- 
                                        
psnet.ahrq.gov/node/43469/psn-pdf
August 27, 2014 - Effect of using a safety checklist on patient complications
after surgery: a systematic review and meta-analysis.
August 27, 2014
Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after
surgery: a systematic review and meta-analysis. Anesthesiology. 2014;120(6):1… 
                                     
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psnet.ahrq.gov/node/45753/psn-pdf
January 18, 2017 - A 'busy day' effect on perinatal complications of delivery
on weekends: a retrospective cohort study.
January 18, 2017
Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on
weekends: a retrospective cohort study. BMJ Qual Saf. 2017;26(1):e1. doi:10.1136/bmjqs-2016… 
                                     
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psnet.ahrq.gov/node/41869/psn-pdf
November 28, 2012 - Tracking intraoperative complications.
November 28, 2012
Platz J, Hyman N. Tracking intraoperative complications. J Am Coll Surg. 2012;215(4):519-23.
doi:10.1016/j.jamcollsurg.2012.06.001.
https://psnet.ahrq.gov/issue/tracking-intraoperative-complications
This cohort study found that a prospective, real-time metho… 
                                     
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psnet.ahrq.gov/node/39575/psn-pdf
August 05, 2010 - Medical error, malpractice and complications: a moral
geography.
August 5, 2010
Zientek DM. Medical error, malpractice and complications: a moral geography. HEC Forum.
2010;22(2):145-57. doi:10.1007/s10730-010-9130-9.
https://psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
In the … 
                                     
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psnet.ahrq.gov/node/40109/psn-pdf
January 05, 2011 - A simple checklist for preventing major complications
associated with cesarean delivery.
January 5, 2011
Duff P. A simple checklist for preventing major complications associated with cesarean delivery. Obstet
Gynecol. 2010;116(6):1393-1396. doi:10.1097/AOG.0b013e3181fae763.
https://psnet.ahrq.gov/issue/simple-chec… 
                                     
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psnet.ahrq.gov/node/41508/psn-pdf
July 11, 2012 - Complications in surgery: root cause analysis and
preventive measures.
July 11, 2012
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.
https://psnet.ahrq.gov/issue/complications-surgery-root-cause… 
                                     
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psnet.ahrq.gov/node/42876/psn-pdf
January 22, 2014 - Surgical complications and their implications for
surgeons' well-being.
January 22, 2014
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.
https://psnet.ahrq.gov/issue/surgical-complications-and-their-i… 
                                     
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psnet.ahrq.gov/node/37029/psn-pdf
April 18, 2011 - Assessment of healthcare professionals' knowledge of
managing emergency complications in patients with a
tracheostomy.
April 18, 2011
Casserly P, Lang E, Fenton JE, et al. Assessment of healthcare professionals' knowledge of managing
emergency complications in patients with a tracheostomy. Br J Anaesth. 2007;99(3)… 
                                     
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psnet.ahrq.gov/node/42805/psn-pdf
December 11, 2013 - The effect of hospital organizational characteristics on
postoperative complications.
December 11, 2013
Knight M. The effect of hospital organizational characteristics on postoperative complications. J Patient Saf.
2013;9(4):198-202. doi:10.1097/PTS.0b013e3182995e5b.
https://psnet.ahrq.gov/issue/effect-hospital-or… 
                                     
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psnet.ahrq.gov/node/38547/psn-pdf
April 08, 2009 - Mortality related to anaesthesia in France: analysis of
deaths related to airway complications.
April 8, 2009
Auroy Y, Benhamou D, Péquignot F, et al. Mortality related to anaesthesia in France: analysis of deaths
related to airway complications. Anaesthesia. 2009;64(4):366-70. doi:10.1111/j.1365-2044.2008.05792.x.… 
                                     
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psnet.ahrq.gov/node/35888/psn-pdf
July 23, 2010 - Medication errors and patient complications with
continuous renal replacement therapy.
July 23, 2010
Barletta JF, Barletta G-M, Brophy PD, et al. Medication errors and patient complications with continuous
renal replacement therapy. Pediatr Nephrol. 2006;21(6):842-5.
https://psnet.ahrq.gov/issue/medication-errors-… 
                                     
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psnet.ahrq.gov/node/36041/psn-pdf
June 21, 2006 - Intraoperative adverse events and related postoperative
complications in spine surgery: implications for
enhancing patient safety founded on evidence-based
protocols.
June 21, 2006
Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG.
https://psnet.ahrq.gov/issue/intraoperative-adverse-… 
                                     
                                                                    - 
                                        
psnet.ahrq.gov/node/37359/psn-pdf
January 02, 2017 - Case study: preventing surgical complications at
Baystate Medical Center.
January 2, 2017
Fitzgerald J, Kanter G, Benjamin EM. Case Study: Preventing Surgical Complications at Baystate Medical
Center. The Joint Commission Journal on Quality and Patient Safety. 2016;33(11). doi:10.1016/s1553-
7250(07)33076-6.
http… 
                                     
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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/38922/psn-pdf
June 20, 2011 - Adverse events in medicine: easy to count, complicated
to understand, and complex to prevent.
June 20, 2011
Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to
understand, and complex to prevent. J Biomed Inform. 2011;44(3):390-4. doi:10.1016/j.jbi.2009.06.004.
https:… 
                                     
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psnet.ahrq.gov/node/34739/psn-pdf
February 06, 2018 - Complications: A Surgeon's Notes on an Imperfect
Science.
February 6, 2018
Gawande A. New York, NY: Metropolitan Books; 2002. ISBN: 9780805063196.
https://psnet.ahrq.gov/issue/complications-surgeons-notes-imperfect-science
In Complications, Gawande reprises and builds on a series of feature articles, several writt… 
                                     
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psnet.ahrq.gov/node/46567/psn-pdf
January 24, 2019 - Association of overlapping surgery with increased risk for
complications following hip surgery.
January 24, 2019
Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for
Complications Following Hip Surgery: A Population-Based, Matched Cohort Study. JAMA Intern Med.
2018;17… 
                                     
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psnet.ahrq.gov/node/46885/psn-pdf
March 20, 2018 - Opioid prescribing patterns and complications in the
dermatology Medicare population.
March 20, 2018
Cao S, Karmouta R, Li DG, et al. Opioid Prescribing Patterns and Complications in the Dermatology
Medicare Population. JAMA Dermatol. 2018;154(3):317-322. doi:10.1001/jamadermatol.2017.5835.
https://psnet.ahrq.gov/… 
                                     
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psnet.ahrq.gov/node/47120/psn-pdf
July 18, 2018 - Complicated: medical missteps are not inevitable.
July 18, 2018
Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178-
1181. doi:10.1377/hlthaff.2017.1550.
https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
This commentary provides a clini… 
                                     
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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…