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ce.effectivehealthcare.ahrq.gov/patient-safety/resources/learning-lab/failure-rescue-long-desc.html
April 01, 2021 - Achieving critical mass in surgical outcomes research: the changing role of the surgical outcomes club … Practical guide to surgical data sets: Medicare claims data. … Social media as a platform for surgical learning: use and engagement patterns among robotic surgeons … Revisiting nursing's effect on surgical quality and cost.
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ce.effectivehealthcare.ahrq.gov/topics/comprehensive-unit-based-safety-program-cusp.html
Toolkit
The CUSP Method
Toolkit for Improving Perinatal Safety
Toolkit for Improving Surgical … Statewide collaborative to reduce surgical site infections results of the Hawaii Surgical Unit-based
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/defects.docx
May 01, 2017 - AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical Environment … May 2017
AHRQ Safety Program for Ambulatory Surgery
Improving Communication and Teamwork in the Surgical
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ce.effectivehealthcare.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides-pt4.html
March 01, 2020 - Hispanic, Border County: Medical - 38.7, Surgical - 14.8, Mental - 3.7, Injury - 3.5, Maternal - 20.2 … Non-Hispanic, Border County: Medical - 45.9, Surgical - 22.3, Mental - 6.0, Injury - 5.2, Maternal - … Surgical and medical splits are based on the diagnosis-related groups (DRGs). … Hispanics had lower rates of surgical stays, both in border and non-border counties. … Surgical: Surgical diagnosis-related group.
Medical: All other discharges.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - Failure to thrive
Fever/possible infection
Functional decline
Malaise/fatigue
Potential surgical … returning from ED
• Discharge diagnosis from hospital (principal diagnosis and secondary diagnoses)
• Surgical … therapy
Respiratory treatment
Suctioning
Transfusion
Other __________________________
Surgical … vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
Sepsis/urosepsis
Surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - continues about its exact numeric value, euglycemia should be maintained perioperatively to prevent surgical … Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 … 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
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … information regarding the processes performed in the operating room or procedure room in order to improve surgical … site
|___| Surgical procedure to be performed matches consent form
|___| Site marked
|___| Patient … check by each item the team discussed during the preoperative briefing.
|___| Patient's name
|___| Surgical … procedure to be performed
|___| Surgical site
|___| Antibiotic prophylaxis been given within 60 minutes
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module, you’ll learn about performing a surgical … session, you will be able to–
Explain the difference between process and outcome data
Describe how the Surgical … The outcome data is your surgical site infection rate. … ASK:
What practices did you put in place to prevent your surgical-site infections? … For instance, what did the PSSA responses indicate would cause the next surgical site infection?
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh1.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … the ST-PRA
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical
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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh6.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … tree model
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
December 01, 2017 - It shares a based-on-real-life story about a surgical safety team using the Learn From Defects tool to … Specifically, it shares a based-on-real-life story about a surgical safety team using the LFD tool to … The surgical safety team lead or a designee should review the example case study in preparation for the …
– Surgical safety team Nursing Champion
II. Why did it happen? … – Surgical safety team Surgeon Champion
Chosen Intervention
Anticipated Sources of
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Of the 20 accepted hospital-level PSIs, 8 are for surgical
discharges, 8 are for either medical or surgical … All surgical discharges. … All medical and surgical discharges. … a discharge as surgical or medical. … Postoperative
adverse events of common surgical procedures in the
Medicare population.
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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Consider participating in surgical morbidity and mortality conferences. … Is your surgical site infection rate trending down? … Identify surgical measures relevant to your clinicians.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - Conclusion: This
proactive methodology actively engaged surgical residents in quality improvement as … The process was carried out on two postoperative surgical floors at an urban teaching
hospital. … All staff—including nursing, administrative and support staff, surgical attendings, and
surgical residents—were … The meeting for surgeons was attended by 45 surgical residents
and one surgical attending (the residency … Improving
assessment of postoperative pain in surgical wards by
education and training.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Principles of Safe Design
SAY:
The principles of safe design apply to the two main pieces of the surgical … ASK:
Have you established your surgical quality team? … SAY:
The core surgical quality team guides the use of the Learning from Defects tool. … Your surgical quality team will need to balance the scope of the intervention effort. … With your surgical quality team, document all ideas for intervention.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - The program goals were to reduce infections and surgical harms in ASCs through use of a surgical safety … environment, patient and family engagement in the surgical environment,
and sustainability. … environment,
patient and family engagement in the surgical environment, and sustainability. … Many also have extremely low rates of surgical site infection (SSI) (e.g., cataracts). … Did they report surgical safety checklist use?
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ce.effectivehealthcare.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
December 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Slide 2
Learning Objectives
Describe the indications for urinary catheter use in surgical settings … Articulate the catheter management challenges in the surgical settings
Recognize the value in using … 208
Slide 4
Polling Question 1
Does your facility currently perform surveillance for CAUTI on surgical … 2015
SUTI + IUC = CAUTI
Slide 5
2012 NHSN CAUTI Rates and Device Utilization Ratios, Selected Surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pfengagement-material-guide.docx
May 01, 2017 - Tool
AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical Environment … including pre- and postoperative care staff
Patient and Family
Engagement in the
Surgical … post-operative care staff
AHRQ Safety Program for Ambulatory Surgery
Patient and Family Engagement in the Surgical
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … 1
The complexity of procedures continues to increase 2
ASCs have an excellent safety record 3
Surgical … Program Goals
Reduce surgical infection and complication rates. … 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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4s_combo_pdi06-heartsurgery-bestpractices.pdf
May 16, 2016 - Intraoperatively
Intraoperative TEE and epicardial echocardiography should be
available if needed during the surgical … intraoperatively
• Intraoperative TEE and epicardial echocardiography should be available if needed during the
surgical … appropriate antibiotic selection and timing
• Administer prophylactic antibiotics within 1 hour prior to surgical … A preprocedural briefing by the attending surgeon in which the following is shared with
the entire surgical … CongenitalHeartDefects/Congenital-Heart-
Defects_UCM_001090_SubHomePage.jsp
• IHI How-to Guide: Prevent Surgical