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psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
April 28, 2021 - The patient had an uncomplicated postoperative course.
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psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
February 15, 2017 - August 9, 2023
Race, postoperative complications, and death in apparently healthy children
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psnet.ahrq.gov/node/861882/psn-pdf
January 31, 2024 - Examples of patient-reported non-routine
events in ambulatory surgery include unexpected postoperative
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - Reports of several patient injuries following early discharge suggest that postoperative complications
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psnet.ahrq.gov/node/33786/psn-pdf
May 01, 2015 - for peers to reliably assess surgeons' technical skills, and that such
assessments are predictive of postoperative
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - Systems Approach
September 15, 2024
Systems Approach. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/systems-approach
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in …
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psnet.ahrq.gov/perspective/conversation-withrobert-m-wachter-md
October 01, 2008 - Romano and colleagues ( 15 ) found that half of the difference in postoperative (after back surgery) … Can administrative data be used to compare postoperative complication rates across hospitals?
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psnet.ahrq.gov/node/49536/psn-pdf
May 01, 2007 - For example, a temporary tattoo could be
used during the postoperative mastectomy period to remind professionals
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psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
January 31, 2018 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for
postoperative
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psnet.ahrq.gov/node/49719/psn-pdf
September 01, 2014 - detecting drug overdose based on hemodynamic responses (15), antibiotic administration compliance, and
postoperative
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psnet.ahrq.gov/node/49725/psn-pdf
January 01, 2015 - may occur between checklists for intraoperative handover between anesthesiologists and immediate
postoperative
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psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
September 29, 2021 - Resources
Potentially inappropriate medication administration is associated with adverse postoperative
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psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - The patient had a prolonged postoperative course with intra-abdominal infection before ultimately dying
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psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis
November 21, 2021 - associated with shift-to-shift handoffs.( 10 ) Problems arising during handoffs are not limited to the postoperative
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psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
February 26, 2025 - Collaboration techniques improved decision-making among the anesthesia team (from preoperative staff to postoperative
-
psnet.ahrq.gov/node/838972/psn-pdf
October 27, 2022 - Her postoperative course was
complicated by urinary incontinence and a deep vein thrombosis (DVT) requiring
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - Leads to Anticoagulation Mishap
December 1, 2017
Predictors of in-hospital postoperative
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psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - for peers to reliably assess surgeons' technical skills, and that such assessments are predictive of postoperative
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psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
June 15, 2024 - medications, such as gabapentin for neuropathy and fluoxetine for depression, are missing from the postoperative