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psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-adverse-events-after-outpatient-orthopaedic
December 19, 2017 - February 13, 2019
Association of overlapping surgery with increased risk for complications … January 23, 2019
Automated identification of postoperative complications within an electronic … January 31, 2011
Disclosure and reporting of surgical complications: a double-edged sword … October 13, 2010
Intraoperative adverse events and related postoperative complications … Executives and Administrators
Information Professionals
Orthopedic Surgery
Postoperative Surgical Complications
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psnet.ahrq.gov/toolkits
March 01, 2025 - Patients requiring mechanical ventilation are at risk for ventilator-associated complications. … (3)
Overtreatment
(2)
Psychological and Social Complications
(24) … Second victims
(1)
Surgical Complications
(18)
Intraoperative Complications … (3)
Surgical Site Infections
(2)
Transfusion Complications
( … Highlighting how aging affects medication absorption that may lead to complications, this fact sheet
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psnet.ahrq.gov/issue/more-750-hospitals-face-medicare-crackdown-patient-injuries
June 27, 2018 - October 26, 2011
Medicare cuts payment to 774 hospitals over patient complications. … More
Related Resources
Medicare cuts payment to 774 hospitals over patient complications … March 28, 2012
Medicare study finds teaching hospitals have higher risk of complications … More
See More About The Topic
Hospitals
Patients
Hospital Medicine
Medical Complications
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psnet.ahrq.gov/node/38731/psn-pdf
April 30, 2014 - This study analyzed more than 2500 complications discussed at
morbidity and mortality (M&M) conferences … Investigators discovered that the complications ripe for quality improvement initiatives included unintended … extubations, surgical technical failures, missed injuries, and intravascular catheter-related complications
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psnet.ahrq.gov/node/47741/psn-pdf
March 06, 2019 - study, researchers examined the relationship between overlapping surgery
and mortality, postoperative complications … Although overlapping surgery was not significantly associated with an increase in
mortality or complications … safety-overlapping-surgery-high-volume-referral-center
https://psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
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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/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew-complications
May 02, 2018 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications … Citation Text:
With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications … Citation Text:
With Covid-19 delaying routine care, chronic disease startups brace for a slew of 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/node/72702/psn-pdf
February 03, 2021 - The most common anesthesia-related
events were medication events, respiratory complications, and cardiac … outcomes-wake-safe-pediatric-anesthesia-quality-improvement-initiative
https://psnet.ahrq.gov/issue/wake-safe
https://psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
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psnet.ahrq.gov/node/845276/psn-pdf
March 01, 2023 - cognitive-biases-surgery-systematic-review
Cognitive biases are a known source of misdiagnosis and post-operative complications … cognitive-bias-clinical-medicine
https://psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
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psnet.ahrq.gov/issue/err-human-quality-and-safety-issues-spine-care
August 04, 2021 - October 31, 2023
WebM&M Cases
Preventing Complications … October 28, 2020
Spinal surgery complications: an unsolved problem-Is the World … See More About The Topic
Physicians
Neurosurgery
Orthopedic Surgery
Surgical Complications
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psnet.ahrq.gov/node/847043/psn-pdf
April 05, 2023 - evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow … https://psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
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psnet.ahrq.gov/node/837065/psn-pdf
May 11, 2022 - https://psnet.ahrq.gov/issue/fast-tracking-cardiac-surgery-it-safe
Post-operative complications can … fast-tracking-cardiac-surgery-it-safe
https://psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
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psnet.ahrq.gov/node/867691/psn-pdf
March 05, 2025 - surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
https://psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms … //psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
https://psnet.ahrq.gov/issue/impact-complications-surgeons
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psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
March 02, 2011 - Study
Avoidable iatrogenic complications of urethral catheterization and inadequate … Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care … Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care
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psnet.ahrq.gov/node/49801/psn-pdf
August 01, 2017 - .(12)
Such programs focus primarily on avoiding complications in the first place. … Some patients will proceed
to experience irremediable complications or multisystem organ failure. … and/or to take actions necessary to mitigate further
complications and death. … Most
studies have focused on strategies for preventing complications, while little work has explored … Hospital characteristics associated with failure to
rescue from complications after pancreatectomy.
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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/introduction-surgical-safety-checklists-ontario-canada
June 21, 2016 - This study examined changes in operative mortality, risk of surgical complications, length of stay, and … The risk of surgical complications and mortality prior to checklist implementation was comparable to … May 29, 2024
Association of overlapping surgery with increased risk for complications
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psnet.ahrq.gov/issue/association-hospital-participation-quality-reporting-program-surgical-outcomes-and
January 13, 2016 - 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, and … The Topic
Operating Room
Health Care Executives and Administrators
Surgery
Surgical Complications
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psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
August 20, 2018 - 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 … Operating Room
Quality and Safety Professionals
Information Professionals
Surgery
Surgical Complications