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psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
November 15, 2018 - July 24, 2024
Adverse event and complication tracking in anaesthesiology: dependence
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psnet.ahrq.gov/web-mm/dont-pick-picc
December 01, 2011 - referred the case to interventional radiology and hospital medicine for review given the preventable complication … 2019
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
February 20, 2019 - Study
The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data.
Citation Text:
de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and Patient Experience: R…
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psnet.ahrq.gov/node/47777/psn-pdf
January 01, 2021 - The association between complications, incidents, and
patient experience: retrospective linkage of routine
patient experience surveys and safety data.
March 27, 2019
de Vos MS, Hamming JF, Boosman H, et al. The Association Between Complications, Incidents, and
Patient Experience: Retrospective Linkage of Routine P…
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psnet.ahrq.gov/continuing-education
February 26, 2025 - The commentary highlights how the misinterpretation of a common laboratory complication can lead to incorrect
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psnet.ahrq.gov/node/867686/psn-pdf
March 05, 2025 - Association between surgeon stress and major surgical
complications.
March 5, 2025
Awtry J, Skinner S, Polazzi S, et al. Association between surgeon stress and major surgical complications.
JAMA Surg. 2025;160(3):332-340. doi:10.1001/jamasurg.2024.6072.
https://psnet.ahrq.gov/issue/association-between-surgeon-stre…
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - the anesthesiologist recommended simple observation of the neck, apparently believing that an airway complication
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psnet.ahrq.gov/node/867235/psn-pdf
December 04, 2024 - HCUP Statistical Brief #312. Trends in Severe Maternal
Morbidity Complications by Patient Characteristics, 2016-
2021.
December 4, 2024
Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient
Characteristics, 2016-2021. Rockville, MD: Agency for Healthcare Research and Qu…
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psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - are single lumen and
75% of which are multi-lumen) experiences annual PICC-related maintenance and complication … ID physician approval of PICC use was associated with lower odds of a PICC-related complication (6.5%
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - Study
Hospital readmission after noncardiac surgery: the role of major complications.
Citation Text:
Glance LG, Kellermann AL, Osler T, et al. Hospital readmission after noncardiac surgery: the role of major complications. JAMA Surg. 2014;149(5):439-45.
Copy Citation
Format:
…
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psnet.ahrq.gov/node/50707/psn-pdf
December 04, 2019 - Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist an
useful tool to reduce them?
December 4, 2019
Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the
World Health Organization Safety Surgical Checklist a…
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psnet.ahrq.gov/node/61022/psn-pdf
October 14, 2020 - A comprehensive estimation of the costs of 30-day
postoperative complications using actual costs from
multiple, diverse hospitals.
October 14, 2020
Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative
complications using actual costs from multiple, diverse hospitals. …
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - unwarranted based on the available evidence, although it is an understandable reaction to such a severe complication
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psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
June 27, 2018 - Study
Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients.
Citation Text:
Cooper WO, Spain DA, Guillamondegui O, et al. Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complication…
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psnet.ahrq.gov/node/61089/psn-pdf
January 01, 2021 - Cognitive bias impact on management of postoperative
complications, medical error, and standard of care.
November 4, 2020
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative
complications, medical error, and standard of care. J Surg Res. 2021;258:47-53.
doi:10.1016/j…
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psnet.ahrq.gov/node/60802/psn-pdf
August 12, 2020 - Race, postoperative complications, and death in
apparently healthy children.
August 12, 2020
Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy
children. Pediatrics. 2020;146(2):e20194113. doi:10.1542/peds.2019-4113.
https://psnet.ahrq.gov/issue/race-postoperative-…
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psnet.ahrq.gov/node/61019/psn-pdf
October 14, 2020 - Clinical deterioration and hospital?acquired
complications in adult patients with isolation precautions
for infection control: a systematic review.
October 14, 2020
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult
patients with isolation precautions for inf…
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psnet.ahrq.gov/node/60191/psn-pdf
April 01, 2020 - Unprofessional Behavior Leads to Complications.
April 1, 2020
Unprofessional Behavior Leads to Complications. JN Learning. 2020.
https://psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork.
This educa…
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psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - Identification of in-hospital complications from claims
data. Is it valid?
December 23, 2008
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is
it valid? Med Care. 2000;38(8):785-95.
https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…
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psnet.ahrq.gov/node/860380/psn-pdf
January 10, 2024 - Validity of 16 AHRQ Patient Safety Indicators to identify
in-hospital complications: a medical record review across
nine Swiss hospitals.
January 10, 2024
Havranek MM, Rüter F, Bilger S, et al. Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital
complications: a medical record review across nine …