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psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
August 30, 2017 - improved targeted processes of care but failed to generate significant reductions in early major complications … September 22, 2021
Spinal surgery complications: an unsolved problem-Is the World Health … Room
Health Care Providers
Quality and Safety Professionals
Orthopedic Surgery
Surgical Complications
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psnet.ahrq.gov/node/47817/psn-pdf
February 27, 2019 - The collection focuses on three primary areas: procedural contraindications, procedure-
related complications … , and injectate-related complications such as the safe use of multi-dose and single-
dose vials.
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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/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
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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/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/node/50837/psn-pdf
January 29, 2020 - psnet.ahrq.gov/issue/better-care-surgical-patients-recognizing-and-responding-unexpected-save-
lives
Surgical complications … better-care-surgical-patients-recognizing-and-responding-unexpected-save-lives
https://psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
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psnet.ahrq.gov/topics
March 17, 2021 - Quality Improvement Strategies
Error Analysis
Psychological and Social Complications … Bedside Procedures Cardiology Gastroenterology Interventional Radiology Pulmonary Complications … Overtreatment Psychological and Social Complications Privacy Violations Readmissions Second … victims Surgical Complications Intraoperative Complications Retained Surgical Instruments and … Complications Transfusion Complications Transitions of Care
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - The patient ultimately recovered with no additional complications and was discharged home with her parents … The majority of these complications will resolve with time, but not all; it is important to describe … Despite low rates of complications, serious risks do exist and parents should be counseled on potential … Complications of adenotonsillectomy. Curr Opin Otolaryngol Head Neck Surg. 2010;18:539-543. … Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study.
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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/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/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/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/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/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/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-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/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/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