-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
January 01, 2025 - ■ A surgical team training project is using non-intrusive sensors like eye tracking and speech analysis … with individual and team non-technical skills, 2) test
non-intrusive sensing devices in simulated surgical … Narasimha et al. (2024)
describes a study in which 8 surgeons participated in a simulated 2-phase
surgical … this training on teamwork and the
process of care in two clinical microsystems (i.e., pediatric and surgical … Key Findings/Impact: CM self-reports were collected in 370 surgical cases
at Vanderbilt University Medical
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
April 01, 2018 - AE rates are
higher among surgical patients and more acutely ill medical patients compared with other … Furthermore, temporary or long-term injuries, as well as
additional medical or surgical interventions … Detection of adverse events in surgical patients using the Trigger Tool
approach. … A Surgical Safety Checklist to Reduce Morbidity and
Mortality in a Global Population. … Postoperative adverse events of common surgical
procedures in the Medicare population.
-
www.ahrq.gov/sites/default/files/2024-01/savage-report.pdf
January 01, 2024 - Academic
Medical
Center
Cardiac ICU 20 (33%) 18 40
B Community
Hospital
(Magnet
Status)
Medical/Surgical … ICU & Cardiac
ICU
20 (51%) 18 20
C Community
Hospital
Critical Care
Unit & Surgical
ICU … 14 (65%) 20 20
D Rural
Hospital
Medical/Surgical
ICU
4 (57%) 4 20
12
Table 2
Description
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - address system failures associated with frequent
and severe adverse events.25 Across the entire VHA, surgical … Surgery Quality Improvement Program (NSQIP).26 In the first 3 years of the
program’s existence, 30-day surgical … risk-adjusted, and
peer-controlled program for the measurement and
enhancement of the quality of surgical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
April 20, 2004 - setting described in this study is a combined medical-
Advances in Patient Safety: Vol. 3
438
surgical … The hospital’s ICU is a 10-bed combined medical–surgical unit
that provides care for approximately 200 … BCMA
reimplementation while attempting to solve a problem related to the handling of
pre- and post-surgical
-
www.ahrq.gov/sites/default/files/2024-02/landrigan2-report.pdf
January 01, 2024 - Methods: We conducted a prospective intervention trial in the Surgical Intensive Care Unit at BWH. … To implement new house staff work schedules in three surgical ICUs, which will eliminate extended
shifts … and implemented schedules that
eliminated all 30-hour-long extended shifts for all staff in three surgical … The interventions and study took place in three
surgical ICUs (7c, 7d, and 11c) at Brigham and Women
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/compare/CAHPS-Database-2012-CG-Chartbook.pdf
January 01, 2012 - results by physician specialty for the Visit
Adult version reveals consistently higher scores for Surgical … Composite/Item
CAHPS
DB
Overall
Family
Practice
Internal
Medicine
OB/
GYN Surgical
Access … - -
Pediatrics 24 1,720 - - 45 1,074 22 1,467
Other
Primary
Care
7 506 25 357 30 1,196 - -
Surgical … Pediatrics and Internal Medicine Pediatrics
Other Primary Care Geriatrics and General Practice
Surgical
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2012_cg_cahps_chartbook.pdf
January 01, 2012 - results by physician specialty for the Visit
Adult version reveals consistently higher scores for Surgical … Composite/Item
CAHPS
DB
Overall
Family
Practice
Internal
Medicine
OB/
GYN Surgical
Access … - -
Pediatrics 24 1,720 - - 45 1,074 22 1,467
Other
Primary
Care
7 506 25 357 30 1,196 - -
Surgical … Pediatrics and Internal Medicine Pediatrics
Other Primary Care Geriatrics and General Practice
Surgical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Campbell.pdf
January 01, 2003 - coded for complications associated with a device,
implant, or graft (CCS 237) and complications of surgical … Complications due to surgical
procedures or medical care accounted for 47 percent (37,605 of 82,041) … Discharges coded for
“postoperative infections” and “other complications of surgical and medical
procedures … 6.01%
Postoperative infection 2,692 2,819 2,784 2,960 2,846 14,101 17.65%
Other complications of surgical
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - The survey design team conducted a review of the literature on patient and surgical safety in
ASCs, … Items include a “Does
not apply or Don’t know” option.
1 Ambulatory surgical center services. … survey pilot test
also participated in a larger AHRQ-funded study examining the implementation of surgical … ASCs by Size
Pilot Study ASCs
Number of Surgical/Procedure Rooms Number Percent
1 or 2 14 24%
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
April 23, 2008 - The study
involved a convenience sample of 77 medical-surgical units drawn from 33 CalNOC member
acute … coaching intervention were intentionally contingent on the
needs of the organization and the medical-surgical … hospital
would reduce the incidence of patient falls and fall-related injuries on target medical and surgical
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6b.html
June 01, 2014 - Clinical and Group Survey, ambulatory care surveys include: (1) CAHPS Health Plan Survey, (2) CAHPS Surgical … Clinical and Group Survey, ambulatory care surveys include: (1) CAHPS Health Plan Survey, (2) CAHPS Surgical
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-section-2.pdf
January 01, 2016 - Overuse of Imaging
Overuse of Imaging
Overuse of Imaging for the Evaluation of Children with Post-Traumatic Headache
Description
The percentage of children, ages 2 through 17 years old, with post-traumatic headache who were
evaluated in the emergency depa…
-
www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/bim.html
December 01, 2017 - This BIM team should be a subcommittee of the surgical safety program team.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospitalscanform.doc
June 02, 2025 - Medicine (non-surgical)
(
h. Psychiatry/mental health
(
n. Other, please specify:
(
c.
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/assess-adapt-slides.html
July 01, 2018 - Slide 20
Standardize
Image: Health professional in a surgical gown and mask posing next to an equipment
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Slide 23
Scenario #2: Hospital Management Support for Patient Safety
The surgical unit is not discontinuing
-
www.ahrq.gov/news/newsletters/e-newsletter/925.html
August 01, 2024 - Variability in surgical approaches to hernias in patients with ascites.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4d_pdi05-nqi01-pneumothorax-bestpractices.pdf
May 16, 2016 - Additional Resources
Systems/Processes
• WHO Surgical Care at the District Hospital 2003, World
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-sops-overview-webcast-tyler.pdf
January 01, 2025 - Validated and Reliable Surveys
17
Higher SOPS Hospital Scores Have Been
Linked to…
Lower rates of surgical