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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
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psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients
January 13, 2016 - Using Medicare claims data, no differences were found in adjusted 30-day mortality, complication rates
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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
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psnet.ahrq.gov/node/49604/psn-pdf
June 01, 2010 - would necessitate a chart
review and further investigation that could have potentially prevented the complication … Lack of
knowledge may also have contributed to this complication. … Shearing of catheters is an underappreciated
complication of spinal drain placement and removal.(7) … Commonly cited reasons in the literature for this
complication include withdrawing the catheter through … Perhaps the on-call anesthesiologist had not appreciated
this potential complication.
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psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
April 21, 2015 - Study
Classic
Relationship between occurrence of surgical complications and hospital finances.
Citation Text:
Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi…
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psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
June 13, 2011 - Study
Classic
Identification of in-hospital complications from claims data. Is it valid?
Citation Text:
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95.
Copy Cit…
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psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
December 01, 2014 - In contrast, highly trained and skilled personnel who perform many procedures achieve low complication … It is unclear whether further training or supervision could have prevented the complication in this case
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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
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.278_slideshow.ppt
September 01, 2012 - soft-tissue infections
Peripheral IV catheter–related bacteremia is rare (0.1% of cases) but can be a serious complication … The patient ultimately recovered and was discharged to home.
11
12
Unfortunate Complication
This
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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/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
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - Even though IO access devices have a low complication rate, they are substantially more costly (often … The complication rate associated with IO use is small and comparable to IV access. … Complication with intraosseous access: Scandinavian users'
experience.
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - the anesthesiologist recommended simple observation of the neck,
apparently believing that an airway complication
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - are single lumen and
75% of which are multi-lumen) experiences annual PICC-related maintenance and complication … ID physician approval of PICC use was associated with lower odds of a PICC-related complication (6.5%
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psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
May 01, 2017 - obstruction, and necrotizing fasciitis.( 12 ) This patient had an uncommon, but well described PEG complication … : placement of the PEG tube through the colon leading to a gastrocolocutaneous fistula.( 14 ) This complication … 2019
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/node/49734/psn-pdf
May 01, 2015 - been done in a timely fashion, it is likely that the patient would not have
experienced the secondary complication … The more staff members are aware of a potential complication, the
greater the chances of its prevention … Pneumothorax is a rare complication of thoracic central venous catheterization in community EDs.
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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/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/node/33702/psn-pdf
November 01, 2010 - example, to the pioneering work of Lisa Iezzoni and
colleagues, who developed a system called the Complication … This wasn't the type of
complication that we were looking for at all. … It's an interesting concept—to look at patients who experience some kind of adverse event
or complication … Failure to Rescue is basically allowing a patient to die after
they've experienced a complication.
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psnet.ahrq.gov/node/837634/psn-pdf
July 06, 2022 - Procedure/Treatment/Test remained the most commonly reported events, followed by Medication Error,
Complication