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psnet.ahrq.gov/issue/holding-out-apology
January 19, 2024 - Commentary
Holding out for an apology.
Citation Text:
Holding out for an apology. BMJ. 2018;363:k3033. doi:10.1136/bmj.k3033.
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psnet.ahrq.gov/node/42805/psn-pdf
December 11, 2013 - The effect of hospital organizational characteristics on
postoperative complications.
December 11, 2013
Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf.
2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b.
https://psnet.ahrq.gov/issue/effect-hospital-or…
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psnet.ahrq.gov/node/35888/psn-pdf
July 23, 2010 - Medication errors and patient complications with
continuous renal replacement therapy.
July 23, 2010
Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous
renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5.
https://psnet.ahrq.gov/issue/medication-errors-…
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psnet.ahrq.gov/node/38547/psn-pdf
April 08, 2009 - Mortality related to anaesthesia in France: analysis of
deaths related to airway complications.
April 8, 2009
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths
related to airway complications. Anaesthesia. 2009;64(4):366-70. doi:10.1111/j.1365-2044.2008.05792.x.…
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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/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.
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psnet.ahrq.gov/node/36041/psn-pdf
June 21, 2006 - Intraoperative adverse events and related postoperative
complications in spine surgery: implications for
enhancing patient safety founded on evidence-based
protocols.
June 21, 2006
Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG.
https://psnet.ahrq.gov/issue/intraoperative-adverse-…
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psnet.ahrq.gov/web-mm/cvc-removal-procedure-any-other
October 01, 2018 - complications in some hospitals.( 16 ) Take-Home Points CVC-associated air embolism is a preventable complication … Neurologic manifestations of cerebral air embolism as a complication of central venous catheterization … The CVC removal distress syndrome: an unappreciated complication of central venous catheter removal.
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psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - 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/issue/case-study-preventing-surgical-complications-baystate-medical-center
May 27, 2011 - Commentary
Case study: preventing surgical complications at Baystate Medical Center.
Citation Text:
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:…
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psnet.ahrq.gov/node/60286/psn-pdf
April 29, 2020 - With Covid-19 delaying routine care, chronic disease
startups brace for a slew of complications.
April 29, 2020
Brodwin E. STAT. April 14, 2020.
https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-
complications
Patients with cancer and other chronic disorder treatment …
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psnet.ahrq.gov/node/47682/psn-pdf
May 11, 2019 - Measuring hospital-acquired complications associated
with low-value care.
May 11, 2019
Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated
With Low-Value Care. JAMA Intern Med. 2019;179(4):499-505. doi:10.1001/jamainternmed.2018.7464.
https://psnet.ahrq.gov/issue/meas…
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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/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/39730/psn-pdf
December 21, 2014 - surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-
center
Wrong-site surgeries are a rare yet devastating complication
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psnet.ahrq.gov/node/42548/psn-pdf
December 29, 2014 - adverse events; for example, some did not include
geriatric syndromes like delirium that may result as a complication
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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/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/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…