-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-n-part1.pptx
June 02, 2025 - Improving Communication and Teamwork in the Surgical Environment
Appendix N.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-k-blank-template.pptx
June 02, 2025 - Improving Communication and Teamwork in the Surgical Environment
Quality Improvement Study Template
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Sustainability Module
AHRQ Safety Program … Choose who, what, when, and how to measure
WHO will measure
Example: Nurse/data coordinator tracks surgical … data monthly for reporting purposes
WHAT to measure
Set the goals
Example: To sustain a low rate of surgical … Sustainability | ‹#›
AHRQ Safety Program for Ambulatory Surgery
29
Measure Type Description Surgical … Surgical site infection rate
Percentage of staff with a safety culture assessment score > 4
Process
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement/pf-engagement-slide-set.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Patient and Family Engagement in the … Surgical Environment Module
AHRQ Safety Program for Ambulatory Surgery
AHRQ Pub. … desired or age- or condition-appropriate level
Be respected as an individual and not be identified as a surgical … process if they believe there are questions or problems
Patient and Family Expectations Specific to Surgical … Program for Ambulatory Surgery
22
Encourage patient and family engagement in the use of the safe surgical
-
psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
October 23, 2024 - Commentary
Guideline implementation: prevention of retained surgical items. … Guideline Implementation: Prevention of Retained Surgical Items. … Although incidents involving retained surgical items are rare , they continue to occur. … Guideline Implementation: Prevention of Retained Surgical Items. … October 17, 2012
Surgical count practice variability and the potential for retained surgical
-
psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
July 19, 2023 - Study
Classic
The role of anesthesia in surgical mortality … The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. … The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/surgical_roles.docx
December 01, 2017 - Surgical Safety Team Roles and Responsibilities Tool
AHRQ Safety Program for Surgery
Surgical Safety … Surgical Safety Team Roles and Responsibilities Tool
SURGICAL SAFETY TEAM TASKS
PRIMARY CONTACT
SUPPORT … SURGICAL SITE INFECTION PREVENTION TASKS (TECHNICAL)
Audits
Who will collect and enter audit … Data Reporting
Who will generate reports for surgical site infection rates? … Data Feedback
Who will provide feedback on surgical site infection rates to frontline providers, the
-
psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
April 17, 2024 - Study
Identifying medication errors in surgical prescription charts. … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. … This study used manual chart review to estimate the incidence of prescribing errors in post-surgical … Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4. … June 25, 2018
Barriers and facilitators related to the implementation of surgical safety
-
psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis
September 12, 2012 - Study
Incorrect surgical counts: a qualitative analysis. … Incorrect surgical counts: a qualitative analysis. … Incorrect surgical counts: a qualitative analysis. … December 7, 2022
Preventing retained surgical items. … August 3, 2022
The impact of surgical count technology on retained surgical items rates
-
psnet.ahrq.gov/issue/surgical-black-box-could-reduce-errors
June 04, 2014 - Newspaper/Magazine Article
Surgical 'black box' could reduce errors. … Citation Text:
Surgical 'black box' could reduce errors. Sathya C. CNN. August 22, 2014. … This news article reports on the development a surgical black box, which includes using cameras and microphones … Linkedin
Copy URL
Cite
Citation
Citation Text:
Surgical … March 29, 2016
Surgical checklists unused in 10% of hospitals, CMS data shows.
-
psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
June 01, 2012 - Review
Surgical adverse events: a systematic review. … Surgical adverse events: a systematic review. … adverse event, most of which are related to periprocedural care and not errors of surgical technique … Surgical adverse events: a systematic review. … mortality in Scotland by use of the WHO Surgical Safety Checklist.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/coaching/coaching-slideset.pptx
May 01, 2017 - Improving Communication and Teamwork in the Surgical Environment
Coaching Clinical Teams Module
AHRQ … Instead say this
“I noticed that during the timeout when you verified the surgical procedure that the
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-p.pptx
January 01, 2015 - Improving Communication and Teamwork in the Surgical Environment
Appendix P. … bacteria that potentially can cause disease”
“Hand sanitizer to help reduce bacteria on the skin”
“Surgical
-
www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
June 02, 2025 - Surgical Patient Experience of Care Survey Design Project
Surgical Patient Experience of Surgical Patient …
Survey Design Process
Key Elements of the Survey
Next Steps
Why Surgical CAHPS? … Why Surgical CAHPS? … Societies
–
1 Surgical Board
Contracted with AIR and Westat
Followed CAHPS Development … Patient Experience of Care Survey Design Project
Overview
Why Surgical CAHPS?
-
psnet.ahrq.gov/issue/back-basics-preventing-surgical-site-infections
March 17, 2021 - Commentary
Back to basics: preventing surgical site infections. … Back to basics: preventing surgical site infections. … Back to basics: preventing surgical site infections. … March 17, 2021
Back to basics: counting soft surgical goods. … July 19, 2023
Surgical site infection prevention: a review.
-
psnet.ahrq.gov/issue/back-basics-counting-soft-surgical-goods
March 17, 2021 - Commentary
Back to basics: counting soft surgical goods. … Back to Basics: Counting Soft Surgical Goods. … counts to prevent retained surgical items. … Back to Basics: Counting Soft Surgical Goods. … October 17, 2012
Surgical count practice variability and the potential for retained surgical
-
psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
April 28, 2021 - Commentary
Retained surgical items and minimally invasive surgery. … Retained surgical items and minimally invasive surgery. … Retained surgical items and minimally invasive surgery. … December 7, 2022
Preventing retained surgical items. … August 3, 2022
Guideline for prevention of retained surgical items.
-
psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report
December 07, 2022 - Special or Theme Issue
Eliminating Unintentionally Retained Surgical Items - Special … Citation Text:
Eliminating Unintentionally Retained Surgical Items - Special Report. Saver C. … Retained surgical items (RSI) are regarded as “never events” but are a persistent cause of patient harm … November 18, 2020
Preventing retained surgical items. … January 4, 2024
Factors causing variation in World Health Organization surgical
-
digital.ahrq.gov/ahrq-funded-projects/surgical-risk-preoperative-assessment-system
January 01, 2023 - Surgical Risk Preoperative Assessment System
Project Final Report ( PDF , 396.88 … outcomes remain a concern to patients, their families, and surgical teams. … This project designed, developed, implemented, and evaluated an IT-based, preoperative surgical risk … improve surgical healthcare quality with real-time preoperative surgical risk estimates using sets of … Surgical Risk Preoperative Assessment System - Final Report.
-
psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-residents
August 20, 2018 - Study
Medical malpractice lawsuits involving surgical residents. … Medical Malpractice Lawsuits Involving Surgical Residents. … Medical Malpractice Lawsuits Involving Surgical Residents. … among surgical residents: the missing piece in multidisciplinary team training. … June 22, 2009
Minimizing surgical error by incorporating objective assessment into surgical