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psnet.ahrq.gov/issue/efficiency-and-safety-speech-recognition-documentation-electronic-health-record
February 14, 2024 - safety framework to identify incident characteristics and contributing factors for medical or surgical complication
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psnet.ahrq.gov/node/49539/psn-pdf
June 01, 2007 - anesthesia and suffered the adverse outcome of
permanent unilateral hearing loss with tinnitus, an unusual complication … discussion
took place; it does not absolve the clinician or the hospital from potential liability if a complication
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psnet.ahrq.gov/issue/using-human-factors-design-principles-and-industrial-engineering-methods-improve-accuracy-and
September 23, 2020 - September 29, 2010
Changes in prognosis after the first postoperative complication.
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psnet.ahrq.gov/issue/impact-use-employee-functional-flexibility-patient-safety
January 12, 2022 - February 12, 2020
Changes in prognosis after the first postoperative complication.
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psnet.ahrq.gov/issue/confused-and-bewildered-hospital-adverse-event-discovery-pay-performance-and-big-data-tools
September 23, 2020 - Syphilis) is Still Stumping Healthcare Providers
May 26, 2021
Adverse event and complication
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psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
March 23, 2022 - October 26, 2022
Surgical skill and complication rates after bariatric surgery.
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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/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications.
Citation Text:
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.
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psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
September 23, 2020 - Commentary
Surgical complications: disclosing adverse events and medical errors.
Citation Text:
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
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Format:
…
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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/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
August 04, 2021 - Review
Cardiac surgical ICU care: eliminating "preventable" complications.
Citation Text:
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.
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Format:
D…
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psnet.ahrq.gov/issue/opioid-prescribing-patterns-and-complications-dermatology-medicare-population
May 25, 2022 - Study
Opioid prescribing patterns and complications in the dermatology Medicare population.
Citation Text:
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.2…
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psnet.ahrq.gov/issue/identifying-and-reducing-complications-after-emergency-room-discharge
May 25, 2022 - Newspaper/Magazine Article
Identifying and reducing complications after emergency room discharge.
Citation Text:
Identifying and reducing complications after emergency room discharge. Hofmann PB, Bagian JP. Patient Saf Qual Healthc. February 20, 2017.
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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/issue/performing-wrong-procedure
April 24, 2018 - 16, 2019
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/issue/when-errors-occur
March 12, 2011 - August 31, 2022
Complication rates, hospital size, and bias in the CMS Hospital-Acquired
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psnet.ahrq.gov/issue/final-five-ascs-told-target-patient-safety
April 24, 2018 - May 20, 2015
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/issue/team-communication-operating-room
January 28, 2009 - Accident analysis of large-scale technological disasters applied to an anaesthetic complication
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psnet.ahrq.gov/issue/patient-and-family-centered-care-error-disclosure-and-investigation
July 15, 2009 - July 17, 2019
Changes in prognosis after the first postoperative complication.
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psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
December 21, 2016 - September 12, 2012
Complication rates of central venous catheters: a systematic review