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healthcare411.ahrq.gov/research/findings/final-reports/index.html?page=2
September 01, 2018 - and Family Engagement
(3)
Pain Management
(2)
Pressure Ulcers
(2)
Rural Settings
(2)
Surgical … ): Pediatrics Publication Date: August 2017
Improving Patient Safety in Orthopedic Trauma Surgical … Topic(s): Pediatrics Publication Date: November 2016
Effects of Physician Social Networks on Surgical
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healthcare411.ahrq.gov/hai/pfp/haccost2017.html
November 01, 2017 - Surgical Site Infections.
Venous Thromboembolism.
Ventilator-Associated Pneumonia. … Central Line-Associated Bloodstream Infections
Falls
Obstetric Adverse Events
Pressure Ulcers
Surgical … Medical errors and HACs affect all age groups, from neonates and mothers during labor and delivery to surgical … Beginning in 2008, CMS identified the HACs (e.g., CAUTI, falls and trauma, surgical site infection) for … Surgical Site Infections (SSI)
Infection that occurs prior to discharge and within 30 days following
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healthcare411.ahrq.gov/sites/default/files/publications/files/universalicu.pdf
September 01, 2013 - Total body bathing with ‘Hibiscrub’(chlorhexidine) in surgical patients: a
controlled trial. … Does Universal Decolonization affect the use of skin preps before a surgical procedure?
No. … Can I use CHG cloths over a closed surgical incision? … Be careful to avoid deep surgical wounds. … Are you comfortable applying CHG to closed surgical wounds?
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healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pdf
October 01, 2015 - presentation
to your quality and patient safety committees, boards, organizational leaders, medical and surgical … reflect quality of care
inside hospitals, including inpatient mortality for medical
conditions and surgical … • Denominator: Surgical or medical discharges age 18
years and older. … Surgical and medical discharges are
defined by specific DRG or MS-DRG codes. … cases meeting the inclusion and exclusion
rules for the denominator
• Denominator: All medical and surgical
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healthcare411.ahrq.gov/cahps/surveys-guidance/hospital/index.html
November 01, 2023 - Hemodialysis
Mental Health Care
Nursing Home
Outpatient and Ambulatory Surgery
Surgical … Survey is a standardized questionnaire for people 18 and older who have been inpatients in medical, surgical
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf
August 01, 2010 - noted a decrease in overshift time by 100 hours in the first two pay periods on a
32-bed general surgical … Anne Arundel
Medical Center's video
featured nurses on the
medical-surgical unit
demonstrating a … This was
followed by an hour-long mandatory lunch-and-learn training session for
medical-surgical unit … After bedside
shift report was rolled out, nurse leaders on the medical-surgical unit observed
and … The experiences of staff, patients, and families on the medical-surgical unit were
featured prominently
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 239,000 8.0
Obstetric Adverse Events 67,000 2.3
Pressure Ulcers/Pressure Injuries 647,000 21.8
Surgical … The other comprised
major surgery patients, as described by the Surgical Care Improvement Project [SCIP … Events -9,000 -$10,000,000 -100
Pressure Ulcers/Pressure
Injuries
119,000 $1,720,000,000 4,900
Surgical … and Without Instrument
Pressure Ulcer MPSMS Hospital-Acquired Pressure Ulcers/Pressure Injuries
Surgical … National number of selected surgical site infections computed in a special
calculation for CDC.
-
healthcare411.ahrq.gov/cahps/surveys-guidance/index.html
August 01, 2023 - Hemodialysis
Mental Health Care
Nursing Home
Outpatient and Ambulatory Surgery
Surgical … With Providers
Clinician & Group (3.0, 3.1, Visit 4.0 (beta))
Hospice *
Home Health Care *
Surgical
-
healthcare411.ahrq.gov/patient-safety/about/challenge-competition.html
February 01, 2024 - reduction in general surgery, a 57% reduction in orthopedic surgery, and an 80% reduction in the medical surgical … nursing unit serving the orthopedic, gynecological, and specialty surgical population).
-
healthcare411.ahrq.gov/cahps/surveys-guidance/oas/index.html
November 01, 2023 - Hemodialysis
Mental Health Care
Nursing Home
Outpatient and Ambulatory Surgery
Surgical … data.medicare.gov, CMS reports the patient survey results for hospital outpatient departments and ambulatory surgical
-
healthcare411.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 - perioperative process with these three components (perioperative briefing, timeout, and signout) reduces surgical … process should specify—
· Involvement of all physicians and staff members engaged in the surgery
· The surgical … This shared mental model acknowledges and accepts the checklist as a team tool that—
· belongs to the surgical … A surgical safety checklist to reduce morbidity and mortality in a global population. … the following figure:
This sample tool is based on the framework of the World Health Organization’s Surgical
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - Central Line-Associated Bloodstream
Infections
Falls
Obstetric Adverse Events
Pressure Ulcers
Surgical … Infections
Central Line-Associated Bloodstream
Infections
Falls
Obstetric Adverse Events
Pressure Ulcers
Surgical … Infections
Central Line-Associated Bloodstream Infections Falls
Obstetric Adverse Events Pressure Ulcers
Surgical … 74,000 2.3
Pressure
Ulcers
MPSMS
(2014)
Hospital-Acquired
Pressure Ulcers
1,010,000 30.9
Surgical … $171,000,000 84
Pressure
Ulcers
250,000 50% 50% 25% 62,500 $17,000 .072 $1,062,500,000 4,525
Surgical
-
healthcare411.ahrq.gov/hai/tools/abate/index.html
March 01, 2022 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … to prevent multi drug-resistant organisms and all-cause bloodstream infection in general medical and surgical
-
healthcare411.ahrq.gov/hai/tools/abate/training/index.html
March 01, 2022 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … to prevent multi drug-resistant organisms and all-cause bloodstream infection in general medical and surgical
-
healthcare411.ahrq.gov/talkingquality/measures/setting/physician/examples.html
September 01, 2019 - Percentage of surgical patients who received certain medications (e.g., antibiotics, beta blockers) within … The number of surgical procedures (e.g., hip replacement, carotid endarterectomy) a physician performed
-
healthcare411.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-sept2015.pdf
January 01, 2015 - Undermine Safety
Culture
Slide 10
But wait…
Conclusions:
Adjusted risk of death; surgical … Introduction of surgical safety checklists in
Ontario, Canada. … A Checklist-Based Intervention to Improve Surgical
Outcomes in Michigan: Evaluation of the Keystone … Undermine Safety
Culture
Slide 27
Respect, trust and team
performance
Patient Complaints & Surgical … 05.2 Page 30
TeamSTEPPS®
Behaviors that
Undermine Safety
Culture
Slide 30
Respect and Surgical
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healthcare411.ahrq.gov/talkingquality/measures/setting/hospitals/examples.html
March 01, 2016 - Patient Safety Measures
Percentage of surgery patients with surgical complications or postoperative … recommended hospital care for specific conditions such as heart attack, pneumonia care, and prevention of surgical
-
healthcare411.ahrq.gov/talkingquality/measures/types.html
July 01, 2015 - For example:
The percentage of patients who died as a result of surgery (surgical mortality rates). … The rate of surgical complications or hospital-acquired infections.
-
healthcare411.ahrq.gov/news/newsroom/case-studies/201501.html
March 01, 2015 - RED was initially rolled out in the intermediate care and medical surgical units and then expanded to … the surgical, intensive care, and pediatric units.
-
healthcare411.ahrq.gov/patient-safety/index.html
January 01, 2024 - advance safety across healthcare delivery settings
Toolkit for Improving Surgical … help hospitals implement evidence-based practices to improve outcomes and prevent complications in surgical