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psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery
August 02, 2015 - Hospitals in which nurses felt teamwork and coordination were poor tended to have the highest complication … August 2, 2015
Surgical skill and complication rates after bariatric surgery.
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psnet.ahrq.gov/node/866395/psn-pdf
July 23, 2024 - the University of Michigan to address failure
to rescue with a particular focus on communication and complication … response to clinical deterioration resulting from an
underlying illness or a medical or surgical care complication … conference by addressing frequent contributors to failure to rescue—poor
communication and insufficient complication … place between August 2018 and August 2020 in a single hospital.1 Myriad clinical cases and surgical
complication … core principles of the RIC—namely,
review of systems, team, and cognitive factors that may impact the 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/49582/psn-pdf
April 01, 2009 - Fifty-five PICCs (50.5%) were removed as a result of PICC-related
complications, yielding a complication … to 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. … negotiating the curves within the vascular structures.(10,11)
What can we learn about this unusual complication
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - The authors provide a framework that requires each proposed complication to be important, measurable
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psnet.ahrq.gov/issue/simple-surgery-harrowing-complications
November 07, 2012 - Newspaper/Magazine Article
A simple surgery with harrowing complications.
Citation Text:
A simple surgery with harrowing complications. Miller R. News-Times. July 25, 2012.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
January 29, 2020 - address 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/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/node/49715/psn-pdf
August 21, 2014 - Bleeding usually stops within several
minutes (7); however, a feared complication of liver biopsy is … This
stems in part from a large study of post-biopsy monitoring where the complication rates did not … The most common complication after liver biopsy is pain. … Severe abdominal pain should increase the
concern for a significant bleeding complication. … Bleeding complication with liver biopsy: is it predictable?
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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/node/33657/psn-pdf
September 01, 2007 - The goal is to present to the division or department a well-planned analysis of a medical error
or complication … the error-reducing strategies to be used in the future to prevent the complication or error. … It is logical to
assume that a resident, if exposed to a complication or error in an educationally meaningful … manner early in
his career, will be less likely to create that complication as his career progresses … Moreover, if that
complication arises, he will be more likely to detect it earlier and to treat it more
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psnet.ahrq.gov/node/857059/psn-pdf
November 29, 2023 - has been identified, options for management include treating the
complication while leaving the tube … A rare complication of PEG tube placement. Practical Gastroenterology
. 2014; 80-83. … Splenic avulsion following PEG tube placement: a rare
but serious complication. … Presentation of a rare complication and
a literature review. … Complication rates associated with traction removal of percutaneous endoscopic
gastrostomy tubes.
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psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
November 21, 2017 - Study
Underreporting of robotic surgery complications.
Citation Text:
Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036.
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psnet.ahrq.gov/issue/patient-safety-measures-complications
March 23, 2012 - Multi-use Website
Patient Safety Measures: Complications.
Citation Text:
Patient Safety Measures: Complications. Washington, DC: National Quality Forum; December 2012.
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psnet.ahrq.gov/print/pdf/node/866844
March 27, 2024 - He subsequently developed a
potentially life-threatening complication of... … He subsequently developed a
potentially life-threatening complication of...
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psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - administered medications.2,3 The Pediatric Clinical Outcomes Research Initiative reports an overall
complication … rate of 2.3% during upper GI procedures.4 The most serious major complication of endoscopic
dilation … This complication is considered a “never event”
or “serious reportable event” by the National Quality … Air embolism is a particularly serious complication that results from pressurized air entering into an … Once a complication occurs, escalation of care requires three fundamental communication steps as
identified
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - Patients who are
recovering well may experience an initial seminal complication (such as an anastomotic … of an underlying illness or a complication of medical care. … mortality with surgery was primarily related to failure to rescue and only weakly
correlated with complication … In contrast, low mortality hospitals were distinguished by how well they "rescued"
patients once a complication … of an underlying illness or a complication of medical care.
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psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
December 18, 2013 - researchers found interpersonal relationships and behaviors of inpatient medicine teams were associated with complication … particularly important aspects to ensuring patient safety, associated with decreased length of stay and 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/issue/introduction-surgical-safety-checklists-ontario-canada
June 21, 2016 - was comparable to post-implementation rates in earlier studies; checklists may not be effective when complication … March 28, 2018
Complication rates of central venous catheters: a systematic review and