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psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
November 08, 2013 - WebM&M Cases
Delayed Diagnosis of Kidney Transplant Complications … February 23, 2022
WebM&M Cases
Complications
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - anesthesia, the associated risk of bleeding and thrombosis, and the risks of postoperative cardiovascular complications … described in this case incorrectly continued to take aspirin preoperatively and developed bleeding complications
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www.ahrq.gov/hai/pfp/haccost2017-ref.html
May 01, 2023 - Multicenter evaluation of a novel surveillance paradigm for complications of mechanical ventilation. … Toward improved surveillance: The impact of ventilator-associated complications on length of stay and
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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - Take-Home Points Temporary hold orders can lead to multiple errors and complications in the medication … October 28, 2020
WebM&M Cases
Preventing Complications
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - Safety and Adverse Events
Composite) and PSI 04 (Death Rate Among Surgical Inpatients with Treatable Complications … for participating hospitals, including
overall mortality and safety-related outcomes such as cardiac complications
-
www.ahrq.gov/hai/cauti-tools/archived-webinars/ed-catheter-insertions-slides.html
December 01, 2017 - After 6 weeks in the hospital and many complications, Mr. Smith is no longer the same. … place urinary catheter often made in the ED
Avoiding unnecessary placement would prevent exposure (complications
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psnet.ahrq.gov/web-mm/abnormal-volunteer-results
July 18, 2016 - WebM&M Cases
Delay in Treatment: Failure to Contact Patient Leads to Significant Complications … and Laboratory Medicine
Discontinuities, Gaps, and Hand-Off Problems
Psychological and Social Complications
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hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2009_MaskedStats_Severity.PDF
January 01, 2009 - uncomplicated 3,407,146 0 0.00 1.00 0.01 0.07
CM_DMCX : AHRQ comorbidity
measure: Diabetes with chronic
complications … PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT 2,720 0.08%
811: ALLERGIC REACTIONS 2,164 0.06%
812: … POISONING OF MEDICINAL AGENTS 24,133 0.71%
813: OTHER COMPLICATIONS OF TREATMENT 3,098 0.09%
815: … 0: No class specified 4,896 0.14%
1: Minor loss of function (includes cases with no comorbidity or complications … OF TX WO CC/MC 1,601 0.05%
9191: COMPLICATIONS OF TX W CC 974 0.03%
9192: COMPLICATIONS OF TX W MCC
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2009_MaskedStats_Severity.PDF
January 01, 2009 - uncomplicated 7,810,762 0 0.00 1.00 0.15 0.36
CM_DMCX : AHRQ comorbidity measure: Diabetes with chronic complications … PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT 11,301 0.14%
811: ALLERGIC REACTIONS 5,128 0.07%
812 … : POISONING OF MEDICINAL AGENTS 47,223 0.60%
813: OTHER COMPLICATIONS OF TREATMENT 17,226 0.22%
815 … 0: No class specified 6,533 0.08%
1: Minor loss of function (includes cases with no comorbidity or complications … OF TX WO CC/MC 5,326 0.07%
9191: COMPLICATIONS OF TX W CC 7,535 0.10%
9192: COMPLICATIONS OF TX W
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hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2008_MaskedStats_Severity.PDF
January 01, 2008 - uncomplicated 8,158,381 0 0.00 1.00 0.14 0.35
CM_DMCX : AHRQ comorbidity measure: Diabetes with chronic
complications … PROCEDURE FOR OTHER COMPLICATIONS OF TREATMENT 11,479 0.14%
811: ALLERGIC REACTIONS 5,023 0.06%
812 … : POISONING OF MEDICINAL AGENTS 48,614 0.60%
813: OTHER COMPLICATIONS OF TREATMENT 18,443 0.23%
815 … 0: No class specified 5,693 0.07%
1: Minor loss of function (includes cases with no comorbidity or complications … OF TX WO CC/MC 6,383 0.08%
9191: COMPLICATIONS OF TX W CC 7,960 0.10%
9192: COMPLICATIONS OF TX W
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-265-radiation-bone-disease-summary.pdf
August 01, 2023 - Background and Purpose
Bone metastases are common in advanced cancers and result in severe pain and
complications
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www.ahrq.gov/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
December 01, 2013 - Complications
NG tubes:
Easily displaced.
Risk of malplacement/pulmonary aspiration.
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/drug-use-illicit-screening
October 20, 2016 - disorders, STI/HIV transmission, hepatitis B or C virus transmission, respiratory infection, cardiovascular complications
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/cer-265-radiation-bone-disease-summary.pdf
August 01, 2023 - Background and Purpose
Bone metastases are common in advanced cancers and result in severe pain and
complications
-
www.ahrq.gov/es/patient-safety/settings/hospital/resource/nicu/packet/apb3.html
December 01, 2013 - Complications
NG tubes:
Easily displaced.
Risk of malplacement/pulmonary aspiration.
-
psnet.ahrq.gov/node/33634/psn-pdf
May 04, 2006 - Reports of several patient injuries following early discharge suggest that postoperative complications
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psnet.ahrq.gov/periodic-issue/periodic-issue-377
February 01, 2023 - February 8, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, report…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-379
February 01, 2023 - February 22, 2023 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repor…
-
psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - Buprenorphine and the Medically Ill Patient
Citation Text:
McCance-Katz EF. Buprenorphine and the Medically Ill Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Hemorrhagic Shock after Elective Spine Surgery: Failure
to Rescue after Limited Response to Nursing Concerns.
July 10, 2024
Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response
to Nursing Concerns. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/hemorrhagic-sh…