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psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
July 25, 2018 - , 2019
Lack of association between intraoperative handoff of care and postoperative complications … October 9, 2013
A simple surgery with harrowing complications. … Operating Room
Health Care Executives and Administrators
General Surgery
Intraoperative Complications
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psnet.ahrq.gov/node/41010/psn-pdf
November 26, 2014 - Medicare and Medicaid Services' (CMS) 2008 policy denying additional
payment to hospitals for preventable complications … preventing-hospital-acquired-infections-national-survey-practices-reported-us-hospitals-2005
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/38986/psn-pdf
February 10, 2015 - strengthening the policy,
including denying payments for readmissions associated with hospital-acquired complications … medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/40422/psn-pdf
December 21, 2014 - Lack of sleep prior to performing surgery has also been associated with
surgical complications, and … disruptive-and-unprofessional-behavior
https://psnet.ahrq.gov/primer/duty-hours-and-patient-safety
https://psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
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psnet.ahrq.gov/node/43064/psn-pdf
January 01, 2015 - making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications … https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/44056/psn-pdf
May 19, 2018 - impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
A 2013 study showed hospitals actually profit when patients experience surgical complications … impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
September 01, 2012 - Although there is little published information on these rare events, the risk of all bleeding complications … More importantly, this final review allows for careful inspection of signs of complications that may … Both patient-related and procedure-related factors are associated with increased risk of these complications … Complications of cardiac catheterization. … The prognostic value of Bleeding Academic Research Consortium (BARC)-defined bleeding complications in
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psnet.ahrq.gov/web-mm/departure-central-line-ritual
October 13, 2018 - ( Table ).( 6-8 ) Some of these—such as pneumothorax and bleeding complications, are not always completely … In some cases retained guidewires result in severe complications—with an incidence of moderate to severe … Part 1: mechanical complications. Intensive Care Med. 2002;28:1-17. [go to PubMed] 7. … Part 2: infectious complications. Intensive Care Med. 2002;28:18-28. [go to PubMed] 8. … Guidewire-related complications during central venous catheter placement: a case report and review of
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - patient's outcome: how unanticipated or underappreciated gaps in the system of care can contribute to complications … .( 1 ) In the past, such complications were often considered to be inevitable consequences of central … Central line removal can have serious and even fatal complications (air embolism, catheter fracture and … Preventing complications of central venous catheterization. N Engl J Med. 2003;348:1123-1133. … catheter [1A] Use ultrasound to reduce number of attempts and mechanical complications
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psnet.ahrq.gov/node/49716/psn-pdf
August 21, 2014 - After 2
months in the ICU and multiple complications, the patient was discharged. … Numerous complications may arise with the use of IO devices.(6) As in the present case, the access
needle's … references
Scandinavian survey of 1800 cases in which an IO device was used for vascular access revealed
complications … resolved, replacing the IO needle with more long-term IV access is advised and will further decrease
complications … These complications can
be mitigated by developing detailed institutional policy guidelines for IO use
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psnet.ahrq.gov/node/37831/psn-pdf
December 23, 2012 - targeted-chart-review-pediatric-patient-safety-events-identified-agency-healthcare-research
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications … https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/41694/psn-pdf
September 19, 2012 - Medicaid Services (CMS) has not reimbursed hospitals for costs associated
with certain preventable complications … effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
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psnet.ahrq.gov/node/43263/psn-pdf
July 16, 2014 - patient-complaints-healthcare-systems-systematic-review-and-coding-
taxonomy
Patient complaints may help identify complications … patient-complaints-healthcare-systems-systematic-review-and-coding-taxonomy
https://psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
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psnet.ahrq.gov/node/47471/psn-pdf
January 27, 2019 - surgical events did not differ by career stage, although very small increases
in risk of two specific complications—dropped … aging-surgeon
https://psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
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psnet.ahrq.gov/node/43917/psn-pdf
November 03, 2015 - their index admission, further confirming that surgical readmissions are
overwhelmingly due to new complications … Lucian Leape notes that analyses of these surgical complications can serve as "treasures" for providing
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psnet.ahrq.gov/node/43919/psn-pdf
May 01, 2015 - 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,
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psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - December 22, 2010
Cognitive bias impact on management of postoperative complications, … March 21, 2016
Underreporting of robotic surgery complications. … More About The Topic
Operating Room
Quality and Safety Professionals
Surgery
Surgical Complications
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - 2019
The I-READI quality and safety framework: a health system’s response to airway complications … April 15, 2020
WebM&M Cases
Complications of Vascular … See More About The Topic
Operating Room
Physicians
Anesthesiology
Surgical Complications
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psnet.ahrq.gov/issue/skillset-obtained-surgical-simulation-transferable-operating-theatre
August 25, 2011 - 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 … 2019
The I-READI quality and safety framework: a health system’s response to airway complications
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psnet.ahrq.gov/node/42692/psn-pdf
April 21, 2015 - Surgeons rated in the lowest quartile of surgical skill had more
surgical complications, longer surgical