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psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
January 15, 2020 - safety framework to identify incident characteristics and contributing factors for medical or surgical complication … safety framework to identify incident characteristics and contributing factors for medical or surgical complication … safety framework to identify incident characteristics and contributing factors for medical or surgical complication
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - There is an app for that: mobile technology improves
complication reporting and resident perception … There is an app for that: mobile technology improves complication
reporting and resident perception … https://psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-
resident-perception … https://psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception … the Department of Orthopedic Surgery at Cedars Sinai Medical Center launched a web-
based, real-time complication
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psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
May 23, 2018 - surgeons derived benefit from the support of trusted mentors or senior colleagues after a serious patient complication … Surgeons reported taking various corrective actions after a complication, such as personal development
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psnet.ahrq.gov/node/846770/psn-pdf
March 29, 2023 - Perforations – a complication of esophageal endoscopy
Endoscopy is an important tool for both diagnostic … Although it is considered generally safe and
well tolerated, the risk of perforation as a complication … rate as attending endoscopists, while
advanced endoscopy fellows had higher complication rates, likely … Prompt discussion with the patient and
family to update them on the complication and treatment plan … Complication rates of trainee- versus attending-performed
upper gastrointestinal endoscopy.
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psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
October 14, 2020 - Commentary
Influence of perioperative handoffs on complications and outcomes.
Citation Text:
Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008.
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psnet.ahrq.gov/issue/complications-and-errors-periodontal-and-implant-therapy
May 29, 2019 - Special or Theme Issue
Complications and Errors in Periodontal and Implant Therapy.
Citation Text:
Complications and Errors in Periodontal and Implant Therapy. Zucchelli G, Stefanini M, eds. Periodontol 2000. 2023;92(1):1-398.
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psnet.ahrq.gov/node/33596/psn-pdf
June 01, 2025 - and quality measure, FTR has been defined as the inability to prevent death after
development of a complication … manifested by failure to perform appropriate testing and
delayed treatment for an ultimately fatal complication … Multiple studies have since shown that
hospitals can have low complication rates but high failure-to-rescue … One explanation
for this phenomenon may be that hospitals with higher complication rates have more experience … recognizing and responding to complications when they develop, whereas hospitals with low complication
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psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
February 14, 2018 - between sleep deprivation (defined as having operated the night before the scheduled procedure) and complication … There was no overall link between fatigue and complications, but the complication rate was increased
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psnet.ahrq.gov/node/36880/psn-pdf
August 31, 2011 - Complication rates on weekends and weekdays in US
hospitals. … Complication rates on weekends and weekdays in US
hospitals. Am J Med. 2007;120(5):422-8. … https://psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
This study analyzed … Complication rates were determined for specific surgical and obstetric procedures by using the
Agency … Overall complication rates were modestly but significantly
increased for some obstetric indicators and
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psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - the arterial kinking, should have indicated to the
teams caring for the patient that a procedural complication … The EIA dissection necessitating bypass surgery was likely an additional complication of the
balloon … While arterial dissection is a known complication of balloon
angioplasty, close evaluation during and
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psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
June 28, 2011 - found that the majority of cases were actually pre-existing conditions, and thus did not represent a complication … Furthermore, cases where an in-hospital complication occurred did not receive significantly higher financial
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psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical
March 29, 2023 - garnered a great deal of attention after initial studies showed remarkable reductions in postoperative complication … This systematic review of 25 studies of the surgical safety checklist found that complication rates decreased
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psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
December 07, 2016 - This retrospective cohort study showed no improvement in 30-day pediatric perioperative complication … December 7, 2016
Complication rates of central venous catheters: a systematic review
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - Fifty-five PICCs (50.5%) were removed as a result of PICC-related complications, yielding a complication … an increased risk of complications.( 8 ) The case presented here describes a relatively rare PICC complication … Only one study in the literature examines the complication of PICC breakage in sufficient detail to analyze … The complication of PICC breakage may be discovered in a variety of ways. … is so unusual, it is difficult to formulate a set of evidence-based recommendations to prevent the complication
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psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
October 01, 2017 - Preventing PICC Complications: Whose Line Is It?
Citation Text:
Moureau N. Preventing PICC Complications: Whose Line Is It?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
January 13, 2010 - Book/Report
Classic
Complications: A Surgeon's Notes on an Imperfect Science.
Citation Text:
Complications: A Surgeon's Notes on an Imperfect Science. Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
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psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
January 01, 2022 - – Post-procedural coughing is the most common complication with reported
incidences up to 55%, but … loss.
12
Post-Bronchoscopy Complications and Pneumothorax (3)
• Iatrogenic pneumothorax is a known complication … Patient Safety and Communication Post-Transbronchial Biopsy (9)
• Iatrogenic pneumothorax is a known complication … • Iatrogenic pneumothorax is a relatively common complication after
bronchoscopy, most often associated
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - study,
Sidoti et al. showed a higher rate of first pass success, fewer attempts, and overall decreased complication … excessive number of cannulation attempts in this case is the delay in
identifying a known serious complication … More timely identification of this complication, with appropriate
intervention (which could have been … This too was an easily preventable complication,
given appropriate training and supervision by an attending … American
Society of Anesthesiologists.9 Injury to the intercostal artery is a rare but life-threatening complication
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psnet.ahrq.gov/node/45744/psn-pdf
December 19, 2017 - Complication rates, hospital size, and bias in the CMS
Hospital-Acquired Condition Reduction Program … Complication Rates, Hospital Size, and Bias in the CMS Hospital-
Acquired Condition Reduction Program … https://psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition … evaluating
hospital performance, disproportionately penalizing larger hospitals when the expected complication … https://psnet.ahrq.gov/issue/complication-rates-hospital-size-and-bias-cms-hospital-acquired-condition-reduction-program
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psnet.ahrq.gov/node/34919/psn-pdf
February 25, 2009 - Changes in prognosis after the first postoperative
complication. … Changes in prognosis after the first postoperative
complication. Med Care. 2005;43(2):122-31. … https://psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication
The authors sought … https://psnet.ahrq.gov/issue/changes-prognosis-after-first-postoperative-complication