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psnet.ahrq.gov/node/38624/psn-pdf
September 29, 2009 - Avoidable iatrogenic complications of urethral
catheterization and inadequate intern training in a tertiary-
care teaching hospital.
September 29, 2009
Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and
inadequate intern training in a tertiary-care teaching hos…
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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/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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effectivehealthcare.ahrq.gov/sites/default/files/data-points_1_diabetic-foot-ulcers_data_02-2011.pdf
January 01, 2011 - Prevalence of Diabetes in Medicare Parts A and B Fee-for-Service Cohort Population (Millions),
2007
Algorithm
Period of
Continuous
Enrollment
(Months)
Number of
Beneficiaries in
Enrollment
Population
Number of
Beneficiaries With
Diabetes
Diabetes Rate in
Enrolled
Population
1 1 34.6 9.3 27.0% …
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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/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/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/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/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/node/37016/psn-pdf
September 15, 2011 - Postoperative complications due to a retained surgical
sponge.
September 15, 2011
Sarda AK, Pandey D, Neogi S, et al. Postoperative complications due to a retained surgical sponge.
Singapore Med J. 2007;48(6):e160-4.
https://psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
The authors…
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hcup-us.ahrq.gov/reports/statbriefs/sb36.pdf
August 01, 2007 - HCUP Statistical Brief #36: Trends in Potentially Preventable Hospitalizations among Adults and Children, 1997-2004
HEALTHCARE COST AND
UTILIZATION PROJECT
Agen
Res
August 2007
In 200
tential
totaled
out of
hospit
as 4.4
could
with b
impro
treatm
health
From
tal cos
able a
31 pe
tion)…
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psnet.ahrq.gov/node/37358/psn-pdf
January 02, 2017 - Reducing surgical complications.
January 2, 2017
Griffin F. Reducing surgical complications. Jt Comm J Qual Patient Saf. 2007;33(11):660-5.
https://psnet.ahrq.gov/issue/reducing-surgical-complications
The author supports the Institute for Healthcare Improvement’s 5 Million Lives Campaign by
recommending several ch…
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psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
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hcup-us.ahrq.gov/reports/statbriefs/sb126.pdf
February 01, 2012 - performed for diagnostic or exploratory purposes (i.e., the procedure that was necessary to take care of a
complication
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psnet.ahrq.gov/node/42584/psn-pdf
September 11, 2013 - Cardiac surgical ICU care: eliminating "preventable"
complications.
September 11, 2013
Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications.
J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124.
https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p…
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psnet.ahrq.gov/node/38620/psn-pdf
January 03, 2017 - Hospital complications: linking payment reduction to
preventability.
January 3, 2017
Averill RE, Hughes JS, Goldfield NI, et al. Hospital complications: linking payment reduction to
preventability. Jt Comm J Qual Patient Saf. 2009;35(5):283-5.
https://psnet.ahrq.gov/issue/hospital-complications-linking-payment-red…
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psnet.ahrq.gov/node/41182/psn-pdf
February 29, 2012 - Medicare study finds teaching hospitals have higher risk
of complications; findings disputed.
February 29, 2012
Rau J. Washington Post. February 12, 2012:A03.
https://psnet.ahrq.gov/issue/medicare-study-finds-teaching-hospitals-have-higher-risk-complications-
findings-disputed
This news article describes problems…
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psnet.ahrq.gov/node/41978/psn-pdf
January 16, 2013 - Surgical complications: disclosing adverse events and
medical errors.
January 16, 2013
Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad
Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008.
https://psnet.ahrq.gov/issue/surgical-complications-disclosing-advers…
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psnet.ahrq.gov/node/46218/psn-pdf
October 29, 2017 - Nurses' knowledge and teaching of possible postpartum
complications.
October 29, 2017
Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum
Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371.
https://psnet.ahrq.gov/issue/nurses-knowledge…
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psnet.ahrq.gov/node/42591/psn-pdf
July 16, 2015 - Underreporting of robotic surgery complications.
July 16, 2015
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.
https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
By cross-referencing court records a…