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341. Appendix D. Site Visit Process Comparison | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
     April 01, 2018 - Comparison Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical … Pre-surgical testing dept here or at private doctors office. … Many offices have surgical coordinator that schedules the surgery and surgeon provides details of surgery … Vital signs, blood pressure on non-surgical site, also ox monitor, and temporal scan, pulse, temperature … Surgical marking pen comes wrapped, single use, thrown away after.

342. CAHPS Program: Improving Response Rates and Representativeness - AHRQ’S CAHPS Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-bakdash.pdf
     February 05, 2024 - Experience with Providers • Clinicians and Medical Groups • Hospices • Home Health Care • Surgical … • Hospitals (adult and pediatric) • Dialysis Centers • Nursing Homes • Outpatient Ambulatory Surgical

343. 50-Multimodal-Analgesia-Facilitator (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
     June 01, 2023 - Multimodal Analgesia Tips: Facilitator Guide AHRQ Safety Program for Improving Surgical Care and Recovery … analgesia concepts from the Agency for Healthcare Research and Quality, AHRQ, Safety Program for Improving Surgical … options, please read the various evidence reviews conducted by the AHRQ Safety Program for Improving Surgical … No. 23-0052 June 2023 AHRQ Safety Program for Improving Surgical Care and RecoveryMultimodal Analgesia

344. Module 1: PowerPoint Presentation
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
     May 01, 2017 - rapidly1 The complexity of procedures continues to increase2 ASCs have an excellent safety record3 Surgical … HAI) 665 registered ASCs from 47 States and DC participated in 8 program cohorts Program Goals Reduce surgical … Testing the Model The IHI team carried out a pilot test of the model with two volunteer ambulatory surgical … Visual Management can focus on the “precious few” key metrics such as days since last near miss and surgical … Problem log Escalation • Sentinel events • Problems raised in huddle Safety Work by Staff • Using surgical

345. Development of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
     August 13, 2015 - CHCQM, CHPRM, LHRM, CASC Ambulatory Surgery Center Association Ann Shimek, MSN, RN, CASC United Surgical … Affiliated 25% Not Hospital Affiliated 75% 18 ASC Survey Pilot Test ASC Type Mixed (Surgical … and Non- surgical) 69% Single Specialty - Surgical 7% Single Specialty - Non-Surgical

346. Partnering with Your Malpractice Insurance Program to Improve Safety in Surgery: TeamSTEPPS as Part of a Multi-faceted Program
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
     January 01, 2015 - Safe Surgery Partnership 19 Lawsuits & Alerts Communication & teamwork common “agents of loss” in surgical … Mod 1 05.2 Page ‹#› TeamSTEPPS® Slide ‹#› Malpractice Insurance/Safe Surgery Partnership 25 Surgical … Safety Initiatives Pre-op medical evaluation OR team training Comanagement Care of obese surgical patient … Mod 1 05.2 Page ‹#› TeamSTEPPS® Slide ‹#› Malpractice Insurance/Safe Surgery Partnership 42 Surgical … Mod 1 05.2 Page ‹#› TeamSTEPPS® Slide ‹#› Malpractice Insurance/Safe Surgery Partnership 43 Surgical

347. Prompting Removal of Unnecessary Indwelling Urinary Catheters Facilitator Notes (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
     April 01, 2022 - Slide 8 Here is an example of a surgical stop order embedded in an EMR. … Examples like this are a high-tech reminder for surgical patients in an ICU. … Jones is a 57-year-old man who has been in the surgical ICU for 24 hours status post an esophagectomy … Even with a complicated surgical procedure, once hourly input and outputs are not needed, the urinary … used to prompt the surgical team to verify key components of the case before and after surgery.

348. SOPS Ambulatory Surgery Center Webcast - HARE (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
     January 01, 2023 - ASCs • Are CMS-certified and approved ASCs with a valid CMS Certification Number (CCN) • Provide surgical … Ambulatory Surgery Surgical Checklist http://www.scoap.org/downloads/SCOAP-Surgical-Checklist_v3_4.pdf … The Surgical Care and Outcomes Assessment Program (SCOAP), a program of the Foundation for Health … Care Quality, provides a free, downloadable surgical checklist for ambulatory surgery. … resources/downloads/ambulatory-safe-surgery-checklist-template/ http://www.scoap.org/downloads/SCOAP-Surgical-Checklist_v3

349. Exhibit 7. Example of an AND gate | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh7.html
     April 01, 2018 - Healthcare Safer Reports AHRQ Research Studies Proactive Risk Assessment of Surgical … an AND gate Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical

350. Exhibit 8. Example of an OR gate | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh8.html
     April 01, 2018 - Healthcare Safer Reports AHRQ Research Studies Proactive Risk Assessment of Surgical … an OR gate Previous Page Next Page Table of Contents Proactive Risk Assessment of Surgical

351. Tool: Normothermia Audit (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
     December 01, 2017 - Statement Patients’ perioperative core temperatures should be maintained at normothermia to prevent surgical … Normothermia enables adequate immune functioning and perfusion to surgical site tissue. … We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of … You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication

352. The Ten Steps of Action Planning  | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
     November 01, 2018 - Identify the problem: Suboptimal communication between surgical team members. 2. … Example 1 of Process and Outcome Aims The Problem: Suboptimal pre-op communication between surgical … Clinical Outcome Aim: Increase the percentage of surgical patients who receive prophylactic antibiotics … team performed team brief / Total number of surgical cases performed by the surgical team = Rate of … patients administered appropriately timed prophylactic antibiotics prior to incision / Total number of surgical

353. Getting Ready (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
     May 01, 2017 - outpatient surgery, ambulatory surgery*, office surgery, or same-day surgery, it means the same thing: surgical … Preparing for Your Surgery Before any surgical procedure, your doctor might ask you to take certain … For example, you might see a nurse using a surgical checklist or you may be asked more than once to … This can help keep you safe from surgical infections and other complications. … Surgical technologists (scrub techs): personnel who set up the surgery/procedure room, prepare you for

354. Selected Best Practices and Suggestions for Improvement (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
     May 31, 2016 - Care Introduction: Essential First Steps • Engage key nurses, physicians and other providers, and surgical … o Use blunt surgical instruments. … /occupational_health/activities/2needlest.pdf Staff Required • Surgeons • Perioperative nurses • Surgical … nurse/surgical technician on agreed upon neutral zone Authority/Accountability • Senior leadership … Littleton, CO: Association of Surgical Technologists; April 2006; updated January 2013.

355. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - Supply, Including Health Information Technology (Device or Medical/Surgical Supply); Fall; Medication … Supply, Including Health Information Technology (Device or Medical/Surgical Supply); Fall; Medication … Supply, Including Health Information Technology (Device or Medical/Surgical Supply); Fall; Medication … /Surgical Supply, Including Health Information Technology (Device or Medical/Surgical Supply) EVENT … OF DEVICES as a percentage of all Device or Medical/Surgical Supply reports.

356. PowerPoint Presentation; Deep-Root Your Data
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
     December 01, 2017 - quality improvement data. 1 Learning Objectives After this session, you will be able to– Identify surgical … Program for Surgery – Sustainability SAY: At the end of this session, you will be able to— Identify surgical … Did you reduce surgical site infections? … If your surgical area only does between one and five colectomy cases per month, your rate could easily … Who is responsible for sharing the data with all surgical staff members?

357. Comprehensive Unit-based Safety Program: Accelerating the Adoption of Evidence-Based Practices To Prevent Healthcare-Associated Infections | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/hai/cusp/summary/index.html
     September 01, 2017 - Improving surgical safety by promoting implementation of evidence-based practices to enhance surgical … care and recovery and reduce complications, including reduction in surgical site infections and catheter-associated … CUSP reduced surgical site infection rates in hospitals by 25 to 40 percent, depending on the type of

358. 44-Sample-Pathway-Checklist (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
     June 01, 2023 - Sample Pathway Checklist for Improving Surgical Care and Recovery Purpose of tool: Successful implementation … The Sample Improving Surgical Care and Recovery (ISCR) Pathway Checklist can be used to track compliance … AHRQ Safety Program for Improving Surgical Care and Recovery Date: _________________ … No. 23-0052 June 2023 AHRQ Safety Program for Improving Surgical Care and RecoverySample ISCR Pathway

359. 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) Workplace Safety Supplemental Items for Hospitals (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/2022-hsops-wps-study-report.pdf
     January 01, 2022 - Units Combined Medical/Surgical Unit 931 8% Medical Unit (Nonsurgical) 177 2% Surgical Unit 135 … Rehabilitation, Physical Medicine 510 4% Telemetry 142 1% Patient Care Units Subtotal 3,718 32% Surgical … 69 1% Endoscopy, Colonoscopy 52 <1% Pre Op, Operating Room/Suite, PACU/Post Op, Peri Op 604 5% Surgical … Units 2 Combined Medical/Surgical Unit 3 Medical Unit (Nonsurgical) 4 Surgical Unit Patient … Units Patient Care Units Surgical Services Clinical Services Administration/Management Support

360. Background and Overview: Ambulatory Surgery Center Survey on Patient Safety Culture: Slide Presentation (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/battlesslides.pdf
     July 18, 2015 - Ambulatory Surgical Center Services. Report to the Congress: Medicare Payment Policy. … apply principles of the Comprehensive Unit-based Safety Program (CUSP) in ASCs • Goal: implement a surgical … safety checklist-centered quality improvement intervention to reduce surgical site infections (SSIs