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psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - In Conversation With… Lucian Leape, MD
April 1, 2015
In Conversation With… Lucian Leape, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-lucian-leape-md
Editor's note: Dr. Lucian Leape is Adjunct Professor of Health Policy at the Harvard School of Public
Health, Chairman of the Lucian …
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psnet.ahrq.gov/node/43653/psn-pdf
January 01, 2015 - comparing clinician responses to administrative data, there was little
agreement about the presence of complications … , with neither source consistently identifying more
complications.
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psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - identify-patterns
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
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psnet.ahrq.gov/node/43408/psn-pdf
May 01, 2015 - weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-
urgent-surgery
Patients admitted on the weekend may have higher rates of complications … patients who underwent a weekend surgical
procedure had higher rates of mortality and postoperative complications
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - preventable-hospital
Since 2008, Medicare no longer pays hospitals for treating patients who develop preventable
complications … interview addressed the potential benefits and limitations of insurers not
paying for preventable complications
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psnet.ahrq.gov/node/42352/psn-pdf
January 14, 2014 - This study adds to recent similar findings that
surgical complications also often result in net profits … making-business-case-patient-safety
https://psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
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psnet.ahrq.gov/node/49410/psn-pdf
July 01, 2003 - complication was entirely preventable, as many medical errors are.(1) Thankfully, no long-term medical
complications … Other
complications (infection, erythema, etc.) were not different, but patients had less pain and the … Following these simple and intuitive steps will prevent most adverse events, but complications may still … view the use of tissue adhesives as “invasive,” they are part of the list of procedures
from which complications … training sessions need to introduce the product, the indications and
contraindications, potential complications
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psnet.ahrq.gov/node/848124/psn-pdf
April 26, 2023 - member
of the analytics team looking at surveillance and early recognition of serious but treatable complications … This is the idea of serious but treatable complications,
and respiratory arrests due to opioids are
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psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
February 01, 2012 - primary surgeon with an attending literally physically present doesn't increase serious mistakes or complications … supervision by an attending physician has been shown to improve compliance with practice guidelines, decrease complications
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psnet.ahrq.gov/node/44034/psn-pdf
January 19, 2016 - Moreover, even complete checklist usage did not seem to prevent
complications in low-risk patients.
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psnet.ahrq.gov/web-mm/too-much-too-fast
June 14, 2019 - August 15, 2013
Association between surgeon stress and major surgical complications.
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psnet.ahrq.gov/web-mm/benefits-vs-risks-intraosseous-vascular-access
September 01, 2005 - 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 … A 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/web-mm/missing-suction-tip
January 01, 2006 - retained foreign bodies appear with regularity in the popular press ( 1 ), and may result in substantial complications
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psnet.ahrq.gov/web-mm/diagnostic-overshadowing-dangers
February 12, 2020 - Media
June 1, 2017
WebM&M Cases
Chest Tube Complications
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psnet.ahrq.gov/web-mm/preventable-transfer-hospital
March 31, 2022 - multiple comorbidities had a prolonged three-month hospitalization for COVID-19 pneumonia-associated complications
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psnet.ahrq.gov/web-mm/wheres-feeding-tube
September 01, 2003 - Acute complications associated with bedside placement of feeding tubes.
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psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
July 28, 2021 - As a result, the patient received ten times the intended dose and experienced overdose complications
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psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
March 25, 2020 - hallucinations and other features of organic brain syndrome. 6,7 This patient did not suffer these potential 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/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