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psnet.ahrq.gov/node/49870/psn-pdf
August 10, 2019 - Anemia and Delayed Colon Cancer Diagnosis. PSNet [internet]. 2019. … The patient had no family history of colon cancer. … He
underwent surgery to excise the mass and fortunately remains in remission. … In 15% to 30% of cases the
blood loss is from the colon, most often caused by colon cancer, angiodysplasia … or established as a means of screening for colon cancer.
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psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
October 29, 2014 - Related Resources From the Same Author(s)
Assessing distractors and teamwork during surgery … January 15, 2020
Surgical site infections in colon surgery: the patient, the procedure … October 3, 2012
Reasons for the persistence of adverse events in the era of safer surgery―a … Study
A standardized marking procedure for ENT operations to prevent wrong-site surgery … July 6, 2012
Training operating room teams in damage control surgery for trauma: a followup
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psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
March 10, 2025 - Read More
Spotlight Case
Anemia and Delayed Colon Cancer Diagnosis … During surgery, the patient developed a fever and required oxygen supplementation. … Anemia and Delayed Colon Cancer Diagnosis
Mythili P. Pathipati, MD, and James M. … patient ultimately presented to the emergency department with a bowel obstruction, was diagnosed with colon … cancer, and underwent surgery to resect the mass.
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psnet.ahrq.gov/issue/mandatory-influenza-vaccination-health-care-workers-new-standard-care-matter-patient-safety
September 13, 2023 - November 29, 2023
Mortality due to hospital-acquired infection after cardiac surgery. … June 1, 2022
Surgical site infections in colon surgery: the patient, the procedure, the
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psnet.ahrq.gov/node/838900/psn-pdf
October 27, 2022 - The transverse colon was adherent to the peritoneum at the
umbilicus, and the colon at this location … There was significant
contamination, but it was contained by adhesions, so inflammation of the colon … have accompanied Veress
needle insertion; given that the injury affected the full thickness of the colon … Complications of laparoscopic surgery. … Avoiding complications of laparoscopic surgery.
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psnet.ahrq.gov/issue/speaking-same-language-ahrq-seeks-common-method-safety-reporting
July 05, 2023 - multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery … March 19, 2018
Exclusion of residents from surgery-intensive care team communication: … October 13, 2021
WebM&M Cases
Wrong Turn through Colon
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psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
November 26, 2014 - bleeding can be divided into upper GIB, middle GIB (bleeding between the ligament of Treitz and the colon … ), and lower GIB or bleeding from the colon. … Bleeding typically arises from the ileum or colon. … Although early initiation of PPI therapy has not been shown to reduce mortality, rebleeding, or surgery … Related Resources
WebM&M Cases
Anemia and Delayed Colon
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psnet.ahrq.gov/node/49687/psn-pdf
August 21, 2013 - The Commentary
Emergency general surgery is common and has significantly greater morbidity and mortality … Emergency surgery makes up around 50% of the general surgery workload but accounts for
80%–90% of all … Little evidence exists regarding diagnosis and decision making for emergency general surgery, but as … Variation in quality of care after emergency
general surgery procedures in the elderly. … Dis Colon Rectum. 2012;55:788-796. [go to PubMed]
7.
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - The transverse colon was adherent to the peritoneum at the umbilicus, and the colon at this location … There was significant contamination, but it was contained by adhesions, so inflammation of the colon … have accompanied Veress needle insertion; given that the injury affected the full thickness of the colon … Trocar injuries in laparoscopic surgery. … Complications of laparoscopic surgery.
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psnet.ahrq.gov/issue/surgical-glove-perforation-and-risk-surgical-site-infection
March 02, 2011 - June 14, 2023
Mortality due to hospital-acquired infection after cardiac surgery. … August 9, 2018
Surgical site infections in colon surgery: the patient, the procedure, … 2011
View More
See More About The Topic
Operating Room
Physicians
Surgery
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psnet.ahrq.gov/issue/colonoscopic-withdrawal-times-and-adenoma-detection-during-screening-colonoscopy
March 19, 2019 - June 27, 2018
Readiness of US general surgery residents for independent practice. … August 14, 2019
WebM&M Cases
Anemia and Delayed Colon
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psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - Emergency surgery makes up around 50% of the general surgery workload but accounts for 80%–90% of all … Little evidence exists regarding diagnosis and decision making for emergency general surgery, but as … Emergency general surgery, and emergency laparotomy in particular, has high mortality and is prone to … Variation in quality of care after emergency general surgery procedures in the elderly. … Dis Colon Rectum. 2012;55:788-796. [go to PubMed] 7.
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psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
June 24, 2009 - October 30, 2017
Surgical site infections in colon surgery: the patient, the procedure … 2009
View More
See More About The Topic
Operating Room
Physicians
Surgery
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psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
January 01, 2023 - • Identify factors that place a patient at higher risk for death after abdominal surgery for a
bowel … • The acute care surgery team was contacted, but given the patient’s
instability and grave prognosis … is
futile.
31
DAMAGE CONTROL SURGERY FOR
SEVERE ABDOMINAL SEPSIS
32
Damage Control Surgery … Predictors of Morbidity and Mortality After Surgery for Intestinal Perforation. … Damage control surgery for abdominal emergencies. BJS. 2014;101:e109-e118. [Free full text]
26.
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psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital
February 06, 2008 - October 1, 2016
WebM&M Cases
Wrong Turn through Colon … October 7, 2015
A simple surgery with harrowing complications.
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - Inconsistent use of screening guidelines was an issue identified in the eA
process for advanced colon … KPSC identified that about 15% of patients had a delay in diagnosis of
colon cancer due to failure to … Finally, between 2016 and 2018, colon
cancer adenoma detection rates increased from 30% to 34% among … Decision-support systems for CT scans and CEA tests at appropriate
intervals post-surgery were implemented … Creating a safety net process to improve colon cancer
diagnosis in those with rectal bleeding.
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - with peritonitis or necrotizing soft tissue infection, 6,11,14 injury to adjacent organs such as the colon … Hight, MD, FACS Associate Professor Associate Program Director, General Surgery Residency Program Department … of Surgery, Division of Trauma, Acute Care Surgery and Surgical Critical Care UC Davis Health rhight … Percutaneous endoscopic gastrostomy misplacement in the transverse colon of a neurocognitively compromised … From the Same Author(s)
WebM&M Cases
Wrong Turn through Colon
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psnet.ahrq.gov/periodic-issue/periodic-issue-406
August 30, 2023 - surgery patients. … This study of 4,252 high-risk general surgery patients found that only one-third received care in compliance … surgery patients. … This study of 4,252 high-risk general surgery patients found that only one-third received care in compliance … An abdominal x-ray confirmed a large amount of stool in the colon with no free air and her blood leukocyte
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psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
April 01, 2005 - Inconsistent use of screening guidelines was an issue identified in the eA process for advanced colon … KPSC identified that about 15% of patients had a delay in diagnosis of colon cancer due to failure to … Finally, between 2016 and 2018, colon cancer adenoma detection rates increased from 30% to 34% among … Decision-support systems for CT scans and CEA tests at appropriate intervals post-surgery were implemented … Creating a safety net process to improve colon cancer diagnosis in those with rectal bleeding.
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psnet.ahrq.gov/node/49804/psn-pdf
September 01, 2017 - bleeding can be divided into upper GIB, middle GIB (bleeding between the ligament of
Treitz and the colon … ), and lower GIB or bleeding from the colon. … /#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
the ileum or colon … The input of interventional radiology and
surgery also may have been helpful in the event that endoscopy … Although early initiation of PPI therapy has not been shown to reduce mortality,
rebleeding, or surgery