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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - Thiamine deficiency is a known and expected complication of gastric bypass surgery.13
As various clinical
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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/web-mm/perils-diagnosing-stroke
August 15, 2017 - Schindler, MD The case above represents a known complication from intravenous (IV) thrombolytics, a … Intracerebral hemorrhage is the most feared complication of IV thrombolytics. … was 6.4%; it has fallen to as low as 2.4% in subsequent trials.( 1,2 ) Even with the improvement, the complication … Nevertheless, when this complication occurs it is devastating for both patients and providers, and this
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psnet.ahrq.gov/node/50929/psn-pdf
February 26, 2020 - bilateral septic
knee arthritis with methicillin-sensitive staphylococcus aureus (MSSA) bacteremia as a complication
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psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
January 01, 2024 - , Kee D Kim, MD
8
8
INTRODUCTION
9
Introduction
Cerebrospinal fluid (CSF) leaks are a serious complication … supplement to other measures.73
However, lumbar subarachnoid drainage has been reported to have a complication
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - 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/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
March 09, 2022 - Study
Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.
Citation Text:
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeo…
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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/61080/psn-pdf
October 28, 2020 - was faced with balancing the risk of re-rupture
versus the benefit of possibly detecting an ischemic complication
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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/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
August 20, 2018 - Study
Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality.
Citation Text:
Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…
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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/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/issue/implementation-resident-work-hour-restrictions-associated-reduction-mortality-and-provider
December 21, 2014 - Study
Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.
Citation Text:
Privette AR, Shackford SR, Osler T, et al. Implementation of resident …
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psnet.ahrq.gov/issue/validation-new-icd-10-based-patient-safety-indicators-identification-hospital-complications
April 19, 2023 - Study
Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.
Citation Text:
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for iden…
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Ca…
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psnet.ahrq.gov/perspective/conversation-withsanjay-saint-md-mph
November 01, 2008 - reason of the initial admission, they had forgotten—because they spent most of their time dealing with complication … after complication. … Even if you leave aside the infectious complication, I would argue that the noninfectious complications … In part, it depends upon what complication we're trying to tackle.
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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/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - group, fellowship-trained gastroenterologists are prepared to perform routine colonoscopies with low complication