-
teamstepps.ahrq.gov/hai/tools/surgery/modules/sustainability/deep-root-data-fac-notes.html
December 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Say:
Many surgical teams are dependent on infection control practice or a hospital administrator to … 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?
-
teamstepps.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-slides.html
December 01, 2017 - Surgical resident - 10% NP, 60% DNC, 30% C.
Attending surgeon - 0% NP, 40% DNC, 60% C. … A surgical Safety checklist to reduce morbidity and mortality in a global population. … Voicemail messages not responsive enough for open surgical cases. … Excessive delays upset surgeon and surgical team. … Modified call process to accommodate surgical needs.
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-101-infographic.pdf
February 01, 2019 - settings
Experience
with
Providers
Clinicians and
Medical Groups
Hospices
Home Health
Care
Surgical … Based Care
Hospitals (adult
and pediatric)
Dialysis Centers
Nursing Homes
Outpatient
Ambulatory
Surgical
-
teamstepps.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - Applying Statistical Process Control Methods Can Detect Increases in Rates of Surgical Site Infections … Applying Statistical Process Control Methods Can Detect Increases in Rates of Surgical Site Infections … When compared with traditional surgical site infection (SSI) surveillance approaches alone, applying … statistical process control, in addition to traditional surveillance, was more effective at detecting surgical … within a large infection control network of 29 U.S. community hospitals in the Southeast for 13 common surgical
-
teamstepps.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Can Improve Post-Surgery Complications and Enhance Patient Recovery
The AHRQ Toolkit for Improving Surgical … Care and Recovery addresses common surgical complications such as surgical site and urinary tract infections … The toolkit, created for surgical teams by surgeons, was tested in more than 300 hospitals nationwide … International perspectives on modifications to the surgical safety checklist.
-
teamstepps.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - The medical team attributes the pain to the surgical incision. … An X-ray of the abdomen reveals a surgical sponge. … The surgery is performed by a different surgical team at the same hospital. … The anesthesiologist received training on the equipment and has used it in six surgical cases to date … The equipment is being used in this surgical case.
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Ambulatory Surgery Surgical Checklist
http://www.scoap.org/downloads/SCOAP-Surgical-Checklist_v3_4.pdf … Care Quality, provides a free, downloadable surgical checklist for ambulatory surgery. … Ambulatory Surgery Surgical Checklist
3. Gastroenterology Safe Surgery Checklist
4. … Ophthalmic Surgical Checklist - Ambulatory Surgery Center Association
6. … Infection Prevention Training for Ambulatory Surgical Centers
Composite Measure 6.
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Data-Dictionary-Geographic-Level.xlsx
February 02, 2023 - Percent of practices in the ZIP code with a surgical specialty Num 8
Most common surgical specialty … APCD/CMS Claims 3P-RD Physician COMMON_SPEC_SURG1 X X X X X X X X X X X X X X X SURG_SPEC_1 Surgical … Second Most common surgical specialty APCD/CMS Claims 3P-RD Physician COMMON_SPEC_SURG1 X X X X X X X … Third Most common surgical specialty APCD/CMS Claims 3P-RD Physician COMMON_SPEC_SURG1 X X X X X X X … X X X X X X X X SURG_SPEC_3 Surgical specialty third most common among the ZIP code's practices Char
-
teamstepps.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
-
teamstepps.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.
-
teamstepps.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
-
teamstepps.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
-
teamstepps.ahrq.gov/news/newsletters/e-newsletter/845.html
January 01, 2023 - AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows . … AHRQ Grantee Prevents Harm by Analyzing and Redesigning Surgical Staff Workflows
AHRQ’s latest grantee … His research focuses primarily on developing evidence-based strategies to prevent surgical harm using … Catchpole identified 30 sources of potential harm in surgical sterilization processes.
-
teamstepps.ahrq.gov/funding/grantee-profiles/grtprofile-huang.html
December 01, 2023 - the use of targeted decolonization with routine post-discharge wound care to reduce post-discharge surgical … The Decrease SSI Trial (Decolonization to Reduce After-Surgery Events of Surgical Site Infection) project … advance the appropriate use of antibiotics for children and the use of claims data for surveillance of surgical
-
teamstepps.ahrq.gov/research/findings/studies/index.html
January 01, 2024 - This study evaluated best methods to assess surgical wire navigation skill, which can be objectively … This study investigated variability in surgical approaches to hernias in patients with ascites. … The primary outcome observed was incidence and surgical approach for both ventral and inguinal hernia … Open repair was the most common surgical approach (ventral: 86%, open: 77%). … Variability in surgical approaches to hernias in patients with ascites.
-
teamstepps.ahrq.gov/research/findings/making-healthcare-safer/comparison.html
September 01, 2022 - Laparoscopic Cholecystectomy
Summary of Evidence
(Not reviewed)
(Not reviewed)
Prevention of Surgical … Guidance of Central Vein Catheterization
Summary of Evidence
Update
(Not reviewed)
Prevention of Surgical … Evidence
Update
(Not reviewed)
Use of Report Cards and Outcome Measurements To Improve Safety of Surgical … Care: American College of Surgeons National Surgical Quality Improvement Program
(Not reviewed) … 2020)
Prevention of Venous Thromboembolism
Summary of Evidence
Update
(Not reviewed)
Post-Surgical
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/lbpinject-topicref.pdf
March 03, 2014 - injections versus epidural nonsteroid injection, nonepidural
injection, no injection, surgery or non-surgical … therapies (e.g., epidural nonsteroid injection, nonepidural
injection, no injection, surgery, or non-surgical … saline epidural, epidural with local anesthetic, nonepidural injection, no
injection, surgery, non-surgical … injection compared to
epidural nonsteroid injection, nonepidural injection, no injection, surgery, or non-surgical … potential modifier of treatment effect, and the Analytic Framework was revised to be clear that
non-surgical
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hac-rates-2019-updated.pdf
January 01, 2019 - Clostridioides
difficile
Infections
-37%
Falls
-5%
Obstetric
Adverse
Events
-3%
Pressure
Ulcers
Surgical
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4_combo_bestpracticescover.pdf
June 05, 2016 - practices forms exist for the following 14 PSIs:
• PSI 03 Pressure Ulcer Rate
• PSI 05 Retained Surgical … Rate
• PDI 01 Accidental Puncture or Laceration Rate
• PDI 02 Pressure Ulcer Rate
• PDI 03 Retained Surgical … • PSI 04 Death Rate Among Surgical Inpatients With Serious Treatable Conditions: This
PSI calculates
-
teamstepps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/Updated-hacreportFInal2017data.pdf
July 01, 2020 - 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 … 2015 2016 2017
All Other HACs
(Post-op) Venous
Thromboembolisms
Ventilator-Associated
Pneumonias
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.