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www.qualitymeasures.ahrq.gov/teamstepps/evidence-base/simulation.html
July 01, 2015 - A surgical simulation curriculum for senior medical students based on TeamSTEPPS. … A human factors analysis of technical and team skills among surgical trainees during procedural simulations … In situ simulation-based team training for post-cardiac surgical emergency chest reopen in the intensive … Simulated laparoscopic operating room crisis: An approach to enhance the surgical team performance. … Surgical Endoscopy 22(4), 885-900. Select to access the abstract .
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Data-Dictionary-Geographic-Level.xlsx
February 02, 2023 - Percent of practices in the ZIP code with a surgical specialty Num 8
Most common surgical specialty … APCD/CMS Claims 3P-RD Physician COMMON_SPEC_SURG1 X X X X X X X X X X X X X X X SURG_SPEC_1 Surgical … Second Most common surgical specialty APCD/CMS Claims 3P-RD Physician COMMON_SPEC_SURG1 X X X X X X X … Third Most common surgical specialty APCD/CMS Claims 3P-RD Physician COMMON_SPEC_SURG1 X X X X X X X … X X X X X X X X SURG_SPEC_3 Surgical specialty third most common among the ZIP code's practices Char
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraapd.html
April 01, 2018 - Comparison
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Table of Contents
Proactive Risk Assessment of Surgical … Pre-surgical testing dept here or at private doctors office. … Many offices have surgical coordinator that schedules the surgery and surgeon provides details of surgery … Vital signs, blood pressure on non-surgical site, also ox monitor, and temporal scan, pulse, temperature … Surgical marking pen comes wrapped, single use, thrown away after.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/50-multimodal-analgesia-facilitator.docx
June 01, 2023 - Multimodal Analgesia Tips: Facilitator Guide AHRQ Safety Program for Improving
Surgical Care and Recovery … analgesia concepts from the Agency for Healthcare Research and Quality, AHRQ, Safety Program for Improving Surgical … options, please read the various evidence reviews conducted by the AHRQ Safety Program for Improving Surgical … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and RecoveryMultimodal Analgesia
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/smith2slides.pdf
August 13, 2015 - CHCQM,
CHPRM, LHRM, CASC Ambulatory Surgery Center Association
Ann Shimek, MSN, RN, CASC United Surgical … Affiliated
25%
Not Hospital
Affiliated
75%
18
ASC Survey Pilot Test
ASC Type
Mixed (Surgical … and Non-
surgical)
69%
Single Specialty -
Surgical
7%
Single
Specialty -
Non-Surgical
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-july2015.pptx
January 01, 2015 - Safe Surgery Partnership
19
Lawsuits & Alerts
Communication & teamwork common “agents of loss” in surgical … Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
Malpractice Insurance/Safe Surgery Partnership
25
Surgical … Safety Initiatives
Pre-op medical evaluation
OR team training
Comanagement
Care of obese surgical patient … Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
Malpractice Insurance/Safe Surgery Partnership
42
Surgical … Mod 1 05.2 Page ‹#›
TeamSTEPPS®
Slide ‹#›
Malpractice Insurance/Safe Surgery Partnership
43
Surgical
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-removal-notes.docx
April 01, 2022 - Slide 8
Here is an example of a surgical stop order embedded in an EMR. … Examples like this are a high-tech reminder for surgical patients in an ICU. … Jones is a 57-year-old man who has been in the surgical ICU for 24 hours status post an esophagectomy … Even with a complicated surgical procedure, once hourly input and outputs are not needed, the urinary … used to prompt the surgical team to verify key components of the case before and after surgery.
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-ASC-webcast-2023-0509-hare.pdf
January 01, 2023 - ASCs
• Are CMS-certified and approved ASCs with a valid CMS
Certification Number (CCN)
• Provide surgical … Ambulatory Surgery Surgical Checklist
http://www.scoap.org/downloads/SCOAP-Surgical-Checklist_v3_4.pdf … The Surgical Care and Outcomes Assessment Program (SCOAP), a program of the Foundation
for Health … Care Quality, provides a free, downloadable surgical checklist for ambulatory
surgery. … resources/downloads/ambulatory-safe-surgery-checklist-template/
http://www.scoap.org/downloads/SCOAP-Surgical-Checklist_v3
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh7.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … an AND gate
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Proactive Risk Assessment of Surgical
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh8.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … an OR gate
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Proactive Risk Assessment of Surgical
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www.qualitymeasures.ahrq.gov/teamstepps/instructor/essentials/implguide1.html
November 01, 2018 - Identify the problem: Suboptimal communication between surgical team members.
2. … Example 1 of Process and Outcome Aims
The Problem: Suboptimal pre-op communication between surgical … Clinical Outcome Aim: Increase the percentage of surgical patients who receive prophylactic antibiotics … of Process and Outcome Measures Using Rates
Team Process Measures
Number of cases during which surgical … team performed team brief / Total number of surgical cases performed by the surgical team = Rate of
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www.qualitymeasures.ahrq.gov/hai/cusp/summary/index.html
September 01, 2017 - Improving surgical safety by promoting implementation of evidence-based practices to enhance surgical … care and recovery and reduce complications, including reduction in surgical site infections and catheter-associated … CUSP reduced surgical site infection rates in hospitals by 25 to 40 percent, depending on the type of
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www.qualitymeasures.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.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-i.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … information regarding the processes performed in the operating room or procedure room in order to improve surgical … site
|___| Surgical procedure to be performed matches consent form
|___| Site marked
|___| Patient … check by each item the team discussed during the preoperative briefing.
|___| Patient's name
|___| Surgical … procedure to be performed
|___| Surgical site
|___| Antibiotic prophylaxis been given within 60 minutes
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh1.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … the ST-PRA
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Proactive Risk Assessment of Surgical
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www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh6.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … tree model
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Proactive Risk Assessment of Surgical
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www.qualitymeasures.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/overview-slides.html
June 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … 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
-
www.qualitymeasures.ahrq.gov/research/findings/final-reports/stpra/stpraexh4.html
April 01, 2018 - Healthcare Safer Reports
AHRQ Research Studies
Proactive Risk Assessment of Surgical … site visit
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Proactive Risk Assessment of Surgical
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0129table8.pdf
January 01, 2013 - Eligible patients for the
experimental group had
been admitted to medical,
neurologic, or surgical … Adherence to evidence-
based processes of surgical
care was measured in terms
of use of appropriate … J
Bone Joint Surg Am.
2010;92(16):2643–2652.78
surgical processes of care
was associated with … Hospitals with high surgical
volume and low surgical
mortality have lower rates of
surgical readmission … Variation in Surgical-
Readmission Rates and
Quality of Hospital Care.