-
psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - In the patient safety field, the term "expected complication" is both defeatist and ultimately self-fulfilling … the tools and concepts of human factors engineering, since these are an
antidote to the "expected complication … Would you have
called this an "expected complication" of the procedure and moved on? … In our old mindset, we could call this frequency the "expected complication
rate" of taking this new
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psnet.ahrq.gov/node/854992/psn-pdf
November 01, 2023 - metrics measure the ability of healthcare teams and hospitals to prevent
mortality following a major complication
-
psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Russell, MD
This case describes a rare, but manageable, complication of tracheostomy. … Signs of this complication
include: gross device dislodgement, airway obstruction not relieved by suctioning … stenosis, or in patients following laryngectomy.(14)
Pneumothorax is another uncommon early postoperative complication … Tracheo-esophageal fistula (TEF) occurs in approximately 1 in 1250 patients following tracheostomy.(1)
This complication … This complication may lead to aspiration and pneumonia, and these
complications should prompt the clinician
-
psnet.ahrq.gov/node/49545/psn-pdf
September 01, 2007 - This case of a
65-year-old man—who underwent coronary angiography and had a major complication that … The risk of a major complication (those considered serious or life-threatening) during diagnostic cardiac … associated with the longest period of bed rest, considerable patient discomfort,
and a low but definite complication … were developed in an attempt to reduce bed rest time, improve patient comfort,
and perhaps lower the complication … Stroke as a complication of cardiac catheterization: risk
factors and clinical features.
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psnet.ahrq.gov/node/50556/psn-pdf
January 01, 2021 - compliance-patient-safety-bundle-management-placenta-accreta-spectrum
Placenta accreta spectrum (PAS) is a maternal complication
-
psnet.ahrq.gov/node/74053/psn-pdf
November 10, 2021 - prevention-failure-rescue-obstetric-patients-realist-review
Failure to rescue, the delayed or missed recognition of a potentially fatal complication
-
psnet.ahrq.gov/node/38383/psn-pdf
June 30, 2011 - https://psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
A post-surgical complication
-
psnet.ahrq.gov/node/836758/psn-pdf
March 16, 2022 - evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking
https://psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
-
psnet.ahrq.gov/node/47583/psn-pdf
December 05, 2018 - interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue
When a patient experiences a major surgical complication
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psnet.ahrq.gov/node/867087/psn-pdf
January 01, 2025 - when
they resulted in poor patient outcomes, had severe consequences for the patient, and when the
complication
-
psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - study,
Sidoti et al. showed a higher rate of first pass success, fewer attempts, and overall decreased complication … excessive number of cannulation attempts in this case is the delay in
identifying a known serious complication … More timely identification of this complication, with appropriate
intervention (which could have been … This too was an easily preventable complication,
given appropriate training and supervision by an attending … American
Society of Anesthesiologists.9 Injury to the intercostal artery is a rare but life-threatening complication
-
psnet.ahrq.gov/node/43089/psn-pdf
April 02, 2014 - use of checklists, this magazine article describes studies that identified benefits, such as
reduced complication
-
psnet.ahrq.gov/node/41744/psn-pdf
November 27, 2012 - appropriate prophylactic measures, calling into question the "wisdom and justice" of classifying this
complication
-
psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Russell, MD This case describes a rare, but manageable, complication of tracheostomy. … Signs of this complication include: gross device dislodgement, airway obstruction not relieved by suctioning … or in patients following laryngectomy.( 14 ) Pneumothorax is another uncommon early postoperative complication … Tracheo-esophageal fistula (TEF) occurs in approximately 1 in 1250 patients following tracheostomy.( 1 ) This complication … This complication may lead to aspiration and pneumonia, and these complications should prompt the clinician
-
psnet.ahrq.gov/node/47359/psn-pdf
October 10, 2018 - Analyzing
data across Maryland, investigators found no evidence for a seasonal increase in hysterectomy
complication
-
psnet.ahrq.gov/node/74150/psn-pdf
December 08, 2021 - worldwide-incidence-surgical-site-infections-general-surgical-patients-
systematic-review-and
Surgical site infections (SSI) are a common, yet largely preventable, complication
-
psnet.ahrq.gov/node/46494/psn-pdf
January 24, 2018 - this special issue explore complications in anesthesia, including how
providers can respond when a complication
-
psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
December 02, 2020 - postoperative care and that continued efforts should explore optimal care ratios as one method of reducing ICU complication
-
psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - the arterial kinking, should have indicated to the
teams caring for the patient that a procedural complication … The EIA dissection necessitating bypass surgery was likely an additional complication of the
balloon … While arterial dissection is a known complication of balloon
angioplasty, close evaluation during and
-
psnet.ahrq.gov/node/867012/psn-pdf
October 23, 2024 - do-healthcare-professionals-work-around-safety-standards-and-should-we-be-worried-scoping
https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication