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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-…
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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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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…
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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/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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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/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/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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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)…
-
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/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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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…