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www.monahrq.ahrq.gov/patient-safety/index.html
January 01, 2024 - collaboration to improve patient and workforce safety
Toolkit for Improving Surgical … help hospitals implement evidence-based practices to improve outcomes and prevent complications in surgical
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hacreport-2019.pdf
January 01, 2019 - 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 … Events -9,000 -$10,000,000 -100
Pressure Ulcers/Pressure
Injuries
119,000 $1,720,000,000 4,900
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.
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www.monahrq.ahrq.gov/health-literacy/professional-training/lepguide/chapter1.html
September 01, 2020 - The list is grouped into six categories: surgical, product or device, patient protection, care management … LEP patients are at greater risk of line infections, surgical infections, falls, and pressure ulcers … 44 It also has direct implications for length of stay, complications, and readmissions related to surgical … Surgical Care
Several key provisions are essential to a successful, uncomplicated surgical procedure … Just before surgery, the surgical team needs to ensure that they are performing the correct procedure
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www.monahrq.ahrq.gov/teamstepps-program/curriculum/communication/tools/checkback.html
July 01, 2023 - embedded video: https://www.youtube-nocookie.com/embed/ekX289e3-Uo
TeamSTEPPS: Check-Back in Inpatient Surgical … examples of check-backs in hospital and long-term care settings ( TeamSTEPPS: Check-Back in Inpatient Surgical
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www.monahrq.ahrq.gov/patient-safety/quality-measures/qsrs/index.html
September 01, 2022 - Offers an expanded array of adverse event measures, including ones related to opioid use/misuse, surgical … site infections, and other surgical and anesthesia-related adverse events, as well as obstetric and
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www.monahrq.ahrq.gov/practiceimprovement/delivery-initiative/casalino/paper/idkeydsrapb.html
February 01, 2014 - Examples of Processes
Processes aimed at discrete events, such as a surgical procedure or the generation … Surgical checklists.
Electronic prescribing.
Disease-specific care pathways.
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www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-e.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Based on the WHO Surgical Safety Checklist, www.who.int/patientsafety/safesurgery/checklist/en/index.html
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/exmeasure.pdf
March 20, 2014 - As a result, the unit has a relatively high surgical site infection rate.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/availability/chipra-235-section-1-tables-1-2.pdf
September 24, 2018 - Provider-based Facility 08
Office 11
Home 12
Mobile Unit 15
Outpatient Hospital 22
Ambulatory Surgical
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-section-5a-evidence-table.pdf
January 01, 2014 - The study population consisted of all
patients admitted to nine medical and
surgical units at Brigham … Study tool for the detection of adverse events
(AEs) among surgical inpatients. … Detection of adverse
events in surgical patients
using the Trigger Tool
approach. … Most AEs were identified
using the surgical and patient care trigger
tool modules. … Postoperative adverse
events of common
surgical procedures in the
Medicare population.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - These include coding of POA, miscoding, lack of coding
specificity, inclusion of nonelective surgical … CPT and ICD-9-CM coding for surgical residents and new surgeons in practice. … PSI 04 Death Rate Among Surgical
Inpatients With Serious Treatable
Complications
Admit type must … PDI 03 Retained Surgical Item or
Unretrieved Device
Fragment
X Foreign body intentionally left by … PSI 05 Retained Surgical Item or
Unretrieved Device
Fragment
X Foreign body intentionally left by
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www.monahrq.ahrq.gov/hai/pfp/methods.html
December 01, 2017 - 18) and Without Instrument (PSI 19)
Pressure Ulcers
MPSMS
Hospital-Acquired Pressure Ulcers
Surgical … national HAC rate) included approximately 34,000 charts from four patient groups: those included in the Surgical … The national number of selected surgical site infections computed in a special calculation for the PFP … 2.513
Pressure Ulcer
MPSMS
Hospital-Acquired Pressure Ulcers
1,317,211
32,750,000
40.220
Surgical
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www.monahrq.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - efficient patient transfers from emergency department gurneys to inpatient hospital beds, and fewer surgical … practice improvement tools aimed at preventing diagnostic errors, healthcare associated infections, and surgical
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www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-pdsa-form.html
June 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Purpose: Develop management practices to sustain the use of surgical checklist and related communication … Purpose: Develop management practices to sustain the use of surgical checklist and related communication
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-section2.pdf
January 01, 2009 - Diagnosis Code: 36220, 36221, 36223, 36224, 36225,
36226, 36227
Retinopathy of prematurity
(ROP)
Surgical … )
431, 7721, 77210, 77211, 77212, 77213, 77214
Diagnosis: 7470
Patent ductus arteriosus (PDA)
Surgical … Procedure Code:
ICD-9: 3834, 3835, 3844, 3845, 3864, 3865, 3880, 3884,
3885
CPT: 37616
Laparotomy
Surgical
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www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Purpose: Develop management practices to sustain the use of surgical checklist and related communication …
Purpose: Develop management practices to sustain the use of surgical
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www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-material-guide.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … While this example specifically focuses on the use of a debrief as a means to enhance the use of the surgical
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www.monahrq.ahrq.gov/sops/about/patient-safety-culture.html
March 01, 2022 - positive SOPS scores had:
Fewer hospital-acquired pressure ulcers and patient falls. 1
Lower surgical … Association of safety culture with surgical site infection outcomes.
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www.monahrq.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/chartbooks/patientsafety/2017qdr-patsafchartbook.pdf
October 01, 2018 - hospital discharges, adults
• Postoperative hip fracture per 1,000 surgical admissions who were not … • Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000
surgical hospital … • NHSN data had been predominantly from intensive care units, although general
medical/surgical … • Measures include:
Home health care patients whose surgical wounds improved or healed, 2010- … Wound Improvement
Home health care patients whose surgical wounds improved or healed,
2010-2016
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www.monahrq.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k-debrief-fac-notes.html
May 01, 2017 - The specific example that I'm going to share relates to the surgical safety checklist, but if your QI … Second, you might be wondering why we decided to share an example of a project related to the post-surgical … In this case, we're working on a project related to the surgical safety checklist, so it stands to reason … Now, in the case of the surgical safety checklist work, there aren't a lot of benchmarks published out … The surgical safety checklist is a multifaceted safety intervention, and really you could generate many