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psnet.ahrq.gov/issue/follow-markedly-elevated-serum-potassium-results-ambulatory-setting-implications-patient
September 29, 2021 - Patient Safety Innovations
There is an app for that: mobile technology improves complication
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psnet.ahrq.gov/node/42745/psn-pdf
October 31, 2014 - do-variations-hospital-mortality-patterns-after-weekend-admission-reflect-reduced-quality
https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
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psnet.ahrq.gov/node/45758/psn-pdf
July 21, 2017 - arrival-ambulance-explains-variation-mortality-time-admission-retrospective-study-admissions
https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
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psnet.ahrq.gov/issue/patient-safety-20
July 01, 2018 - Author(s)
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/issue/there-evidence-july-effect-among-patients-undergoing-hysterectomy-surgery
April 24, 2018 - Analyzing data across Maryland, investigators found no evidence for a seasonal increase in hysterectomy complication
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psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury
April 12, 2011 - Diseases (ICD-9) codes with complications after a procedure as the most common type (eg, digestive system complication
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psnet.ahrq.gov/issue/sustainability-and-long-term-effectiveness-who-surgical-safety-checklist-combined-pulse
May 27, 2010 - , found that checklist usage remained high 2 years after initial implementation, with postoperative complication
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psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes
May 01, 2015 - This study found no difference in surgical complication rates before and after implementation of 2011
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psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
January 22, 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/issue/risk-factors-retained-instruments-and-sponges-after-surgery
February 17, 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/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/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge.
Citation Text:
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge. Singapore Med J. 2007;48(6):e160-4.
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psnet.ahrq.gov/issue/hospital-complications-linking-payment-reduction-preventability
July 13, 2010 - Commentary
Hospital complications: linking payment reduction to preventability.
Citation Text:
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.
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psnet.ahrq.gov/issue/safety-hospital-stroke-care
December 02, 2020 - 18, 2024
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-outside-intensive-care-unit-expanding
January 18, 2023 - March 9, 2022
Changes in prognosis after the first postoperative complication.
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psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - July 22, 2020
Changes in prognosis after the first postoperative complication.
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psnet.ahrq.gov/issue/reliability-uncertainty-and-management-error-new-perspectives-covid-19-era
January 12, 2022 - December 14, 2022
Changes in prognosis after the first postoperative complication.
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psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors-prevention
August 17, 2022 - July 6, 2022
Adverse event and complication tracking in anaesthesiology: dependence on
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psnet.ahrq.gov/innovations
February 26, 2025 - the University of Michigan to address failure to rescue with a particular focus on communication and complication … the University of Michigan to address failure to rescue with a particular focus on communication and complication … response to clinical deterioration resulting from an underlying illness or a medical or surgical care complication
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psnet.ahrq.gov/issue/human-factors-anaesthesia-and-critical-care
June 15, 2011 - July 19, 2017
Adverse event and complication tracking in anaesthesiology: dependence