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psnet.ahrq.gov/node/44304/psn-pdf
September 09, 2015 - Association of the 2011 ACGME resident duty hour reform
with postoperative patient outcomes in surgical … Association of the 2011 ACGME Resident Duty Hour Reform with
Postoperative Patient Outcomes in Surgical … This pre-post examination of data from the National Surgical Quality Improvement Program found no … differences in serious morbidity or mortality within 30 days following surgery across multiple surgical … Although duty hour reform does not appear to be a high-yield strategy for improving surgical outcomes
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psnet.ahrq.gov/node/46982/psn-pdf
June 13, 2018 - surgical quality through national data analysis, bundling field-
tested processes to prevent surgical … site infections, and utilizing surgical checklists. … https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors
https://psnet.ahrq.gov … /issue/national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection … https://psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
https
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psnet.ahrq.gov/node/45535/psn-pdf
January 23, 2017 - Surgical specimen management: a descriptive study of
648 adverse events and near misses. … Surgical specimen management: a descriptive study of 648
adverse events and near misses. … https://psnet.ahrq.gov/issue/surgical-specimen-management-descriptive-study-648-adverse-events-and- … near-misses
Errors related to the handling of surgical specimens can lead to serious patient harm in … https://psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care
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psnet.ahrq.gov/node/45839/psn-pdf
February 07, 2018 - Mortality trends after a voluntary checklist-based surgical
safety collaborative. … Mortality Trends After a Voluntary Checklist-based Surgical
Safety Collaborative. … https://psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative … Checklists have been shown to reduce surgical morbidity and mortality in randomized trials, but results … Past PSNet interviews with Lucian Leape and David Urbach discussed their
perspectives on surgical safety
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psnet.ahrq.gov/node/38174/psn-pdf
November 05, 2008 - National Surgical Quality Improvement Program.
November 5, 2008
American College of Surgeons. … https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
During the 1980s, the Department … of Veterans Affairs (VA) received significant public scrutiny over the
quality of surgical care in … This motivated Congress to mandate reporting of surgical
outcomes annually and led to the important … National VA Surgical Risk Study (NVASRS) across 44 VA
medical centers.
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psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - How best to measure surgical quality? … Research and Quality Patient
Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical … How best to measure surgical quality? … Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of
Surgeons National Surgical … https://psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-
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psnet.ahrq.gov/node/43669/psn-pdf
November 12, 2014 - Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists … Multiple interacting factors influence adherence, and
outcomes associated with surgical safety checklists … This qualitative study identified barriers to implementation of and adherence to a surgical checklist … https://psnet.ahrq.gov/issue/introduction-surgical-safety-checklists-ontario-canada
https://psnet.ahrq.gov … /issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
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psnet.ahrq.gov/node/43383/psn-pdf
August 13, 2014 - Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. … Risk factors for retained surgical items: a meta-analysis
and proposed risk stratification system. … count, and involvement of multiple surgical teams. … A past AHRQ WebM&M
commentary describes a patient who was discharged with a retained surgical item and … https://psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
https
-
psnet.ahrq.gov/node/41946/psn-pdf
January 09, 2013 - Thirty-day outcomes support implementation of a surgical
safety checklist. … Thirty-day outcomes support implementation of a surgical
safety checklist. … https://psnet.ahrq.gov/issue/thirty-day-outcomes-support-implementation-surgical-safety-checklist
This … patient safety benefits of surgical checklists and teamwork training. … ://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
https://psnet.ahrq.gov/issue/surgical-safety-checklist-reduce-morbidity-and-mortality-global-population
-
psnet.ahrq.gov/node/45109/psn-pdf
May 11, 2016 - Implementation of the surgical safety checklist in South
Carolina hospitals is associated with improvement … Implementation of the Surgical Safety Checklist in South Carolina
Hospitals Is Associated with Improvement … https://psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-south-carolina-hospitals-associated … -
improvement
Surgical checklists have been associated with reduced morbidity and mortality in randomized … Investigators surveyed surgical
personnel before and after checklist implementation.
-
psnet.ahrq.gov/node/40978/psn-pdf
March 21, 2012 - Relationship between patient safety and hospital surgical
volume. … Relationship between Patient Safety and
Hospital Surgical Volume. … https://psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
Studying … the relationship between hospital volume, surgical volume, and clinical outcomes, past research
in … However, the
volume–outcome relationship may be limited to selected surgical procedures, suggesting
-
psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
September 30, 2010 - analysis of strategies to prevent injury to surgical patients. … August 26, 2011
Communication practices on 4 Harvard surgical services: a surgical safety … care: results from a Harvard surgical safety collaborative. … May 21, 2013
Surgical count practice variability and the potential for retained surgical … February 8, 2011
Surgical site verification: A through Z.
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psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - January 19, 2016
Measuring variation in use of the WHO surgical safety checklist in the … May 6, 2015
The WHO surgical safety checklist: survey of patients' views. … February 22, 2019
A 'paperless' wall-mounted surgical safety checklist with migrated … November 18, 2016
Introduction of surgical safety checklists in Ontario, Canada. … July 30, 2014
The quest for safe surgical care: are we missing the obvious?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/11-identifying-stakeholders.pptx
June 01, 2023 - PowerPoint Presentation
Identifying Stakeholders
How To Do a Stakeholder Analysis for Your Improving Surgical … Care and Recovery Program
AHRQ Safety Program for Improving
Surgical Care and Recovery
AHRQ Pub. … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
The AHRQ … “When do you find yourself wasting time while taking care of our surgical patients?” … “Tell me about a surgical patient who made you smile.”
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/14-engaging-stakeholders.pptx
June 01, 2023 - PowerPoint Presentation
AHRQ Safety Program for Improving Surgical Care and Recovery
Engaging Stakeholders … Developing a Vision for Your Improving Surgical Care
and Recovery Program
AHRQ Pub. … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
Visit AHRQ’ … …surgical care on the unit where nurses spend more time with patients. … patients
AHRQ Safety Program for Improving Surgical Care and Recovery
8
Thank You!
-
digital.ahrq.gov/sites/default/files/docs/survey/hit-provider-communication.pdf
October 21, 2015 - Medical-surgical units include: medical, surgical, mixed medical-surgical,
step-down, and telemetry … Few of our medical-surgical units have electronic
white boards
None of our medical-surgical units … 301 - 500 beds
> 500 beds
How many medical-surgical units are in your hospital 1
(Medical-surgical … units include: medical, surgical, 2
mixed medical-surgical, step-down, and telemetry 3
units)? … 4
5
> 5
Do hospitalists provide care on your medical-surgical Yes
units?
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www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/51-regional-analgesia-arthroplasty.pptx
June 01, 2023 - Analgesia for
Total Hip Arthroplasty and Total Knee Arthroplasty
AHRQ Safety Program for Improving
Surgical … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
Why Use Regional … (Part 2)
Match the anatomical distribution of the block to the surgical site
Hip (total hip arthroplasty … Care and Recovery
Regional Analgesia for THA/TKA 9
AHRQ Safety Program for Improving Surgical Care … Regional Analgesia for THA/TKA 11
AHRQ Safety Program for Improving Surgical Care and Recovery
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/51-regional-analgesia-arthroplasty.pptx
June 01, 2023 - Analgesia for
Total Hip Arthroplasty and Total Knee Arthroplasty
AHRQ Safety Program for Improving
Surgical … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
Why Use Regional … (Part 2)
Match the anatomical distribution of the block to the surgical site
Hip (total hip arthroplasty … Care and Recovery
Regional Analgesia for THA/TKA 9
AHRQ Safety Program for Improving Surgical Care … Regional Analgesia for THA/TKA 11
AHRQ Safety Program for Improving Surgical Care and Recovery
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - Has Evolved, with
Current Recommendations on the Right Approach
AHRQ Safety Program for Improving
Surgical … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
Originally … Care and Recovery
4
Oral antibiotics the day before surgery resulted in a 50% reduction in surgical … Surgical Care and Recovery. … and Quality Safety Program for Improving Surgical Care and Recovery.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/47-prep-colorectal-surgery.pptx
June 01, 2023 - Has Evolved, with
Current Recommendations on the Right Approach
AHRQ Safety Program for Improving
Surgical … No. 23-0052
June 2023
AHRQ Safety Program for Improving Surgical Care and Recovery
1
Originally … Care and Recovery
4
Oral antibiotics the day before surgery resulted in a 50% reduction in surgical … Surgical Care and Recovery. … and Quality Safety Program for Improving Surgical Care and Recovery.