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psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
July 25, 2018 - , 2019
Lack of association between intraoperative handoff of care and postoperative complications … October 9, 2013
A simple surgery with harrowing complications. … Operating Room
Health Care Executives and Administrators
General Surgery
Intraoperative Complications
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psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
May 07, 2014 - October 19, 2022
Relationship between occurrence of surgical complications and hospital … Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications … Association of coworker reports about unprofessional behavior by surgeons with surgical complications
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - Surgeons rated in the lowest quartile of surgical skill had more
surgical complications, longer surgical
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - complication was entirely preventable, as many medical errors are.(1) Thankfully, no long-term medical
complications … Other
complications (infection, erythema, etc.) were not different, but patients had less pain and the … Following these simple and intuitive steps will prevent most adverse events, but complications may still … view the use of tissue adhesives as “invasive,” they are part of the list of procedures
from which complications … training sessions need to introduce the product, the indications and
contraindications, potential complications
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psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
September 01, 2005 - After 2 months in the ICU and multiple complications, the patient was discharged. … Numerous complications may arise with the use of IO devices.( 6 ) As in the present case, the access … A Scandinavian survey of 1800 cases in which an IO device was used for vascular access revealed complications … resolved, replacing the IO needle with more long-term IV access is advised and will further decrease complications … These complications can be mitigated by developing detailed institutional policy guidelines for IO use
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications … https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
A 2013 study showed hospitals actually profit when patients experience surgical complications … impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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psnet.ahrq.gov/node/37831/psn-pdf
December 23, 2012 - targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications … https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/43263/psn-pdf
July 16, 2014 - patient-complaints-healthcare-systems-systematic-review-and-coding-
taxonomy
Patient complaints may help identify complications … patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy
https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
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psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - surgical events did not differ by career stage, although very small increases
in risk of two specific complications—dropped … aging-surgeon
https://psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
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psnet.ahrq.gov/node/43917/psn-pdf
November 03, 2015 - their index admission, further confirming that surgical readmissions are
overwhelmingly due to new complications … Lucian Leape notes that analyses of these surgical complications can serve as "treasures" for providing
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psnet.ahrq.gov/node/43919/psn-pdf
May 01, 2015 - in the rate of improvement
for any of the measured outcomes—risk-adjusted 30-day mortality, serious complications … Notably,
over 6 years there has been a trend toward reductions in mortality, serious complications,
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psnet.ahrq.gov/node/41694/psn-pdf
September 19, 2012 - Medicaid Services (CMS) has not reimbursed hospitals for costs associated
with certain preventable complications … effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - preventable-hospital
Since 2008, Medicare no longer pays hospitals for treating patients who develop preventable
complications … interview addressed the potential benefits and limitations of insurers not
paying for preventable complications
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - This study adds to recent similar findings that
surgical complications also often result in net profits … making-business-case-patient-safety
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
-
psnet.ahrq.gov/node/43408/psn-pdf
May 01, 2015 - weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-
urgent-surgery
Patients admitted on the weekend may have higher rates of complications … patients who underwent a weekend surgical
procedure had higher rates of mortality and postoperative complications
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psnet.ahrq.gov/node/43653/psn-pdf
January 01, 2015 - comparing clinician responses to administrative data, there was little
agreement about the presence of complications … , with neither source consistently identifying more
complications.
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psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - identify-patterns
Morbidity and mortality (M&M) conferences have traditionally been a venue for discussion of complications … Investigators used the new tool to better
categorize complications, identify patterns or trends, and
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psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - December 22, 2010
Cognitive bias impact on management of postoperative complications, … March 21, 2016
Underreporting of robotic surgery complications. … More About The Topic
Operating Room
Quality and Safety Professionals
Surgery
Surgical Complications
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - 2019
The I-READI quality and safety framework: a health system’s response to airway complications … April 15, 2020
WebM&M Cases
Complications of Vascular … See More About The Topic
Operating Room
Physicians
Anesthesiology
Surgical Complications