-
psnet.ahrq.gov/node/41804/psn-pdf
October 31, 2012 - prevent bile duct injuries during
laparoscopic cholecystectomy, despite limited evidence on this rare complication
-
psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - reporting rates improved, and the medical center experienced significant improvements in mortality and
complication
-
psnet.ahrq.gov/node/49782/psn-pdf
January 01, 2017 - unwarranted based on the available evidence, although it is an understandable reaction
to such a severe complication
-
psnet.ahrq.gov/node/49650/psn-pdf
March 01, 2012 - Of those, dermatologists reported one complication
(1.9% of all complications) and no deaths. … hazard to patients, and that dermatologic procedures performed in this setting have
an exceedingly low complication
-
psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
February 26, 2025 - to analyze the problem using aggregate root-cause analysis, examining multiple cases with the same complication … To prevent this complication, the organization augmented airway humidification by switching from passive
-
psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
August 01, 2006 - 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.
-
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
-
psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with cesarean delivery.
Citation Text:
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
…
-
psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - outlines an organizational process to determine cases for review and
provides a set of diagnostic and complication
-
psnet.ahrq.gov/node/36122/psn-pdf
January 05, 2017 - (MET) describes the
MET's intervention on two separate occasions for a patient with a hemorrhagic complication
-
psnet.ahrq.gov/node/43855/psn-pdf
April 15, 2016 - perioperative-safety-plastic-surgery-world-health-organization-checklist-useful-
broad
Implementation of the World Health Organization surgical safety checklist did not affect complication
-
psnet.ahrq.gov/node/44051/psn-pdf
August 02, 2015 - found that checklist usage remained high 2 years after
initial implementation, with postoperative complication
-
psnet.ahrq.gov/node/36052/psn-pdf
June 29, 2011 - Diseases (ICD-9) codes with complications after a
procedure as the most common type (eg, digestive system complication
-
psnet.ahrq.gov/node/46390/psn-pdf
October 29, 2017 - /video-capture-clinical-care-enhance-patient-safety
https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates-after-bariatric-surgery
-
psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - in surgical settings, and found before-and-after
implementation improvements in team practices and complication
-
psnet.ahrq.gov/node/47777/psn-pdf
January 01, 2021 - The association between complications, incidents, and
patient experience: retrospective linkage of routine
patient experience surveys and safety data.
March 27, 2019
de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and
Patient Experience: Retrospective Linkage of Routine P…
-
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
-
psnet.ahrq.gov/web-mm/turn-other-cheek
October 26, 2010 - Of those, dermatologists reported one complication (1.9% of all complications) and no deaths. … hazard to patients, and that dermatologic procedures performed in this setting have an exceedingly low complication
-
psnet.ahrq.gov/node/49389/psn-pdf
February 01, 2003 - which added somewhat to the complexity, but
nevertheless the procedure was considered routine and the complication … The Commentary
Major vascular injury, as occurred in this case, is not a rare complication of laparoscopic … Given the limits of present-day technology, how can this complication
be avoided?
-
psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
March 08, 2023 - Study
Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?
Citation Text:
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…