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psnet.ahrq.gov/node/43093/psn-pdf
August 12, 2014 - United Kingdom
since 2001, this study looked at upstream safety issues that could cause this fatal complication
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psnet.ahrq.gov/node/46118/psn-pdf
December 20, 2017 - likely to experience a postoperative opioid overdose, but hospital characteristics did not predict
this complication
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psnet.ahrq.gov/node/40372/psn-pdf
December 21, 2014 - psnet.ahrq.gov/issue/weekend-and-night-outcomes-statewide-trauma-system
https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
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psnet.ahrq.gov/node/46351/psn-pdf
December 19, 2017 - observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
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psnet.ahrq.gov/node/45087/psn-pdf
May 04, 2016 - 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/45021/psn-pdf
April 06, 2016 - https://psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - Post-
procedural coughing is a common complication with reported incidences up to 55%, although this … loss, and 2.1% had moderate (20-100 ml) of blood loss.3
Iatrogenic pneumothorax is a known and feared complication … Iatrogenic pneumothorax is a known complication of flexible bronchoscopy, especially with transbronchial … Iatrogenic pneumothorax is a relatively common complication after bronchoscopy, most often
associated
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - Background
Oropharyngeal injuries are a known complication of airway management during procedures requiring … monitoring may minimize the risk of paralysis, which is a catastrophic and
potentially preventable complication … A rare complication of tracheal intubation: tongue perforation.
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psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
November 15, 2023 - Complications of Vascular Access Procedures in Patients with Kidney Disease
Citation Text:
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Understand tracheostomy maintenance and complication-preventive interventions. … Comparing the tracheostomy dislodgement and complication rate of non-sutured neck tie to skin sutured
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - approximately 1 in 150,000 for epidural and 1 in 220,000 for spinal anesthetics.( 7 ) Even though the complication … Although cases also have been reported with unfractionated heparin, the complication is much less common … Spinal hematoma is a rare complication of neuraxial anesthesia, but the risk is increased in patients … 4, 2020
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - For example, retrospective studies show increased failure and complication rates when multiple access … attempts using the Veress needle method are made (with up to an 80-100% complication rate after more … This complication not only added considerable morbidity to the patient’s postoperative course, but also … resulted in an additional iatrogenic complication: a retained piece of Penrose drain in the wound. … This latter complication could have been avoided by keeping track of the total length of the drain inserted
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - myocardial infarction, and stroke were even less, generally well below 1%. 2,3 One often-discussed complication … perforation is exceedingly rare, with only case reports published. 10,11 Unfortunately, in this case, the complication … Had this complication been recognized when the patient was still on the catheterization table, a right … Any discussion of a catastrophic complication of this type is incomplete without exploring how communication … dissection/perforation or left ventricular (LV) perforation is a rare but potentially catastrophic complication
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psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
November 01, 2003 - routinely placed each year for infusion, phlebotomy, and/or hemodynamic monitoring.( 1 ) Although overall complication … rates for CVC insertion should be exceedingly low, published complication rates vary considerably and … Failure and complication rates by three percutaneous approaches. … Complication Frequency Internal Jugular (%) Subclavian (%) Femoral (%) Arterial
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psnet.ahrq.gov/web-mm/liposuction-gone-awry
July 01, 2003 - But is location a factor in the occurrence of the complication reported in the aforementioned case?
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psnet.ahrq.gov/node/34063/psn-pdf
September 18, 2011 - unplanned changes in a surgical procedure,
and heavier patients all posed greater risk for suffering the complication
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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/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/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/issue/surgeon-scorecard
January 22, 2014 - This database compiles the death and complication rates of surgeons performing eight specific elective