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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/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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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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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
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UTILIZATION PROJECT
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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/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/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/web-mm/pseudo-obstruction-real-perforation
April 01, 2015 - group, fellowship-trained gastroenterologists are prepared to perform routine colonoscopies with low complication
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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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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/49798/psn-pdf
July 01, 2017 - group, fellowship-trained gastroenterologists are prepared to perform routine colonoscopies
with low complication
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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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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/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/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/49504/psn-pdf
March 01, 2006 - But is location a factor in the
occurrence of the complication reported in the aforementioned case?
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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…
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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/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/42071/psn-pdf
February 27, 2013 - Rate of occult specimen provenance complications in
routine clinical practice.
February 27, 2013
Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin
Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV.
https://psnet.ahrq.gov/issue/rate-occult-specimen-pr…