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www.ahrq.gov/research/findings/final-reports/ssi/ssi5.html
April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection
Chapter … Determining Surgical Site Infection Rates
Chapter 3. … Designing and Testing Methods to Stratify Risk of Surgical Site Infections
Chapter 4. … Surgeons' Acceptance of Surgical Site Infection Risk Adjustment Models
Appendix T. … Surgical Infection Society Abstract
Appendix U.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-f.docx
September 01, 2016 - Does Our Checklist Meet the Goals of the World Health Organization’s Surgical Safety Checklist? … with your checklist implementation team to ensure your checklist meets the goals of the original WHO Surgical … Before the patient leaves the room, will ALL members of the surgical team discuss any equipment problems
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4f_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - concerning complication of tonsillectomy with or without adenoidectomy, which is one
of the most common surgical … preoperative/perioperative/procedure personnel, including nurses, physicians and
other providers, and surgical … /postoperative-care
http://www.merckmanuals.com/professional/special-subjects/care-of-the-surgical-patient … Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
4 Tool D.4f
• WHO Surgical … Policies/Protocols
• Recommended Curriculum Guidelines for Family Medicine Residents: Care of the Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4t_combo_pdi08-postophemorrhage-bestpractices.pdf
May 16, 2016 - concerning complication of tonsillectomy with or without adenoidectomy, which is one
of the most common surgical … preoperative/perioperative/procedure personnel, including nurses, physicians and
other providers, and surgical … /postoperative-care
http://www.merckmanuals.com/professional/special-subjects/care-of-the-surgical-patient … Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
4 Tool D.4t
• WHO Surgical … Policies/Protocols
• Recommended Curriculum Guidelines for Family Medicine Residents: Care of the Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Hundt.pdf
January 01, 2003 - As a result, we added
surgical-site bleeding and signs of infection to the symptom list, and listed … We obtained the total annual volume of surgical procedures from the
centers. … From these surgical volume data, we determined the number of each of the
procedure classes performed … more proactive in their surgical
care. … are indeed critical issues as the volume of
outpatient surgical procedures continues to grow.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/briefing_debriefing.docx
December 01, 2017 - Tool: Briefing and Debriefing Tool
Briefing and Debriefing Tool
Introduction
Problem Statement
Surgical … Patients in acute care hospitals underwent more than 16 million surgical procedures in the United States … Consent
· hCG (human chorionic gonadotropin) hormone complete (if female)
· Share names and roles of the surgical … Surgical Site Infection (SSI) Event.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/antibiotic_audit.docx
December 01, 2017 - Appropriate selection, dosing, and redosing ensure that the antibiotic concentration in surgical site … Question 17: Document the time of the surgical incision. … Time of surgical incision
18. … Question 16: Document the time of the surgical incision. … Time of surgical incision
17.
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www.ahrq.gov/hai/pfp/haccost2017-appendix.html
November 01, 2017 - wound infection/economics"[mh] OR "surgical procedures, operative/adverse effects"[mh] OR ("surgical … wound infection"[mh] AND prognosis[mh]) OR (("surgical wound infection*"[tiab] OR "surgical site infection … In-hospital death following inpatient surgical procedures in the United States, 1996–2006. … Hospital costs associated with surgical site infections in general and vascular surgery patients. … Surgical site infection: incidence and impact on hospital utilization and treatment costs.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - 1
The complexity of procedures continues to increase 2
ASCs have an excellent safety record 3
Surgical … Program Goals
Reduce surgical infection and complication rates. … Testing the Model
The IHI team carried out a pilot test of the model with two volunteer ambulatory surgical … Visual Management can focus on the “precious few” key metrics such as days since last near miss and surgical
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-comp-kit.html
June 01, 2017 - (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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/overview.pptx
May 01, 2017 - rapidly1
The complexity of procedures continues to increase2
ASCs have an excellent safety record3
Surgical … HAI)
665 registered ASCs from 47 States and DC participated in 8 program cohorts
Program Goals
Reduce surgical … Testing the Model
The IHI team carried out a pilot test of the model with two volunteer ambulatory surgical … Visual Management can focus on the “precious few” key metrics such as days since last near miss and surgical … Problem log
Escalation
• Sentinel events
• Problems raised in
huddle
Safety Work by Staff
• Using surgical
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh8.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 8. … an OR gate
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Proactive Risk Assessment of Surgical
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh7.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 7. … an AND gate
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4l_combo_psi15-accidentalpuncturelaceration-bestpractices.pdf
May 31, 2016 - Care
Introduction: Essential First Steps
• Engage key nurses, physicians and other providers, and surgical … o Use blunt surgical instruments. … /occupational_health/activities/2needlest.pdf
Staff Required
• Surgeons
• Perioperative nurses
• Surgical … nurse/surgical technician on agreed upon
neutral zone
Authority/Accountability
• Senior leadership … Littleton, CO: Association of Surgical Technologists; April 2006; updated
January 2013.
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh6.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 6. … tree model
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Table of Contents
Proactive Risk Assessment of Surgical
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www.ahrq.gov/research/findings/final-reports/stpra/stpraexh1.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Exhibit 1. … the ST-PRA
Previous Page Next Page
Table of Contents
Proactive Risk Assessment of Surgical
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www.ahrq.gov/research/findings/final-reports/stpra/fault-model.html
April 01, 2018 - Proactive Risk Assessment of Surgical Site Infection in Ambulatory Surgery Centers
Appendix F. … Estimates
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Proactive Risk Assessment of Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - Of the 20 accepted hospital-level PSIs, 8 are for surgical
discharges, 8 are for either medical or surgical … All surgical discharges. … All medical and surgical discharges. … a discharge as surgical or medical. … Postoperative
adverse events of common surgical procedures in the
Medicare population.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/getting_ready.pdf
May 01, 2017 - outpatient surgery, ambulatory surgery*, office surgery, or same-day surgery, it means the same
thing: 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 … 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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www.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