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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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hcup-us.ahrq.gov/datainnovations/clinicaldata/5MHAProjBenefits011508.pdf
January 15, 2008 - with prolonged risk-adjusted lengths
of stay do not have at least one reported hospital-
acquired complication … 6
Evaluation of Comparative Performance
Evaluation of measured post-operative
complication rates
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psnet.ahrq.gov/issue/improving-peripherally-inserted-central-catheter-appropriateness-and-reducing-device-related
October 27, 2021 - August 24, 2022
View More
Related Resources
Complication rates
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www.ahrq.gov/hai/tools/surgery/tools/surgical-complication-prevention/glucose-control-audit.html
December 01, 2017 - You can use the materials in the AHRQ Toolkit to Promote Safe Surgery, such as the Surgical Complication
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - inspired oxygen to 25% during these cases is recommended.( 5 ) Dehydration is another potential complication … Airway obstruction is a much less common complication but is more likely to occur in certain populations … The most common complication is postoperative bleeding, which occurs in less than 10% of patients. … adenotonsillectomy is a common surgical procedure performed in either inpatient or ambulatory settings with low complication
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psnet.ahrq.gov/node/45003/psn-pdf
July 18, 2016 - effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
This retrospective cohort study showed no improvement in 30-day pediatric perioperative complication
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psnet.ahrq.gov/node/851158/psn-pdf
June 28, 2023 - myocardial infarction, and stroke were even less, generally well below 1%.2,3
One often-discussed complication … perforation is exceedingly rare, with only case reports published.
10,11 Unfortunately, in this case, the complication … Had this complication been recognized when the patient was still on the
catheterization table, a right … Any discussion of a catastrophic complication of this type is incomplete without exploring how
communication … dissection/perforation or left ventricular (LV) perforation is a rare
but potentially catastrophic complication
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hcup-us.ahrq.gov/reports/factsandfigures/figures/2006/2006_5_1c.jsp
January 01, 2006 - Complications† by Delivery Type, 1993 and 2006
INFANT COMPLICATIONS
CESAREAN DELIVERIES WITH THIS COMPLICATION … VAGINAL DELIVERIES WITH THIS COMPLICATION
DISCHARGES
PERCENT OF C-SECTION DELIVERIES
DISCHARGES
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psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Russell, MD This case describes a rare, but manageable, complication of tracheostomy. … Signs of this complication include: gross device dislodgement, airway obstruction not relieved by suctioning … or in patients following laryngectomy.( 14 ) Pneumothorax is another uncommon early postoperative complication … Tracheo-esophageal fistula (TEF) occurs in approximately 1 in 1250 patients following tracheostomy.( 1 ) This complication … This complication may lead to aspiration and pneumonia, and these complications should prompt the clinician
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psnet.ahrq.gov/node/73251/psn-pdf
May 12, 2021 - retrospectively reviewed records for 150 patients undergoing emergency surgery who
experienced a preventable complication … The most common preventable complication was
surgical site infections.
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psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword
December 21, 2014 - Patient Safety Innovations
There is an app for that: mobile technology improves complication
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - TO IMPROVING PATIENT
SAFETY
24
Approaches to Improving Patient Safety (1)
• Beyond the direct complication … • The underlying cause was a serious complication of a relatively simple procedure
that is commonly … – The impact of the complication was compounded by lapses in communication between nursing
staff … A case report of esophageal perforation: Complication of nasogastric tube placement.
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
January 01, 2024 - Understand tracheostomy maintenance and complication-preventive interventions.
3
A Stable Airway? … Comparing the tracheostomy dislodgement and complication rate of non-sutured neck tie to skin sutured
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hcup-us.ahrq.gov/reports/statbriefs/sb203-Emergency-Department-Children-Diabetes.pdf
January 01, 2016 - ■ Ketoacidosis was the most
common complication among
children and young adults in the
ED with … ED may not have diabetes complications documented in their discharge record if the information on
complication … b Not mutually exclusive (i.e., visits may involve more than one complication)
Source: Agency for Healthcare … 0.2 0.0 — 3.2 2.4 5
Pancreatic disorders
(not diabetes)
3.4 0.6 — 0.8 0.2 — 2.6 1.9 6
Complication … 205 Spondylosis; intervertebral disc disorders; other back problems
232 Sprains and strains
237 Complication
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psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Review complications of central venous catheterization
Discuss patient and operator factors that affect complication … when sterile precautions are
not followed, and (vi) provide specific feedback to providers with high complication … Central vein catheterization: failure and
complication rates by three percutaneous approaches. … Frequency of Mechanical Complications, According to the Route of Catheterization
Complication Frequency
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www.ahrq.gov/hai/tools/surgery/materials.html
December 01, 2017 - Supplemental tools
Surgical Complication Prevention ( PDF , 465.8 KB)
The Surgical Complication
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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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hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.pdf
January 01, 2011 - or
comorbidity; MCC, major complication or comorbidity
Source: Agency for Healthcare Research and … Abbreviations: MS-DRG, Medicare Severity Diagnosis Related Group; CC, complication or comorbidity; MCC … Twelve percent of spinal fusion except cervical without major complication or comorbidity involved an … Similarly, conditions from Table 2 with no complication or comorbidity are displayed next to
the same … or comorbidity
Discharges with no complication or comorbidity
8
■ The presence of a major complication
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psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
August 20, 2018 - Commentary
Medical error, malpractice and complications: a moral geography.
Citation Text:
Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum. 2010;22(2):145-57. doi:10.1007/s10730-010-9130-9.
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psnet.ahrq.gov/issue/surgical-complications-and-their-implications-surgeons-well-being
December 04, 2016 - Study
Surgical complications and their implications for surgeons' well-being.
Citation Text:
Pinto A, Faiz O, Bicknell C, et al. Surgical complications and their implications for surgeons' well-being. Br J Surg. 2013;100(13):1748-55. doi:10.1002/bjs.9308.
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