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psnet.ahrq.gov/node/72741/psn-pdf
February 17, 2021 - The I-READI quality and safety framework: a health
system’s response to airway complications in
mechanically ventilated patients with Covid-19.
February 17, 2021
Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health
system’s response to airway complications in mechanically…
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psnet.ahrq.gov/node/61016/psn-pdf
October 14, 2020 - Complications associated with the anesthesia transport
of pediatric patients: an analysis of the Wake Up Safe
database.
October 14, 2020
Haydar B, Baetzel A, Stewart M, et al. Complications associated with the anesthesia transport of pediatric
patients: an analysis of the Wake Up Safe database. Anesth Analg. 2020;…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/YSj5xRQc9DroH8gpUYsoFA
December 01, 2007 - In
large observational studies using administrative databases,
the average complication rates ranged … [PMID: 12470174]
Yield: 27 items
Study inclusion criteria
Included complication rates related to CEA … or hospital volume and by setting
Reported complication rates for asymptomatic patients
Case series, … Angiography
Complication
Rate
Mean Follow-up 30-Day Complication
Rate of CEA
Any CVA and Perioperative … rate
across groups: 2.6%
Administrative database
underestimates complication
rates (especially CVA)
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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/web-mm/dont-pick-picc
December 01, 2011 - referred the case to interventional radiology and hospital medicine for review given the preventable complication … 2019
WebM&M Cases
Primary Workaround, Secondary Complication
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psnet.ahrq.gov/web-mm/secured-not-always-safe
October 01, 2015 - the anesthesiologist recommended simple observation of the neck, apparently believing that an airway complication
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psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
August 02, 2015 - August 2, 2015
Surgical skill and complication rates after bariatric surgery.
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hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit4_2.jsp
January 01, 2007 - Genitourinary
Acute renal failure
1.0
4.0
15.3
2.5
56.5
Injury and poisoning
Complication … of device, implant or graft
5.6
9.9
5.8
3.5
30.1
Complication of surgical procedures … (47 percent) in the costs of hospital stays for injury and poisoning were driven by two conditions: complication … of device, implant or graft and complication of surgical procedures or medical care.
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psnet.ahrq.gov/node/49453/psn-pdf
July 01, 2004 - despite the
tremendous volume of procedures performed annually, suggests that this is an extremely rare
complication … wonders whether a pre-procedure visit to the gastroenterologist might have prevented this patient's
complication
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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/49410/psn-pdf
July 01, 2003 - The
complication was entirely preventable, as many medical errors are.(1) Thankfully, no long-term medical
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - unwarranted based on the available evidence, although it is an understandable reaction to such a severe complication
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psnet.ahrq.gov/issue/intraoperative-adverse-events-and-related-postoperative-complications-spine-surgery
March 20, 2013 - Study
Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.
Citation Text:
Intraoperative adverse events and related postoperative complications in spine surgery: implicatio…
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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/844766/psn-pdf
January 01, 2020 - Validation of new ICD-10-based patient safety indicators
for identification of in-hospital complications in surgical
patients: a study of diagnostic accuracy.
September 11, 2019
McIsaac DI, Hamilton GM, Abdulla K, et al. Validation of new ICD-10-based patient safety indicators for
identification of in-hospital com…
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hcup-us.ahrq.gov/reports/methods/2004_1.jsp
January 01, 2004 - HCUP Methods Series Comorbidity Software Documentation
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FA…
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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)…