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psnet.ahrq.gov/node/44599/psn-pdf
December 09, 2015 - measures studied were worse
during the weekend, but staffing levels did not seem to explain the higher complication
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psnet.ahrq.gov/node/46849/psn-pdf
May 23, 2018 - This commentary describes how one organization
reduced the occurrence of this surgical complication.
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psnet.ahrq.gov/node/39857/psn-pdf
October 13, 2010 - This study compared complication rates in breast reduction surgery between surgical residents
and an
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psnet.ahrq.gov/node/45830/psn-pdf
June 27, 2018 - performance-vascular-exposure-and-fasciotomy-among-surgical-residents-and-after-training
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
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psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - association-cataract-surgical-outcomes-late-surgeon-career-stages-population-based-cohort
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
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psnet.ahrq.gov/node/46839/psn-pdf
December 03, 2018 - mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
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psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - reporting rates improved, and the medical center experienced significant improvements in mortality and
complication
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - TO IMPROVING PATIENT
SAFETY
24
Approaches to Improving Patient Safety (1)
• Beyond the direct complication … • The underlying cause was a serious complication of a relatively simple procedure
that is commonly … – The impact of the complication was compounded by lapses in communication between nursing
staff … A case report of esophageal perforation: Complication of nasogastric tube placement.
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psnet.ahrq.gov/node/49796/psn-pdf
June 01, 2017 - As a result, the
committee felt the complication might still have occurred even if the radiograph had … For this patient, the chest tube was
placed for spontaneous pneumothorax, a common complication in cystic … Common complications of chest tube placement include malpositioning (the most common complication), … With a functioning chest tube in place, either on water
seal or on suction, such a complication cannot
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psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - Kuhn, MD MAS
Background
These cases describe the rare but dangerous complication of hematoma following … Early recognition is crucial for patient survival after this life-threatening complication. … To successfully manage this life-threatening complication, appropriate patient, caregiver and clinical … Take-Home Points
Postoperative hematoma causing airway collapse is a rare but potentially lethal complication … after anterior cervical spine surgery: analysis of the results of risk factors associated with airway complication
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Preventing PICC Complications: Whose Line Is It?
Citation Text:
Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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Format:
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - Book/Report
Classic
Complications: A Surgeon's Notes on an Imperfect Science.
Citation Text:
Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
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…
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psnet.ahrq.gov/issue/surgeon-scorecard
January 22, 2014 - This database compiles the death and complication rates of surgeons performing eight specific elective
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Understand tracheostomy maintenance and complication-preventive interventions.
3
A Stable Airway? … Comparing the tracheostomy dislodgement and complication rate of non-sutured neck tie to skin sutured
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psnet.ahrq.gov/issue/building-culture-safety-health-care
April 15, 2021 - Healthcare-acquired infections (HAIs) are a common complication of hospital care.
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psnet.ahrq.gov/node/49756/psn-pdf
April 01, 2016 - may have been inappropriately reassured that free air on the radiograph was not a possible sign of a
complication … case, a patient who was in the recovery phase of his critical illness experienced a life-
threatening complication … There may have been a delay in the recognition of this complication because of a
flawed transfer from … required an emergent surgical procedure and further critical care
services to rescue him from this complication
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psnet.ahrq.gov/node/33676/psn-pdf
November 01, 2008 - reason of the initial admission, they had forgotten—because they spent most of their time dealing
with complication … after complication. … Even if you leave aside the infectious complication, I would
argue that the noninfectious complications … In part, it depends upon what
complication we're trying to tackle.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate … Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate … RAS likely suffers from underreporting
Studies have attempted to report on specific risks
RALP has a complication … long-term outcomes when compared to open surgery
Robotic surgery is generally safe with low overall complication
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psnet.ahrq.gov/node/49836/psn-pdf
July 01, 2018 - Primary Workaround, Secondary Complication
July 1, 2018
Debono D, Levett-Jones T. … Primary Workaround, Secondary Complication. PSNet [internet]. 2018. … https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
The Case
A young adult with … Finally, the radiologist
https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
https
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psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
January 01, 2023 - SURGERY: TWO CASES OF POSTOPERATIVE
CERVICAL HEMATOMA
Two cases highlighting the rare but dangerous complication … Kuhn, MD, MAS
9
BACKGROUND
10
Background (1)
• These cases describe the rare but dangerous complication … • To successfully manage this life-threatening complication, appropriate
patient, caregiver and clinical … Points (1)
25
• Postoperative hematoma causing airway collapse is a rare but
potentially lethal complication … after anterior cervical spine surgery: analysis of the results of risk factors associated with airway
complication