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psnet.ahrq.gov/node/37359/psn-pdf
January 02, 2017 - Case study: preventing surgical complications at
Baystate Medical Center.
January 2, 2017
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical
Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:10.1016/s1553-
7250(07)33076-6.
http…
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psnet.ahrq.gov/node/46567/psn-pdf
January 24, 2019 - Association of overlapping surgery with increased risk for
complications following hip surgery.
January 24, 2019
Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for
Complications Following Hip Surgery: A Population-Based, Matched Cohort Study. JAMA Intern Med.
2018;17…
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psnet.ahrq.gov/node/38922/psn-pdf
June 20, 2011 - Adverse events in medicine: easy to count, complicated
to understand, and complex to prevent.
June 20, 2011
Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to
understand, and complex to prevent. J Biomed Inform. 2011;44(3):390-4. doi:10.1016/j.jbi.2009.06.004.
https:…
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psnet.ahrq.gov/node/34739/psn-pdf
February 06, 2018 - Complications: A Surgeon's Notes on an Imperfect
Science.
February 6, 2018
Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
https://psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
In Complications, Gawande reprises and builds on a series of feature articles, several writt…
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psnet.ahrq.gov/node/46885/psn-pdf
March 20, 2018 - Opioid prescribing patterns and complications in the
dermatology Medicare population.
March 20, 2018
Cao S, Karmouta R, Li DG, et al. Opioid Prescribing Patterns and Complications in the Dermatology
Medicare Population. JAMA Dermatol. 2018;154(3):317-322. doi:10.1001/jamadermatol.2017.5835.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/47120/psn-pdf
July 18, 2018 - Complicated: medical missteps are not inevitable.
July 18, 2018
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-
1181. doi:10.1377/hlthaff.2017.1550.
https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
This commentary provides a clini…
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psnet.ahrq.gov/node/38624/psn-pdf
September 29, 2009 - Avoidable iatrogenic complications of urethral
catheterization and inadequate intern training in a tertiary-
care teaching hospital.
September 29, 2009
Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and
inadequate intern training in a tertiary-care teaching hos…
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psnet.ahrq.gov/node/40726/psn-pdf
July 03, 2014 - Automated identification of postoperative complications
within an electronic medical record using natural
language processing.
July 3, 2014
Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an
electronic medical record using natural language processing. JAMA. …
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psnet.ahrq.gov/node/42096/psn-pdf
March 06, 2013 - Skin-deep diagnosis: affective bias and zebra retreat
complicating the diagnosis of systemic sclerosis.
March 6, 2013
Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic
sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1097/MAJ.0b013e3182684aab.
https://psnet.ah…
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - Preventing PICC Complications: Whose Line Is It?
December 1, 2012
Moureau N. Preventing PICC Complications: Whose Line Is It? PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
The Case
A 55-year-old woman with myasthenia gravis, hypertension, and hypothyroidism prese…
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psnet.ahrq.gov/node/37912/psn-pdf
September 25, 2008 - Association of a clinical knowledge support system with
improved patient safety, reduced complications and
shorter length of stay among Medicare beneficiaries in
acute care hospitals in the United States.
September 25, 2008
Bonis PA, Pickens GT, Rind DM, et al. Association of a clinical knowledge support system wi…
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psnet.ahrq.gov/node/39322/psn-pdf
February 24, 2010 - Complications and death at the start of the new academic
year: is there a July phenomenon?
February 24, 2010
Inaba K, Recinos G, Teixeira PGR, et al. Complications and death at the start of the new academic year: is
there a July phenomenon? J Trauma. 2010;68(1):19-22. doi:10.1097/TA.0b013e3181b88dfe.
https://psnet…
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psnet.ahrq.gov/node/41585/psn-pdf
August 08, 2012 - A simple surgery with harrowing complications.
August 8, 2012
Miller R. News-Times. July 25, 2012.
https://psnet.ahrq.gov/issue/simple-surgery-harrowing-complications
This newspaper article details the complications and errors a patient experienced following a routine
surgery.
https://psnet.ahrq.gov/issue/simple-…
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psnet.ahrq.gov/node/38176/psn-pdf
October 29, 2008 - Human error, not communication and systems, underlies
surgical complications.
October 29, 2008
Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical
complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011.
https://psnet.ahrq.gov/issue/human-e…
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psnet.ahrq.gov/node/37016/psn-pdf
September 15, 2011 - Postoperative complications due to a retained surgical
sponge.
September 15, 2011
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge.
Singapore Med J. 2007;48(6):e160-4.
https://psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
The authors…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
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psnet.ahrq.gov/node/42584/psn-pdf
September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable"
complications.
September 11, 2013
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications.
J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…
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psnet.ahrq.gov/node/38620/psn-pdf
January 03, 2017 - Hospital complications: linking payment reduction to
preventability.
January 3, 2017
Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to
preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5.
https://psnet.ahrq.gov/issue/hospital-complications-linking-payment-red…
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psnet.ahrq.gov/node/41182/psn-pdf
February 29, 2012 - Medicare study finds teaching hospitals have higher risk
of complications; findings disputed.
February 29, 2012
Rau J. Washington Post. February 12, 2012:A03.
https://psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-
findings-disputed
This news article describes problems…