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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/036-ss-nursing-practice-guide.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Decolonization Nursing Practice Guide
Surgical … and leadership support are in place to actively support the decolonization interventions to prevent surgical … prevention, nursing, nurse educators, pharmacy, purchasing, executive leadership, and surgeons
· Review surgical … for all participating units (clinic, pre-op, OR, PACU) at regular intervals
· Facility leadership, surgical … e.g., mupirocin, iodophor)
· Ensure escalation support pathway is in effect for patient refusals
· Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
April 01, 2025 - Targeting SSI
Core Comprehensive Unit-based Safety Program (CUSP) Team Member
Roles & Responsibilities
Surgical … · Am I using CUSP tools to help facilitate and sustain learning on the surgical service? … Surgical Service Manager
The Surgical Service Manager, often a nurse manager, is the accountable supervisor … What Is Expected of a Surgical Service Manager? … · Am I using CUSP tools to help facilitate and sustain learning on the surgical service?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/092-evidence-decolonization-one-pager.docx
April 01, 2025 - Key Evidence for Decolonization
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal … PLOS ONE, 20091
Clinical and Financial Outcomes Due to Methicillin Resistant Staphylococcus aureus Surgical … : A Multi Center Matched Outcomes Study
Purpose: To evaluate the clinical and financial outcomes of surgical … For the surgical population, there was a 79 percent decrease in risk of developing a deep SSI due to … Preventing surgical-site infections in nasal carriers of Staphylococcus aureus.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2021.xlsx
January 01, 2021 - Device or Medical/Surgical Supply including Health Information Technology Dashboard
Introduction
Introduction-Device … or Medical/Surgical Supply including Health Information Technology
The tables in this workbook present … data on Device or Medical/Surgical Supply including Health Information Technology (HIT) reports submitted … Percentage Frequency Total
Medical equipment (e.g., walker, hearing aid) 84.8% 24,215 28,539
Medical/surgical … Frequency Total
Medical equipment (e.g., walker, hearing aid) 56.4% 1,643 53.8% 279 3,434
Medical/surgical
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www.ahrq.gov/hai/tools/surgery/guide-app-cusp.html
December 01, 2017 - Supplemental Tools
Applying CUSP To Promote Safe Surgery Tools
Surgical Safety Team Roles … It shares a based-on-real-life story about a surgical safety team using the LFD tool to improve care … It standardizes your briefing and debriefing process to reduce the potential for surgical site infections
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/145-cusp-tip-sheet-celebrating-success.docx
April 01, 2025 - Comprehensive Unit-based Safety Program (CUSP) Tip Sheet:
Promoting SSI and MRSA Prevention
Surgical … To continue success and work toward sustainable changes such as reducing surgical site infection (SSI … ) rates, promoting the best practices to other areas outside of the surgical service is key. … When interventions have been successfully piloted in surgical services, it is important to rapidly share … teams are not allowed to adapt the new process to additional surgical procedures, surgical departments
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/043-ss-training-preop-nasal-mupirocin.pptx
April 01, 2025 - MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention: Targeting SSI
Preoperative Surgical … Decolonization
Staff Training: Nasal Decolonization in the Preoperative Area
Nasal Mupirocin Ointment
Surgical … No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention | Surgical Services
Nasal Mupirocin … | 3
AHRQ Safety Program for MRSA Prevention | Surgical Services
Nasal Mupirocin Staff Training
How … | 4
AHRQ Safety Program for MRSA Prevention | Surgical Services
Nasal Mupirocin Staff Training
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www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
January 01, 2024 - Surgical
site infections and errors are key concerns in ORs. … site infections and surgical errors. … Scope
The incidence of adverse events, such as surgical site infections and surgical errors, is an
immense … less prone to
intrusion of other surgical team members. … , surgical lights, and other ceiling-mounted items.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2022.xlsx
January 01, 2022 - Device or Medical/Surgical Supply Moderate Harm 1.1% 434 1,567,355
Device or Medical/Surgical Supply … Severe Harm 0.2% 70 1,567,355
Device or Medical/Surgical Supply Death 0.2% 65 1,567,355
Device or … Medical/Surgical Supply Unknown Harm 34.6% 13,297 1,567,355
Fall No Harm 55.2% 121,455 1,567,355
Fall … Device or Medical/Surgical Supply Moderate Harm 1.1% 434 1,567,355
Device or Medical/Surgical Supply … Severe Harm 1.1% 70 1,567,355
Device or Medical/Surgical Supply Death 0.8% 65 1,567,355
Device or
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2021.xlsx
January 01, 2021 - Device or Medical/Surgical Supply Unsafe Condition 12.8% 6,408 1,760,058
Fall Incident 100.0% 182,337 … Device or Medical/Surgical Supply Moderate Harm 1.3% 387 1,267,662
Device or Medical/Surgical Supply … Severe Harm 0.2% 55 1,267,662
Device or Medical/Surgical Supply Death 0.2% 49 1,267,662
Device or … Medical/Surgical Supply Unknown Harm 42.3% 12,831 1,267,662
Fall No Harm 49.2% 83,680 1,267,662
Fall … Device or Medical/Surgical Supply Moderate Harm 1.1% 387 1,267,662
Device or Medical/Surgical Supply
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2020.xlsx
January 01, 2020 - Device or Medical/Surgical Supply Unsafe Condition 9.0% 3,417 1,456,736
Fall Incident 100.0% 155,696 … Device or Medical/Surgical Supply Moderate Harm 1.6% 372 1,075,547
Device or Medical/Surgical Supply … Severe Harm 0.2% 51 1,075,547
Device or Medical/Surgical Supply Death 0.2% 49 1,075,547
Device or … Medical/Surgical Supply Unknown Harm 28.1% 6,557 1,075,547
Fall No Harm 55.7% 81,284 1,075,547
Fall … Device or Medical/Surgical Supply Moderate Harm 1.1% 372 1,075,547
Device or Medical/Surgical Supply
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/senior-leader.html
May 01, 2017 - Senior Leader Checklist - Patient and Family Engagement in the Surgical Environment Module … care conferences and individual meetings with patients and family members to specifically focus on surgical … Provide opportunities to educate patients and family members concerning the surgical safety programs. … patient stories involving safety issues, examples of how patients and families want to be engaged in surgical … Provide surgical safety reports during patient council meetings.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/2-overview-guide.docx
June 01, 2023 - overview of the entire Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical … What Is the Program for Improving Surgical Care and Recovery? … Why Use the Program for Improving Surgical Care and Recovery? … AHRQ Safety Program for Improving
Surgical Care and Recovery
3
The Program for Improving Surgical … for Improving Surgical Care and Recovery Overview Guide 2
What does the Program for Improving Surgical
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - site infection or SSI reduction goal and prevention bundle that addresses up to three surgical care … And finally, organ-space infections are located in the surgical cavity. … It reflects the interplay between the bacteria, the host, and the type of surgical procedure. … Incorporate the endocrinology department, as well as surgical and nursing providers. … of the surgical site.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/103-how-to-integrate-cusp-approach-periop-fg.docx
April 01, 2025 - Integrate a Comprehensive Unit-based Safety Program (CUSP) Approach
in the Perioperative Setting
Surgical … A different option could be building a team in different surgical specialties. … to be a liaison for the rest of the surgical team. … Often, the champion is someone who works in the surgical area full time. … It’s easy to make a QR code and post the survey in the surgical area.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/033-ss-action-chart-decolonization.docx
April 01, 2025 - Prevention: Targeting SSI
Action Chart for Implementing a
Preoperative Decolonization Program
Surgical … = Comprehensive Unit-based Safety Program; MRSA = methicillin-resistant Staphylococcus aureus
SSI = surgical … decolonization with your team and with stakeholders.
1
Assess the current SSI and MRSA SSI status for your surgical … Develop a CUSP team.
4
Identify surgeon and nursing champions.
5
Select and adapt protocols for your surgical …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - site infections (SSIs) in surgical patients. … skin and nasal passages to prevent surgical site infections. … Surgical patients are seen preoperatively by the surgeon and the surgeon’s team. … across the continuum of care for surgical patients. … Examine the current process with the surgical team
2.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/joseph3-report.pdf
August 31, 2021 - Surgical
site infections and errors are key concerns in ORs. … site infections and surgical errors. … Scope
The incidence of adverse events, such as surgical site infections and surgical errors, is an
immense … less prone to
intrusion of other surgical team members. … , surgical lights, and other ceiling-mounted items.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4q_combo_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Retained surgical items. No Thing Left Behind. … A National Surgical Patient Safety Project to
Prevent Retained Surgical Items. http://www.nothingleftbehind.org … AORN recommended practices on retained surgical items. … Radiofrequency identification (RFID) applied to surgical
sponges. … Barcoding surgical sponges to improve safety: a
randomized controlled trial.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4c_pdi03-foreignbody-bestpractices.pdf
November 01, 2012 - Retained surgical items. No Thing Left Behind. … A National Surgical Patient Safety Project to
Prevent Retained Surgical Items. http://www.nothingleftbehind.org … AORN recommended practices on retained surgical items. … Radiofrequency identification (RFID) applied to surgical
sponges. … Barcoding surgical sponges to improve safety: a
randomized controlled trial.