surgery
NPPES=vascular and
interventional
radiology
34 10 60% 26 92% Audiology … , facial plastic
and reconstructive surgery
14 368 6% 359 8% Plastic surgery NPPES=plastic surgery