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psnet.ahrq.gov/issue/complications-surgery-root-cause-analysis-and-preventive-measures
November 24, 2021 - Commentary
Complications in surgery: root cause analysis and preventive measures.
Citation Text:
Chung KC, Kotsis S. Complications in surgery: root cause analysis and preventive measures. Plast Reconstr Surg. 2012;129(6):1421-1427. doi:10.1097/PRS.0b013e31824ecda0.
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psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
August 10, 2022 - Study
Classic
Race, postoperative complications, and death in apparently healthy children.
Citation Text:
Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - was faced with balancing the risk of re-rupture versus the benefit of possibly detecting an ischemic complication
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hcup-us.ahrq.gov/reports/statbriefs/sb204-Most-Expensive-Hospital-Conditions.pdf
November 01, 2015 - ■ The five most expensive
conditions—septicemia;
osteoarthritis; liveborn
(newborn) infants; complication … 23,663 6.2 1,297 3.6
2 Osteoarthritis 16,520 4.3 1,023 2.9
3 Liveborn 13,287 3.5 3,765 10.6
4 Complication … conditions also appeared among the 20 most expensive conditions for all four payer
groups:
Complication … 8.2 838 6.0
2 Osteoarthritis 9,090 5.1 568 4.1
3 Congestive heart failure 7,174 4.1 662 4.7
4 Complication … 3.8 220 2.0
4 Septicemia 4,028 3.7 218 2.0
5 Acute myocardial infarction 3,230 3.0 153 1.4
6 Complication
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psnet.ahrq.gov/node/45911/psn-pdf
June 27, 2018 - Although the absolute increase in complication rates was relatively
small across all surgeons, surgeons
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psnet.ahrq.gov/node/838855/psn-pdf
October 27, 2022 - Post-
procedural coughing is a common complication with reported incidences up to 55%, although this … loss, and 2.1% had moderate (20-100 ml) of blood loss.3
Iatrogenic pneumothorax is a known and feared complication … Iatrogenic pneumothorax is a known complication of flexible bronchoscopy, especially with transbronchial … Iatrogenic pneumothorax is a relatively common complication after bronchoscopy, most often
associated
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psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - For example, retrospective studies show increased failure and complication rates when multiple access … attempts using the Veress needle method are made (with up to an 80-100% complication rate after more … This complication not only added considerable morbidity to the patient’s postoperative course, but also … resulted in an additional iatrogenic complication: a retained piece of Penrose drain in the wound. … This latter complication could have been avoided by keeping track of the total length of the drain inserted
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - approximately 1 in 150,000 for epidural and 1 in 220,000 for spinal anesthetics.( 7 ) Even though the complication … Although cases also have been reported with unfractionated heparin, the complication is much less common … Spinal hematoma is a rare complication of neuraxial anesthesia, but the risk is increased in patients … 4, 2020
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - Background
Oropharyngeal injuries are a known complication of airway management during procedures requiring … monitoring may minimize the risk of paralysis, which is a catastrophic and
potentially preventable complication … A rare complication of tracheal intubation: tongue perforation.
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psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - more experience are more likely to have clean margins.(7,11,16
) Other studies have documented lower complication … RALP has reported complication
rates (including all grades of perioperative complications, from minor … The reported complication rate related directly to robotic malfunction is very low
(approximately 0.1% … Robotic surgery is generally safe with low overall complication rates, but adding the robot to the
surgical … Positive surgical
margin and perioperative complication rates of primary surgical treatments for prostate
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hcup-us.ahrq.gov/reports/statbriefs/sb173-Childbirth-Delivery-Complications.pdf
April 01, 2014 - There were no meaningful differences
in overall complication rates by payer for cesarean section deliveries
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psnet.ahrq.gov/innovations
February 26, 2025 - the University of Michigan to address failure to rescue with a particular focus on communication and complication … 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
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psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
June 28, 2023 - Understand tracheostomy maintenance and complication-preventive interventions. … Comparing the tracheostomy dislodgement and complication rate of non-sutured neck tie to skin sutured
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psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - About six days into the hospitalization, the patient developed clotting problems, a known complication … Our analyses of inter-hospital ECMO transports identified complication rates as
https://psnet.ahrq.gov … checklist applicable to any ECMO-related emergency minimizes the risk of missing any
equipment-related complication
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hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section4.pdf
January 01, 2008 - 1.9
Liveborn infant 8.2 10.1 11.5 3.6 3.3 3.1 3.1
Complication … adjustment of devices ($12,000)
Chronic obstructive pulmonary
disease and bronchiectasis ($7,500)
Complication … disorders,
and other back problems ($14,400)
Pneumonia ($9,000)
Congestive heart failure ($10,500)
Complication … of surgical procedures or medical care (6.7%)
Fracture of neck of femur (hip) (2.9%)
Complication … relatively more important factor in cost growth for
discharges with septicemia, cardiac dysrhythmias, complication
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psnet.ahrq.gov/node/851068/psn-pdf
June 28, 2023 - psnet.ahrq.gov/issue/building-culture-safety-health-care
Healthcare-acquired infections (HAIs) are a common complication
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hcup-us.ahrq.gov/reports/statbriefs/sb160.pdf
July 01, 2013 - ■ The top five conditions—
septicemia; osteoarthritis;
complication of device, implant
or graft … Other high-
cost hospitalizations were for osteoarthritis; complication of device, implant or graft; … thousands
1 Septicemia (except in labor) 20,298 5.2 1,094
2 Osteoarthritis 14,810 3.8 964
3 Complication … Pneumonia
Acute myocardial infarction
Congestive heart failure
Coronary atherosclerosis
Complication … 2 Osteoarthritis 7,989 4.4 525
3 Congestive heart failure, nonhypertensive 7,641 4.2 739
4 Complication
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digital.ahrq.gov/ahrq-funded-projects/implementing-breast-reconstruction-decision-support-tool-diverse-practice
January 01, 2024 - receipt of reconstruction by age and race, and immediate reconstruction poses a significant risk, with a complication … BREASTChoice tool showed enhanced knowledge about breast reconstruction, including type, timing, and complication
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psnet.ahrq.gov/node/33641/psn-pdf
November 01, 2006 - In the patient safety field, the term "expected complication" is both defeatist and ultimately self-fulfilling … the tools and concepts of human factors engineering, since these are an
antidote to the "expected complication … Would you have
called this an "expected complication" of the procedure and moved on? … In our old mindset, we could call this frequency the "expected complication
rate" of taking this new
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hcup-us.ahrq.gov/reports/statbriefs/sb204-Most-Expensive-Hospital-Conditions.jsp
May 01, 2016 - The five most expensive conditions—septicemia; osteoarthritis; liveborn (newborn) infants; complication … Osteoarthritis
16,520
4.3
1,023
2.9
3
Liveborn
13,287
3.5
3,765
10.6
4
Complication … Hip fracture
Two of the 20 most expensive conditions involved medical complications:
Complication … Septicemia
3,354
5.3
143
1.9
3
Mood disorders
1,582
2.5
238
3.2
4
Complication … 4,028
3.7
218
2.0
5
Acute myocardial infarction
3,230
3.0
153
1.4
6
Complication