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Showing results for "complications".

5101. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet
      psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
      September 27, 2023 - WebM&M Cases Failure to Adhere to Dietary Restrictions Leading to Complications

5102. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - WebM&M Cases Managing Complexity in Diagnosis: Life-threatening Complications

5103. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
      psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
      January 22, 2020 - Health Care Executives and Administrators Pulmonology Radiology Nonsurgical Procedural Complications

5104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73145/psn-pdf
      April 28, 2021 - We have to have this level of surveillance and interventions when complications are occurring.

5105. Psn-Pdf (pdf file)
      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

5106. Psn-Pdf (pdf file)
      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

5107. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet
      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

5108. Departure From Central Line Ritual | PSNet
      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

5109. The Forgotten Line | PSNet
      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

5110. Psn-Pdf (pdf file)
      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

5111. Psn-Pdf (pdf file)
      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

5112. Psn-Pdf (pdf file)
      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

5113. Psn-Pdf (pdf file)
      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

5114. Psn-Pdf (pdf file)
      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

5115. Psn-Pdf (pdf file)
      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

5116. Psn-Pdf (pdf file)
      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,

5117. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet
      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

5118. 40 years behind the mask: safety revisited. | PSNet
      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

5119. Is the skillset obtained in surgical simulation transferable to the operating theatre? | PSNet
      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

5120. Psn-Pdf (pdf file)
      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