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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
April 01, 2025 - Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
Slide Title … site infections in high-risk surgical patients undergoing hip or knee joint replacement surgery. … They present hospital data on surgical volumes and SSIs over the last year. … Different surgical teams may have very different practices. … Providers in the surgical clinic need to effectively communicate to patients about the importance of
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Review of SSI Program Tools
Surgical Services … The goals of this presentation are to review the tools that are available for teams to help implement surgical … Surgical services are a multiteam system, with a diverse and multidisciplinary membership. … Teams may consider tailoring the tool to focus on surgical site infections (SSIs) by adding or modifying … This is a focused way to dig deeper into the prevention of surgical site infections.
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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.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/046-ss-faqs-staff-decolonization-chg-nasal.docx
April 01, 2025 - Program for MRSA Prevention: Targeting SSI
Preoperative Decolonization
Staff – Frequently Asked Questions
Surgical … staff about skin decolonization with chlorhexidine gluconate (CHG) and nasal decolonization to prevent surgical … All pre-surgical patients in our service will receive nasal decolonization. … This protective regimen should be encouraged among all surgical patients. … tools/abate/index.html
| 1
Decolonization FAQs (Staff)
AHRQ Safety Program for MRSA Prevention | Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - Failure to thrive
Fever/possible infection
Functional decline
Malaise/fatigue
Potential surgical … returning from ED
• Discharge diagnosis from hospital (principal diagnosis and secondary diagnoses)
• Surgical … therapy
Respiratory treatment
Suctioning
Transfusion
Other __________________________
Surgical … vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
Sepsis/urosepsis
Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - Failure to thrive
Fever/possible infection
Functional decline
Malaise/fatigue
Potential surgical … returning from ED
• Discharge diagnosis from hospital (principal diagnosis and secondary diagnoses)
• Surgical … therapy
Respiratory treatment
Suctioning
Transfusion
Other __________________________
Surgical … vascular disease
Respiratory, other nonpneumonia
Renal disease
Seizure
Sepsis/urosepsis
Surgical
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www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
January 01, 2024 - of nurses with a baccalaureate degree within hospitals was
associated with concurrent reductions in surgical … Increases in
the proportion of complex surgical patients (having at least three comorbid chronic conditions … “Complex chronic illness” was measured by the proportion of surgical patients in each
hospital with … RESULTS
Patient Outcomes
Surgical Patients. … Nurse staffing and post-surgical outcomes in
older Black patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/normothermia_audit.docx
December 01, 2017 - Statement
Patients’ perioperative core temperatures should be maintained at normothermia to prevent surgical … Normothermia enables adequate immune functioning and perfusion to surgical site tissue. … We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of … You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - For patients admitted to
medicine services, it is important to recognize when
surgical consultation … If the abscess is large and cannot be drained, surgical
intervention is generally required. … Prolonged durations of antibiotics
while patients are awaiting surgical procedures are not
advised. … For patients undergoing surgical management of
uncomplicated acute cholecystitis, no antibiotics are … In patients undergoing surgical management of
complicated disease (e.g., perforation, fistula), based
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_ssi_investigation.pptx
December 01, 2017 - AHRQ Pub No. 16(18)-0004-15-EF
December 2017
SAY:
In this module, you’ll learn about performing a surgical … session, you will be able to–
Explain the difference between process and outcome data
Describe how the Surgical … The outcome data is your surgical site infection rate. … ASK:
What practices did you put in place to prevent your surgical-site infections? … For instance, what did the PSSA responses indicate would cause the next surgical site infection?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
May 01, 2017 - The program goals were to reduce infections and surgical harms in ASCs through use of a surgical safety … environment, patient and family engagement in the surgical environment,
and sustainability. … environment,
patient and family engagement in the surgical environment, and sustainability. … Many also have extremely low rates of surgical site infection (SSI) (e.g., cataracts). … Did they report surgical safety checklist use?
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www.ahrq.gov/hai/tools/surgery/modules/implementation/learn-from-defects-fac-notes.html
December 01, 2017 - Ask:
Have you established your surgical quality team? … Say:
The core surgical quality team guides the use of the Learning from Defects tool. … Present your finds to surgical department leadership. … Your surgical quality team will need to balance the scope of the intervention effort. … With your surgical quality team, document all ideas for intervention.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
April 20, 2008 - Conclusion: This
proactive methodology actively engaged surgical residents in quality improvement as … The process was carried out on two postoperative surgical floors at an urban teaching
hospital. … All staff—including nursing, administrative and support staff, surgical attendings, and
surgical residents—were … The meeting for surgeons was attended by 45 surgical residents
and one surgical attending (the residency … Improving
assessment of postoperative pain in surgical wards by
education and training.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_learn_from_defects_facnotes.docx
December 01, 2017 - Principles of Safe Design
SAY:
The principles of safe design apply to the two main pieces of the surgical … ASK:
Have you established your surgical quality team? … SAY:
The core surgical quality team guides the use of the Learning from Defects tool. … Your surgical quality team will need to balance the scope of the intervention effort. … With your surgical quality team, document all ideas for intervention.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
June 01, 2017 - Fever/possible infection
|___| Functional decline
|___| Malaise/fatigue
|___| Potential surgical … returning from ED
Discharge diagnosis from hospital (principal diagnosis and secondary diagnoses)
Surgical … __| Respiratory treatment
|___| Suctioning
|___| Transfusion
|___| Other __________
Surgical … , other nonpneumonia
|___| Renal disease
|___| Seizure
|___| Sepsis/urosepsis
|___| Surgical
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/battlesslides.pdf
July 18, 2015 - Ambulatory Surgical Center Services. Report to the
Congress: Medicare Payment Policy. … apply principles of the
Comprehensive Unit-based Safety Program (CUSP) in
ASCs
• Goal: implement a surgical … safety checklist-centered quality
improvement intervention to reduce surgical site infections
(SSIs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_deep_root_data.pptx
December 01, 2017 - quality improvement data.
1
Learning Objectives
After this session, you will be able to–
Identify surgical … Program for Surgery – Sustainability
SAY:
At the end of this session, you will be able to—
Identify surgical … 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?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - continues about its exact numeric value, euglycemia should be maintained perioperatively to prevent surgical … Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 … We recommend that you collect data from 10 surgical patents, but there is no right or wrong number of … You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-summ.html
October 01, 2015 - Surgical: Surgical diagnosis-related group.
Medical: All other discharges. … service lines, based on the following hierarchical order: maternal and neonatal, mental health, injury, surgical
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Consider participating in surgical morbidity and mortality conferences. … Is your surgical site infection rate trending down? … Identify surgical measures relevant to your clinicians.