AHRQ Safety Program for Ambulatory Surgery
Prepared by:
Health Research & Educational Trust of the American Hospital Association with contract funding provided by the Agency for Healthcare Research and Quality through Contract No. HHSA2902010000251.
Disclaimer: The opinions expressed in this document are those of the authors and do not reflect the official position of AHRQ or the U.S. Department of Health and Human Services.
None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this document.
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Contents
Overview
Purpose of This Guide
Background
How To Use This Guide
Program Elements
The Comprehensive Unit-based Safety Program (CUSP)
Measurement
Surgical Safety Checklist
Infection Prevention
Planning for Sustainability
The Comprehensive Unit-based Safety Program (CUSP)
The CUSP Toolkit
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 1: Prepare
Assess Your Culture Using the Safety Culture Survey
Recruit Your Implementation Team
Engaging Physicians
Phase 2: Own
Observe, Modify, and Test
Plan for Expansion
Phase 3: Expand
Watch and Coach
Phase 4: Continually Expand
Tools
Infection Prevention
Tools
Planning for Sustainability
IHI: Sustaining Improvements in Ambulatory Surgical Safety
Step One: Determine Change Has Achieved Acceptable Levels of Capability and Reliability
Step Two: Develop and Use a Sustainability Prediction Tool To Understand Nature of Change and Context
Step Three: Develop Infrastructure for Sustainability
Step Four: Change Relevant Support Systems
More Sustainability Resources
Sustainability Module
Management Practices for Sustainability
Conclusion
