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psnet.ahrq.gov/primers-0
March 15, 2025 - (3)
Safety Target
Alert fatigue
(1)
Device-Related Complications … Inpatient suicide
(1)
Interruptions and distractions
(2)
Medical Complications … (3)
Readmissions
(1)
Second victims
(2)
Surgical Complications … (7)
Intraoperative Complications
(4)
Retained Surgical Instruments and Sponges … (3)
Wrong-Site Surgery
(2)
Postoperative Surgical Complications
(2)
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - Complications were seldom seen in peripheral infusions given for short durations in proximal areas such … When using peripheral vasopressors, clinicians should be prepared for the possibility of complications … .( 3 ) If complications are observed, the vasopressor infusion should be relocated to another area, and … If extravasation or ischemic complications occur, they can be treated with administration of phentolamine … June 16, 2019
WebM&M Cases
Chest Tube Complications
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psnet.ahrq.gov/issue/association-clinical-knowledge-support-system-improved-patient-safety-reduced-complications
June 16, 2011 - Association of a clinical knowledge support system with improved patient safety, reduced complications … Association of a clinical knowledge support system with improved patient safety, reduced complications … Association of a clinical knowledge support system with improved patient safety, reduced complications
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psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-complications-and-adverse
April 17, 2009 - Study
The association between hospital characteristics and rates of preventable complications … Citation Text:
The association between hospital characteristics and rates of preventable complications … Citation
Citation Text:
The association between hospital characteristics and rates of preventable complications
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psnet.ahrq.gov/innovation/there-app-mobile-technology-improves-complication-reporting-and-resident-perception
November 28, 2012 - platform (Research Electronic Data CAPture [REDCap]) that allowed residents to report major and minor complications … Before roll-out of the mobile app, complications were solicited retrospectively via email on a monthly … July 6, 2011
Disclosure and reporting of surgical complications: a double-edged sword … Quality and Safety Professionals
Information Professionals
Orthopedic Surgery
Surgical Complications
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psnet.ahrq.gov/issue/predictive-power-trigger-tool-detection-adverse-events-general-surgery-multicenter
September 13, 2023 - Related Resources
WebM&M Cases
Procedure Complications … November 26, 2014
Automated identification of postoperative complications within an electronic … July 3, 2014
A simple surgery with harrowing complications. … Quality and Safety Professionals
Gastroenterology
General Surgery
Postoperative Surgical Complications
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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/sites/default/files/2023-06/under_pressure.pdf
January 01, 2023 - conclusion of this educational activity, participants should be able to:
• Identify indications and complications … • Describe the risk factors of tracheostomy complications, specifically tracheal
fistula. … AND
RISK FACTORS OF TRACHEOSTOMY
10
Indications, Complications and Risk Factors of Tracheostomy … and Risk Factors of Tracheostomy (3)
• Complications from tracheostomy can occur intraoperatively ( … Mortality associated with tracheostomy complications in the United States: 2007–2016.
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psnet.ahrq.gov/node/38854/psn-pdf
August 12, 2009 - resident work hour restrictions is
associated with a reduction in mortality and provider-
related complications … of resident work hour restrictions is associated
with a reduction in mortality and provider-related complications … and-provider
Implementation of duty hour restrictions for residents was associated with a reduction in complications
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psnet.ahrq.gov/node/45943/psn-pdf
March 15, 2017 - Identifying and reducing complications after emergency
room discharge. … https://psnet.ahrq.gov/issue/identifying-and-reducing-complications-after-emergency-room-discharge
Emergency … https://psnet.ahrq.gov/issue/identifying-and-reducing-complications-after-emergency-room-discharge
https
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psnet.ahrq.gov/node/73873/psn-pdf
September 29, 2021 - platform (Research Electronic Data
CAPture [REDCap]) that allowed residents to report major and minor complications … Before roll-out of the mobile app, complications were solicited retrospectively via email on a monthly
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psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
April 12, 2019 - 2021
The I-READI quality and safety framework: a health system’s response to airway complications … 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 … Health Care Providers
Quality and Safety Professionals
Obstetrics
Nonsurgical Procedural Complications
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psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
August 31, 2011 - July 2, 2009
View More
See More About The Topic
Hospitals
Medical Complications … Surgical Complications
Epidemiology of Errors and Adverse Events
Error Analysis
View
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psnet.ahrq.gov/node/74112/psn-pdf
April 14, 2017 - Structural racism negatively impacts the health of people of color, from maternal safety to post-surgical
complications … psnet.ahrq.gov/perspective/health-equity-and-maternal-health
https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
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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/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/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
August 02, 2015 - Analyzing administrative data, this study found a higher rate of complications in both urgent and elective … From the Same Author(s)
Hospital readmission after noncardiac surgery: the role of major complications … The Topic
Operating Room
Health Care Executives and Administrators
Surgery
Surgical Complications
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psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings
November 14, 2011 - In this study of simulated cholecystectomies, surgical residents felt ill-trained to disclose both complications … Most concerning, a large proportion of residents did not adequately describe potential complications … October 19, 2016
Opioid prescribing patterns and complications in the dermatology Medicare
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psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
February 06, 2018 - Yorker on topics ranging from quality improvement to the costs of health care , and his books, Complications … Surgery Saves Lives program, where checklist use was associated with a striking decrease in surgical complications … Copy Citation
Related Resources From the Same Author(s)
Complications: A
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psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
August 26, 2011 - nearly 80% of examined closed cases with poor communication accounting for the majority of patient complications … About The Topic
Operating Room
Organizational Behaviorists
General Surgery
Surgical Complications … Psychological and Social Complications
View More