-
psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
February 15, 2011 - This article sought to determine if eight never events (mostly infectious complications of surgery) are … The authors found that incidence of most of these complications could be predicted on the basis of preexisting … April 3, 2018
Use of administrative data to find substandard care: validation of the complications
-
psnet.ahrq.gov/node/73642/psn-pdf
August 25, 2021 - The most common complications of endoscopy are bleeding, bowel perforation, infection, and reactions … Complications of pediatric colonoscopy: a five-year
multicenter experience. … Complications in pediatric endoscopy. Best Pract
Res Clin Gastroenterol. 2016; 30: 825-39.
6. … Complications of diagnostic colonoscopy, upper endoscopy, and enteroscopy. … Sedation-related complications in gastrointestinal endoscopy.
-
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
-
psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
August 20, 2018 - return to surgery, but their clinical review indicated that half of such cases represented preventable complications … November 10, 2021
Spinal surgery complications: an unsolved problem-Is the World Health … Operating Room
Health Care Executives and Administrators
Orthopedic Surgery
Surgical Complications
-
psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
March 05, 2025 - Resources From the Same Author(s)
Association between surgeon stress and major surgical complications … WebM&M Cases
Delayed Diagnosis of Kidney Transplant Complications … More
See More About The Topic
Operating Room
Surgery
Postoperative Surgical Complications
-
psnet.ahrq.gov/node/41317/psn-pdf
January 31, 2013 - 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
-
psnet.ahrq.gov/node/46615/psn-pdf
January 23, 2019 - Mortality declined after checklist
implementation, but the rate of postoperative complications remained … excluding those that paired the checklist with other
interventions) on postoperative mortality and complications … This synthesis of published studies suggests
that checklists improved mortality and complications overall
-
psnet.ahrq.gov/node/39314/psn-pdf
December 21, 2014 - This article sought to determine if eight
never events (mostly infectious complications of surgery) … The authors
found that incidence of most of these complications could be predicted on the basis of preexisting … health-care-associated-infections
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
February 01, 2016 - surgery
Identify the benefits of robotic surgery as well as potential disadvantages
Discuss the potential complications … Surgical complications after robot-assisted laparoscopic radical prostatectomy: the initial 1000 cases … Surgical complications after robot-assisted laparoscopic radical prostatectomy: the initial 1000 cases … Preventing perioperative complications of robotic-assisted radical prostatectomy. … J Endourol. 2010;24:571-575. http://www.ncbi.nlm.nih.gov/pubmed/20192613
18
Preventing Complications
-
psnet.ahrq.gov/node/836823/psn-pdf
March 30, 2022 - inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
https://psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications … https://psnet.ahrq.gov/issue/i-readi-quality-and-safety-framework-health-systems-response-airway-complications
-
psnet.ahrq.gov/node/47987/psn-pdf
May 08, 2019 - between night-time surgery and occurrence
of intraoperative adverse events and postoperative
pulmonary complications … The observed increase in
postoperative pulmonary complications was explained by the type of surgery
-
psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Complications Tracheostomy-related complications are uncommon (3.2% in a recent analysis of the National … Tracheotomy complications: a retrospective study of 1130 cases. … A Multi-Institutional analysis of tracheotomy complications. Laryngoscope. 2012;122:38-45. … Tracheostomy care and complications in the intensive care unit. Crit Care Nurse. 2013;33:18-30. … Tracheotomy outcomes and complications: a national perspective. Laryngoscope. 2012;122:25-29.
-
psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction-perioperative-unit
December 16, 2020 - April 6, 2022
Influence of perioperative handoffs on complications and outcomes. … November 17, 2021
Complications associated with the anesthesia transport of pediatric … Facility and Group Administrators
Surgery
Discontinuities, Gaps, and Hand-Off Problems
Surgical Complications
-
psnet.ahrq.gov/node/866432/psn-pdf
August 07, 2024 - Consortium (HMS) quality improvement project to
reduce peripherally inserted central catheter (PICC) complications … PICC complications decreased
significantly over the 7-year project, and each participating hospital
-
psnet.ahrq.gov/node/74830/psn-pdf
June 01, 2022 - ID physician approval also was
associated with lower odds of PICC-related complications (6.5% versus … , increasing
attention is being paid to best practices to prevent PICC complications. … Innovation Patient Safety Focus
The initiative addresses the inappropriate use of, and complications … Preventing PICC complications: whose line is it? … https://psnet.ahrq.gov/web-mm/preventing-picc-complications-whose-line-it
11.
-
psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - The most important medical complications are cardiac, pulmonary, and venous thromboembolic. … and to stratify risk for the principal complications. … This history seeks evidence for major risk factors for medical complications as well as factors that … Guidelines exist to estimate risk of cardiac, pulmonary, and venous thromboembolic complications.( 3- … According to the Revised Cardiac Risk Index, his estimated risk for postoperative cardiac complications
-
psnet.ahrq.gov/node/39016/psn-pdf
April 04, 2011 - patient safety approach to improving surgical outcomes has largely focused on reducing
preventable complications … mortality after surgery was also influenced by "
failure to rescue"—failure to recognize and treat complications … psnet.ahrq.gov//#failuretorescue
https://psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
-
psnet.ahrq.gov/node/60268/psn-pdf
April 29, 2020 - Complications of ECMO During Transport
April 29, 2020
Broman M. … Complications of ECMO During Transport. PSNet [internet]. 2020. … https://psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
The Case
A 54-year-old woman with … The
major complications of ECMO include healthcare-associated infections, hematologic complications … Data on complications of intra-hospital ECMO transport are scarce.
-
psnet.ahrq.gov/node/73128/psn-pdf
July 01, 2022 - Care Reduces Costs, Readmissions,
and Complications and Enhances Satisfaction for Elderly
Patients. … April 7, 2021
https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications … Many potential complications due to hospitalization: Hospitalization results in a number of
factors … that can cause complications in seniors; these factors include enforced immobilization,
reduction of … A Cochrane review of Hospital at Home showed
reductions in clinical complications and mortality, better
-
psnet.ahrq.gov/node/50404/psn-pdf
January 01, 2020 - identify characteristics and risk factors of
preventable deaths resulting from medical or surgical complications … findings, clinical
process and procedures, medication/IV fluids, and healthcare-association infections or complications