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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/index.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement
Implementing the Surgical … Ambulatory Surgery Center Implementation Training and Tools
Communication and Teamwork in the Surgical … Environment
Coaching Clinical Teams
Patient and Family Engagement in the Surgical Environment … Measurement
Safety Culture Survey
Tools Implementing the Surgical Safety Checklist
Phase
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
June 01, 2017 - *Quality improvement
Slide 3: Benefits of Direct, Regular Observation: Surgical Safety Checklist Usage … Direct evidence of how well people are able to use your center's surgical safety checklist
Basis … Reliable use of agreed-to work methods (e.g. surgical safety checklist and communication behaviors) … Better alignment between agreement and actual practice shown in surgical safety checklist record
What … The surgical safety checklist observation form is a natural addition to your visual management board.
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www.talkingquality.ahrq.gov/hai/tools/enhanced-recovery/choosing.html
June 01, 2023 - Home
Healthcare-Associated Infections Program
Tools
Improving Surgical … CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … a Service Line
Tools and Resources To Help Hospitals Choose an ISCR Program
The Improving Surgical
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www.talkingquality.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsumhernan.html
October 01, 2014 - Total Award: $723,500
Project Description: This research has three main aims:
Assess PSIs in surgical … Examine trends in national PSI events in surgical specialties. … Determine patient, physician, and organizational predictors of quality of care in surgical specialties … Hernandez-Boussard is a Biostatistician-Co-Director of the Surgical Center for Outcomes Research and
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-209-section-6-table-6-7.pdf
June 14, 2019 - 0.81534 0.79710 0.4382 0.4262
Any Retinopathy of prematurity (ROP) 0.94388 0.92396 0.8604 0.8283
Surgical … 0.95910
Necrotizing enterocolitis (NEC) 0.78914
Any Retinopathy of prematurity (ROP) 0.95035
Surgical
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-prevent.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement
Implementing the Surgical … Observations done in the surgical environment to assess compliance with these technical strategies have … that one single cause for an SSI is rarely the case; rather, there may be multiple breaches in optimal surgical … Surgical Care Improvement Project Measures (inpatient setting)
Healthcare Infection Control and Practices
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-measurement.html
November 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Guide
Overview
The Comprehensive Unit-based Safety Program (CUSP)
Measurement
Implementing the Surgical … and reporting of data is an effective means of first engaging staff and physicians in SSI and other surgical … The Centers for Medicare & Medicaid Services outlines 12 measures in the Ambulatory Surgical Center Quality
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www.talkingquality.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsummill.html
October 01, 2014 - Institution: University of Michigan at Ann Arbor Grant Title: Physician Organization and the Efficiency of Surgical … $620,400
Project Description: The project has three main aims:
To understand the organization of surgical … To examine the relationship between physician organization and quality of surgical care. … To evaluate the relationship between physician organization and costs of surgical care.
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools.html
July 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … Training and Tools for Implementation
Improving Communication and Teamwork in the Surgical … Patient and Family Engagement in the Surgical Environment
PowerPoint Slide Set ( PPTX , 2 MB; Text
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www.talkingquality.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/app-k.html
May 01, 2017 - CLABSI and CAUTI Prevention in ICUs
Community-Acquired Pneumonia Toolkit
Improving Surgical … safety checklist has been shown to reduce surgical mortality and complication rates in a variety of … surgical settings. … Who: All surgical admissions to the ASC. … remaning at the goal of 100%
Slide 27: Future Work
Completion rates for other elements of the surgical
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/understanding-cahps-101-infographic.pdf
February 01, 2019 - settings
Experience
with
Providers
Clinicians and
Medical Groups
Hospices
Home Health
Care
Surgical … Based Care
Hospitals (adult
and pediatric)
Dialysis Centers
Nursing Homes
Outpatient
Ambulatory
Surgical
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/854.html
March 01, 2023 - Applying Statistical Process Control Methods Can Detect Increases in Rates of Surgical Site Infections … Applying Statistical Process Control Methods Can Detect Increases in Rates of Surgical Site Infections … When compared with traditional surgical site infection (SSI) surveillance approaches alone, applying … statistical process control, in addition to traditional surveillance, was more effective at detecting surgical … within a large infection control network of 29 U.S. community hospitals in the Southeast for 13 common surgical
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www.talkingquality.ahrq.gov/news/newsletters/e-newsletter/870.html
June 01, 2023 - Can Improve Post-Surgery Complications and Enhance Patient Recovery
The AHRQ Toolkit for Improving Surgical … Care and Recovery addresses common surgical complications such as surgical site and urinary tract infections … The toolkit, created for surgical teams by surgeons, was tested in more than 300 hospitals nationwide … International perspectives on modifications to the surgical safety checklist.
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www.talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide5/scenarios.html
August 01, 2022 - The medical team attributes the pain to the surgical incision. … An X-ray of the abdomen reveals a surgical sponge. … The surgery is performed by a different surgical team at the same hospital. … The anesthesiologist received training on the equipment and has used it in six surgical cases to date … The equipment is being used in this surgical case.
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www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
April 01, 2023 - Ambulatory Surgery Surgical Checklist
http://www.scoap.org/downloads/SCOAP-Surgical-Checklist_v3_4.pdf … Care Quality, provides a free, downloadable surgical checklist for ambulatory surgery. … Ambulatory Surgery Surgical Checklist
3. Gastroenterology Safe Surgery Checklist
4. … Ophthalmic Surgical Checklist - Ambulatory Surgery Center Association
6. … Infection Prevention Training for Ambulatory Surgical Centers
Composite Measure 6.
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www.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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.talkingquality.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