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ce.effectivehealthcare.ahrq.gov/research/findings/final-reports/stpra/stpraexh4.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … site visit
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/gastro-slides.pptx
November 01, 2019 - Safety Program for Improving Antibiotic Use – Acute Care
9
Moment 2: When To Call the Surgeon2,3
Acute surgical … month8
Complicated:5,9
Medical management: suggest 5–10 days based on clinical response and re-imaging
Surgical … days or up to 10 days (median was 8) of antibiotic therapy after source control10
Primary outcome: surgical … of Therapy
Acute cholecystitis
Medical management
Suggest 5-10 days based on clinical response5,9
Surgical … The Surgical Infection Society revised guidelines on the management of intra-abdominal infection.
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/slides.html
October 01, 2020 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Surgical site infection rate
Percentage of staff with a safety culture assessment score > 4
Process … Monitoring sustainability: Establish a threshold for alarm
– Example: An increase in surgical site … Slide 34: How To Measure: Run Chart Example
Image: run chart to show an example of tracking surgical … Slide 35: How To Measure: Small Multiples Example
Images: surgical infection rate example.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - reflect quality of care inside hospitals, including inpatient mortality for medical conditions and surgical … Safety
List of PSIs:
PSI 02 Death in low-mortality DRGs
PSI 03 Pressure ulcer
PSI 04 Death among surgical … Denominator: Surgical or medical discharges, for patients ages 18 years and older. … Surgical and medical discharges are defined by specific DRG or MS-DRG codes. … -10-CM procedure code for debridement or pedicle graft as the only major operating room procedure (surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - Eligible patients for the
experimental group had
been admitted to medical,
neurologic, or surgical … Adherence to evidence-
based processes of surgical
care was measured in terms
of use of appropriate … J
Bone Joint Surg Am.
2010;92(16):2643–2652.78
surgical processes of care
was associated with … Hospitals with high surgical
volume and low surgical
mortality have lower rates of
surgical readmission … Variation in Surgical-
Readmission Rates and
Quality of Hospital Care.
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Word File , 2.4 MB; Text Version )
This checklist template is based on the World Health Organization Surgical … ensure that any changes to your checklist meet the goals of the original World Health Organization Surgical … information regarding the processes performed in the operating room or procedure room in order to improve surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-elliott.pdf
September 30, 2021 - Sampled 36,001 patient discharges from April 1 to September 30, 2021
► Patients Age 18+, overnight stay, surgical … the highest or second-highest yield was always a 2-
mode protocol
► Web-Mail did especially well for surgical … Only had the lowest yield for maternity patients
• Phone Only had the lowest yield for medical and surgical … 54, and
maternity patients
• Phone Only mode had the lowest yield for White, age 55+, medical, and surgical … especially successful for maternity and age 18-64 patients
► Web-Mail was especially successful for surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
December 01, 2017 - These skills are required for changes that will result in safer surgical care.
5
How Do These Errors … How will the next patient in the operating room get a surgical site infection? … What can we do to prevent the surgical site infection? … 4
What can be done to prevent this surgical site infection? … Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
July 01, 2016 - Trauma-Vaginal Delivery Without Instrument
Death PSI 02 Death in Low-Mortality DRGs
PSI 04 Death Among Surgical … Inpatients
Sentinel Events (Adults) PSI 05 Retained Surgical Item or Unretrieved Device Fragment … Central Venous Catheter-Related Blood Stream Infection Rate
Sentinel Events (Pediatric) PDI 03 Retained Surgical
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/SOPS-Hospital-Survey-2.0-5-26-2021.pdf
January 01, 2021 - Multiple Units, No specific unit
1 Many different hospital units,
No specific unit
Medical/Surgical … Units
2 Combined Medical/Surgical
Unit
3 Medical Unit (Non-Surgical)
4 Surgical Unit … , Behavioral
Health
13 Pulmonology
14 Rehabilitation, Physical
Medicine
15 Telemetry
Surgical
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - articles by the patient's reason for hospitalization, including:
Nonsurgical. 2
Nonorthopedic surgical … Patients Undergoing Surgical Procedures (Nonorthopedic)
The risk of VTE in patients having nonorthopedic … Patients undergoing most other surgical procedures requiring hospitalization fall into the moderate-risk … category, including those having general surgical procedures, gastrointestinal surgery not related to … Either UFH or LMWH are recommended for patients with malignancy undergoing major surgical intervention
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
June 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … (Determine revisions)
Add the previous day’s surgical safety checklist observation to the visual board … if using the surgical safety checklist observation. … elements, such as a list of the patients for the day with safety flags, a table showing observations of surgical … Checklist observation: Score of surgical safety checklist observation can be an element of the display
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/getting-ready.html
August 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving 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 verify … 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
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ce.effectivehealthcare.ahrq.gov/hai/universal-icu-decolonization/universal-icu-apf.html
September 01, 2013 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Y N N/A Uses on closed surgical wounds. … Are you comfortable applying CHG to closed surgical wounds?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/endoscopy-checklist-template.docx
January 01, 2009 - Based on the WHO Surgical Safety Checklist, www.who.int/patientsafety/safesurgery/checklist/en/index.html … Based on the WHO Surgical Safety Checklist, www.who.int/patientsafety/safesurgery/checklist/en/index.html
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
October 01, 2014 - Surgical Unit Huddle Board Slide 11. … SICU Huddle Board
Image of a Surgical Intensive Care Unit (SICU) Huddle Board. … Surgical Unit Huddle Board
Image of a Surgical Intensive Care Unit (SICU) Huddle Board. … CUSP: Example of Empowerment
A surgical unit before CUSP —
Chaos
Unclear plan of care
Very
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustscorecard.pptx
December 01, 2017 - for Surgery – Sustainability
SAY:
The module covers how to design a scorecard for sustaining your surgical … defect in your operating rooms
Select and work on one defect per quarter
Consider participating in surgical … Once your team has a few wins, consider participating in surgical conferences. … <80% 80–90% >90%
Is your surgical site infection rate trending down? … No Same Yes
Identify surgical measures relevant to your clinicians
Sustainability Scorecard
Design
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
January 01, 2023 - CFER-H V1.1 16,374 6.1% 2,617,691
Pressure Ulcer CFER-H V1.2 110,664 4.7% 2,617,691
Device or Medical/Surgical … Supply CFER-H V1.1 11,692 4.3% 2,617,691
Device or Medical/Surgical Supply CFER-H V1.2 67,711 2.9%
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - Hematology/Oncology Unit
62.9
(n=35)
83.7
(n=43)
85
(n=40)
Medical/Surgical Unit
77.5
(n=200 … )
79.3
(n=310)
83.1
(n=360)
Hematology/Oncology Unit &
Medical/Surgical Unit: Aggregated
75.3
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part2-facilitator-guide.pdf
November 01, 2019 - Another area for intervention is optimizing surgical
prophylaxis. … and preventing both
surgical site infection and unnecessary antibiotic
exposure. … A disadvantage of only
addressing surgical prophylaxis is that you are not
impacting treatment decisions … on surgical services;
thus, additional attention should be given to optimizing
antibiotic management … of surgical infections.