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psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable
August 30, 2023 - The author argues for system approaches to address normalized complacency regarding complications
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psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
January 22, 2014 - Classic
The wisdom and justice of not paying for "preventable complications … The wisdom and justice of not paying for "preventable complications". … October 2008, Medicare will put into effect a new policy that withholds payment for eight preventable complications … of Medicare's efforts and focuses on criteria that should be considered when withholding payment for complications … The wisdom and justice of not paying for "preventable complications".
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psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
February 20, 2019 - Study
The association between complications, incidents, and patient experience: retrospective … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine … In this retrospective study, researchers used data on complications and safety incidents as well as … They found that patient-reported issues were associated with the presence of complications or safety … Patients who experienced complications or safety events but did not identify problems with their care
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psnet.ahrq.gov/issue/use-unsolicited-patient-observations-identify-surgeons-increased-risk-postoperative
July 10, 2019 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications … Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications … surgeons in the highest quartile of unsolicited observations had an approximately 14% higher risk of complications … Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications … An interpretative phenomenological analysis of vulnerability as experienced by patients with complications
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psnet.ahrq.gov/issue/effect-hospital-organizational-characteristics-postoperative-complications
December 18, 2017 - Study
The effect of hospital organizational characteristics on postoperative complications … The effect of hospital organizational characteristics on postoperative complications. … characteristics, such as bed size, location, and teaching status, might affect rates of various postoperative complications … The effect of hospital organizational characteristics on postoperative complications.
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www.ahrq.gov/hai/tools/mvp/about.html
March 01, 2017 - staff in intensive care units use Comprehensive Unit-based Safety Program (CUSP) principles to reduce complications … Background
Complications related to ventilator use in intensive care unit (ICU) patients are not uncommon … Complications such as VAP increase the likelihood of hospital readmission, long-term health problems … Many complications related to ventilator use, including VAP, are largely preventable. … address this problem, AHRQ funded a 3-year project to help staff in ICUs use CUSP principles to reduce complications
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psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
June 13, 2011 - Study
Classic
Identification of in-hospital complications … Identification of in-hospital complications from claims data. Is it valid? … validate a computerized screening method, this study determined whether ICD-9 codes used to identify complications … While the authors suggest that their method has validity for capturing most surgical complications, the … Identification of in-hospital complications from claims data. Is it valid?
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - Content Area
Taxonomy ID
Content Area
Frequency
403
Device-related Complications … 18
443
-- Wrong Patient
7
444
-- Wrong-Site Surgery
12
426
Medical Complications … 0
445
Psychological and Social Complications
21
446
-- Privacy Violations
2 … 437
Surgical Complications
25
439
-- Intraoperative Complications
12
440
… 9
453
---- Surgical Site Infections
9
438
-- Preoperative Complications
0
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psnet.ahrq.gov/issue/surgical-complications-and-their-implications-surgeons-well-being
December 04, 2016 - Study
Surgical complications and their implications for surgeons' well-being. … Surgical complications and their implications for surgeons' well-being. … study examined the personal and professional ramifications for surgeons following serious surgical complications … Surgical complications and their implications for surgeons' well-being.
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psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
April 21, 2015 - Study
Classic
Relationship between occurrence of surgical complications … Relationship between occurrence of surgical complications and hospital finances. … compared with those who had no complications. … Relationship between occurrence of surgical complications and hospital finances. … March 6, 2019
Complications of daytime elective laparoscopic cholecystectomies performed
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psnet.ahrq.gov/issue/simple-checklist-preventing-major-complications-associated-cesarean-delivery
January 10, 2024 - Commentary
A simple checklist for preventing major complications associated with … A simple checklist for preventing major complications associated with cesarean delivery. … This article proposes using an evidence-based checklist to prevent serious complications around pre … A simple checklist for preventing major complications associated with cesarean delivery. … Health Care Providers
Quality and Safety Professionals
Obstetrics
Nonsurgical Procedural Complications
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psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
March 08, 2023 - Study
Spinal surgery complications: an unsolved problem-Is the World Health Organization … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist … The authors conducted a retrospective analysis comparing the incidence of complications pre-checklist … Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist … February 17, 2010
Intraoperative adverse events and related postoperative complications
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www.ahrq.gov/hai/cauti-tools/phys-championsgd/section3.html
October 01, 2015 - The following case studies illustrate the opportunities to reduce the risk and prevent complications … Summarizing this case, we found that the patient developed multiple complications related to his PVC … What led to these complications? … Summarizing this case, we found that the patient developed complications related to urinary catheter … What led to all these complications?
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psnet.ahrq.gov/issue/impact-surgical-complications-obstetricians-and-gynecologists-wellbeing-and-coping-mechanisms
February 28, 2024 - Study
The impact of surgical complications on obstetricians' and gynecologists' wellbeing … The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechanisms … Surgical complications can result in guilt, shame, anxiety, or depression—sometimes referred to as "second … OBGYNs responding to the survey reported surgical complications were most stressful when they resulted … The impact of surgical complications on obstetricians’ and gynecologists’ well-being and coping mechanisms
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psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care
March 09, 2022 - Study
Cognitive bias impact on management of postoperative complications, medical … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … In this analysis of over 700 general surgical cases with complications, the authors attributed cognitive … Cognitive bias impact on management of postoperative complications, medical error, and standard of care … Association of coworker reports about unprofessional behavior by surgeons with surgical complications
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psnet.ahrq.gov/issue/postoperative-complications-due-retained-surgical-sponge
February 23, 2011 - Commentary
Postoperative complications due to a retained surgical sponge. … Postoperative complications due to a retained surgical sponge. … Postoperative complications due to a retained surgical sponge.
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www.ahrq.gov/news/blog/ahrqviews/maternal-health-indicators.html
October 01, 2024 - among wealthy nations, with an estimated 35,000 women affected each year by serious pregnancy-related complications … Native women, and women in rural communities who experience the highest rates of deaths and illness from complications … departments, health insurance companies, policymakers, and others need reliable information about which complications … all-payer billing data from HCUP, AHRQ assessed several refinements to definitions of maternal health complications … AHRQ include an HCUP statistical brief and chartbook examining trends in severe maternal morbidity complications
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psnet.ahrq.gov/issue/association-overlapping-surgery-increased-risk-complications-following-hip-surgery
November 21, 2021 - Classic
Association of overlapping surgery with increased risk for complications … Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A Population-Based … researchers found an association between increasing duration of surgical overlap and higher risk of complications … Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A Population-Based … June 10, 2009
Intraoperative adverse events and related postoperative complications in
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www.ahrq.gov/sites/default/files/2024-04/ratliff-report.pdf
January 01, 2024 - Final Progress Report: Developing a patient-centered model of the risk of perioperative complications … in spine surgery
Developing a patient-centered model of the risk of perioperative complications in … Purpose
This project sought to develop a relative risk model predicting incidence of complications in … The elderly are more prone than are many
other groups to perioperative complications. … to focus on complications for which
they have the highest suspicion or concern.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-value-rural-hospitals/citation/do-postoperative
January 01, 2023 - Do postoperative complications vary by hospital teaching status? … Do postoperative complications vary by hospital teaching status?