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psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite
March 17, 2021 - Commentary
Adverse event and complication tracking in anaesthesiology: dependence … Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation … Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation
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psnet.ahrq.gov/issue/variation-hospital-mortality-associated-inpatient-surgery
August 02, 2015 - focused on reducing preventable complications , such as a landmark study that successfully reduced complication … Although complication rates were largely similar across hospitals, patients in lower-performing hospitals … were almost twice as likely to die of a complication. … August 2, 2015
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - Surgical skill and complication rates after bariatric
surgery. … Surgical skill and complication rates after bariatric surgery. … https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
Prior research … https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
https://psnet.ahrq.gov
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psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
July 31, 2023 - A clear algorithm for the management of this procedural complication is needed to delineate which team … Perforations – a complication of esophageal endoscopy
Endoscopy is an important tool for both diagnostic … Although it is considered generally safe and well tolerated, the risk of perforation as a complication … rate as attending endoscopists, while advanced endoscopy fellows had higher complication rates, likely … Complication rates of trainee- versus attending-performed upper gastrointestinal endoscopy.
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psnet.ahrq.gov/issue/measuring-and-managing-quality-surgery-statistical-vs-incidental-approaches
August 04, 2021 - incidental approach, uses a multidisciplinary conference format to discuss cases in which a postoperative complication … The second, a statistical approach, systematically captures annual death and complication rates for comparison … While presenting tables of common surgical death and complication rates, the authors suggest that greater
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psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - incidental approach, uses a multidisciplinary conference format to discuss cases in which a postoperative
complication … The second, a statistical approach, systematically captures annual death and
complication rates for … While presenting tables of
common surgical death and complication rates, the authors suggest that greater
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Perforations – a complication of esophageal endoscopy
Endoscopy is an important tool for both diagnostic … Although it is considered generally safe and
well tolerated, the risk of perforation as a complication … rate as attending endoscopists, while
advanced endoscopy fellows had higher complication rates, likely … Prompt discussion with the patient and
family to update them on the complication and treatment plan … Complication rates of trainee- versus attending-performed
upper gastrointestinal endoscopy.
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psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - focused on reducing
preventable complications, such as a landmark study that successfully reduced complication … Although complication rates were largely
similar across hospitals, patients in lower-performing hospitals … were almost twice as likely to die of a
complication.
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psnet.ahrq.gov/node/44034/psn-pdf
January 19, 2016 - Subsequent studies of the checklist,
however, have failed to demonstrate improvements in perioperative complication … This study
analyzed the relationship between checklist implementation and complication rates at five … found that the checklist was effective only when it was fully completed—the odds of a
postoperative complication
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psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
January 15, 2020 - safety framework to identify incident characteristics and contributing factors for medical or surgical complication … safety framework to identify incident characteristics and contributing factors for medical or surgical complication … safety framework to identify incident characteristics and contributing factors for medical or surgical complication
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psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
August 30, 2023 - Commentary
Complicated: medical missteps are not inevitable.
Citation Text:
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-1181. doi:10.1377/hlthaff.2017.1550.
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psnet.ahrq.gov/node/33596/psn-pdf
January 29, 2025 - and quality measure, FTR has been defined as the inability to prevent death after
development of a complication … manifested by failure to perform appropriate testing and
delayed treatment for an ultimately fatal complication … Multiple studies have since shown that
hospitals can have low complication rates but high failure-to-rescue … One explanation
for this phenomenon may be that hospitals with higher complication rates have more experience … recognizing and responding to complications when they develop, whereas hospitals with low complication
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psnet.ahrq.gov/issue/tracking-intraoperative-complications
April 30, 2014 - Study
Tracking intraoperative complications.
Citation Text:
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23. doi:10.1016/j.jamcollsurg.2012.06.001.
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DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …
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psnet.ahrq.gov/node/50404/psn-pdf
January 01, 2020 - safety framework to identify incident characteristics and
contributing factors for medical or surgical complication … safety framework
to identify incident characteristics and contributing factors for medical or surgical complication
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psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - retrospectively reviewed records for 150 patients undergoing emergency surgery who
experienced a preventable complication … The most common preventable complication was
surgical site infections.
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psnet.ahrq.gov/issue/reducing-surgical-complications
January 03, 2018 - Commentary
Reducing surgical complications.
Citation Text:
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
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psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
June 03, 2020 - Audiovisual Presentation
Unprofessional Behavior Leads to Complications.
Citation Text:
Unprofessional Behavior Leads to Complications. JN Learning. 2020.
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psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - and quality measure, FTR has been defined as the inability to prevent death after development of a complication … manifested by failure to perform appropriate testing and delayed treatment for an ultimately fatal complication … Multiple studies have since shown that hospitals can have low complication rates but high failure-to-rescue … One explanation for this phenomenon may be that hospitals with higher complication rates have more experience … recognizing and responding to complications when they develop, whereas hospitals with low complication
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psnet.ahrq.gov/issue/surgical-checklist-implementation-project-impact-variable-who-checklist-compliance-risk
June 22, 2016 - Subsequent studies of the checklist, however, have failed to demonstrate improvements in perioperative complication … This study analyzed the relationship between checklist implementation and complication rates at five … found that the checklist was effective only when it was fully completed—the odds of a postoperative complication
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psnet.ahrq.gov/node/46030/psn-pdf
March 29, 2017 - improving-surgical-complications-and-patient-safety-nations-largest-military-
hospital
This retrospective record review study compared surgical complication … at a military medical center to
National Surgical Quality Improvement Program data and found that complication