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psnet.ahrq.gov/node/49724/psn-pdf
January 01, 2015 - that we are unlikely to ever reach the state of zero complications. … Therefore, it is essential that we develop
systems that rescue patients from surgical complications. … Complications of laparoscopy: a
prospective multicentre observational study. … Complications during the introduction of laparoscopic
cholecystectomy in Norway. … Early relaparoscopy for management of
suspected postoperative complications.
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psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - (6)
Psychological and Social Complications
(43)
Privacy Violations … (104)
Intraoperative Complications
(39)
Retained Surgical Instruments and … (34)
Surgical Site Infections
(1)
Preoperative Complications
(5) … Transfusion Complications
(6)
Transitions of Care
(1) … Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations
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psnet.ahrq.gov/node/45911/psn-pdf
June 27, 2018 - Use of unsolicited patient observations to identify
surgeons with increased risk for postoperative
complications … Use of Unsolicited Patient Observations to Identify
Surgeons With Increased Risk for Postoperative Complications … received
unsolicited patient concerns via the reporting system were at increased risk of postoperative complications … surgeons in the highest quartile of unsolicited observations had an
approximately 14% higher risk of complications
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psnet.ahrq.gov/node/43745/psn-pdf
December 17, 2014 - The
authors suggest that current practice identifies only a small proportion of hospital-acquired complications … Although the study's proposed approach identifies more complications (i.e., increased sensitivity), not … health-care-associated-infections
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications … https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
January 07, 2019 - Along with Atul Gawande's Complications , this book stands as an essential human perspective on error … March 20, 2019
Complications: A Surgeon's Notes on an Imperfect Science. … See More About The Topic
Operating Room
Patients
Neurosurgery
Surgical Complications
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psnet.ahrq.gov/issue/miles-go-introduction-5-million-lives-campaign
April 04, 2011 - January 6, 2017
Reducing surgical complications. … October 13, 2018
Case study: preventing surgical complications at Baystate Medical Center … December 1, 2010
Use of administrative data to find substandard care: validation of the complications … The Topic
Hospitals
Health Care Providers
Quality and Safety Professionals
Medical Complications … Surgical Complications
View More
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psnet.ahrq.gov/issue/determinants-adverse-events-vascular-surgery
March 21, 2012 - procedures are elderly and have other comorbid illnesses, putting them at elevated risk of postoperative complications … of a PSI, corroborating prior studies that have found a link between illness severity and risk of complications … Operating Room
Physicians
Quality and Safety Professionals
Vascular Surgery
Surgical Complications
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psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety
September 21, 2016 - use of evidence-based practices, and a surgical pathway was recently shown to markedly reduce both complications … analyzed varied widely and did not consistently apply evidence-based practices to prevent postpartum complications … A devastating series of preventable complications during delivery, which led to the death of an infant
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psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-and-postoperative-outcomes-prospective-randomized
October 10, 2018 - This randomized control trial showed reductions in complications and improved mortality with use of the … Within the checklist group, investigators found fewer complications when the checklist was complete, … The Topic
Operating Room
Health Care Executives and Administrators
Surgery
Surgical Complications
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psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
March 02, 2011 - nurse-to-patient ratios on hospital wards have been associated with an increased rate of post-surgical complications … and an increased rate of overall complications of inpatient care. … May 21, 2009
Intensive care unit nurse staffing and the risk for complications after
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psnet.ahrq.gov/issue/hazards-hospitalization
December 29, 2014 - The author studied the type and frequency of hospital complications during a given hospitalization and … Such patients endured longer hospitalizations while suffering from a variety of complications, including … Hospitals
Health Care Providers
Medication Errors/Preventable Adverse Drug Events
Medical Complications
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psnet.ahrq.gov/issue/failure-rescue-deteriorating-patients-systematic-review-root-causes-and-improvement
January 18, 2013 - three critical points that can contribute to “ failure to rescue ” among inpatients with serious complications … – (1) failure to recognize the complications; (2) failure to relay information regarding the complications
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psnet.ahrq.gov/issue/failure-rescue-female-patients-undergoing-high-risk-surgery
October 25, 2017 - Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable … and that healthcare systems should be able to rapidly identify and treat complications when they occur … 2015 to 2020, researchers found that female patients undergoing high-risk surgeries had rates of complications
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psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
January 19, 2016 - that we are unlikely to ever reach the state of zero complications. … Complications of laparoscopy: a prospective multicentre observational study. … Complications during the introduction of laparoscopic cholecystectomy in Norway. … Early relaparoscopy for management of suspected postoperative complications. … Complications, failure to rescue, and mortality with major inpatient surgery in Medicare patients.
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psnet.ahrq.gov/node/43434/psn-pdf
August 06, 2014 - Maryland hospitals aren't reporting all errors and
complications, experts say. … https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say … https://psnet.ahrq.gov/issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say
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psnet.ahrq.gov/node/49524/psn-pdf
November 01, 2006 - The 2-hour surgery went well with no reported intraoperative complications. … Complications of LMA Use
Despite their well-documented record of safety, complications from LMA use … have been reported.(6) The
most common complications include aspiration and unintended local trauma … In summary, complications from the use of LMAs do occur, even if rare as presented in this case. … Complications of endotracheal intubation and other airway management
procedures.
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psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
September 09, 2020 - An interpretative phenomenological analysis of vulnerability as experienced by patients with complications … August 5, 2020
Association of overlapping surgery with increased risk for complications … More About The Topic
Outpatient Surgery
Operating Room
Surgery
Postoperative Surgical Complications … Psychological and Social Complications
View More
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psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
August 01, 2009 - NG Tube-Related Complications One of the most serious complications of NG tube placement includes improper … , including two deaths. 6 Factors that increase the risk of these complications include altered mental … Methods and complications of nasoenteral intubation. … Thoracic complications of nasogastric tube: review of safe practice. … Pulmonary complications of 9931 narrow-bore nasoenteric tubes during blind placement: a critical review
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psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
February 01, 2004 - SPOTLIGHT CASE
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. … discharged 3 days later and was expected to make a full recovery, although there is some risk of long-term complications … Delay in Treatment: Failure to Contact Patient Leads to Significant Complications.
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psnet.ahrq.gov/issue/patient-safety-resources-clinicians
August 04, 2021 - April 28, 2021
Clinical deterioration and hospital‐acquired complications in adult patients … October 7, 2020
View More
Related Resources
Spinal surgery complications … See More About The Topic
Operating Room
Physicians
Orthopedic Surgery
Surgical Complications