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psnet.ahrq.gov/issue/safety-events-childrens-hospitals-during-covid-19-pandemic
January 15, 2020 - Results indicate an increased risk for overall PDIs, but only postoperative sepsis showed increased … December 16, 2020
A comprehensive estimation of the costs of 30-day postoperative complications
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psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
October 19, 2022 - The incidence of adverse outcomes, including postoperative hospitalizations, infections , unplanned … Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
-
psnet.ahrq.gov/node/46278/psn-pdf
July 19, 2017 - This commentary provides suggestions for surgeons at
preoperative, postoperative, and outpatient care … issue/opioid-epidemic-what-can-surgeons-do-about-it
https://psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective-operations-nationally
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psnet.ahrq.gov/node/47134/psn-pdf
March 04, 2019 - overall there was no significant difference in the total amount of
opioids prescribed within the 30-day postoperative … hydrocodone prescribing may have resulted in
surgeons giving larger initial prescriptions in order to ensure postoperative
-
psnet.ahrq.gov/node/44916/psn-pdf
June 01, 2016 - clinic and subsequent
information retention among receivers: a prospective
interventional study of postoperative … clinic and subsequent information retention among receivers: A
prospective interventional study of postoperative
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psnet.ahrq.gov/node/46721/psn-pdf
April 16, 2018 - hour-predischarge-opioid-use-and-amount-opioids-
prescribed-hospital
This cross-sectional study at a single institution found that postoperative … This suggests the need to optimize opioid prescribing for postoperative patients at discharge.
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psnet.ahrq.gov/node/45811/psn-pdf
May 08, 2017 - quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
https://psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using … https://psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
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psnet.ahrq.gov/issue/prescriptions-analysis-clinical-pharmacists-post-operative-period-4-year-prospective-study
August 04, 2021 - that pharmacist intervention can detect a significant number of medication-related problems in the postoperative … April 24, 2018
Changes in safety attitude and relationship to decreased postoperative
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psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - On postoperative day three, increased drainage from
the surgical site was noted, which progressed and … required a return to the operating room for exploration
on postoperative day six. … The Commentary
The case presented describes a 60-year-old woman who developed a serious postoperative … In contrast, administering postoperative antibiotics alone is no better than not using
perioperative … On the sixth postoperative day, the patient required re-exploration, still
receiving empiric clindamycin
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psnet.ahrq.gov/node/49498/psn-pdf
January 01, 2006 - On the second postoperative
day, the patient suffered a sudden cardiopulmonary arrest. … 50% of surgical patients with a previous history of
VTE who do not receive prophylaxis will develop postoperative … upper-extremity DVT.(10)
Case & Commentary: Part 2
Review of the patient's chart revealed no pre- or postoperative … Craniotomy for
brain tumor
Enoxaparin 40 mg daily or UFH 5,000 units BID, 1st dose on 1st postoperative
-
psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - approaches to help minimize the risk of such error
• Describe the role of decision-support alerts in postoperative … surgery
3
TOO MANY COOKS IN THE KITCHEN
A case describing deviations in the plan for anesthesia
and postoperative … 22
Systems Change Needed (1)
• Decision-support alerts can identify patients at high risk for
postoperative … • For frail patients undergoing high-risk procedures,
postoperative high-intensity care is required … Intraoperative Care Transitions Are Not Associated with Postoperative Adverse
Outcomes.
-
psnet.ahrq.gov/node/40806/psn-pdf
October 31, 2011 - AHRQ-PSI) and the American College of
Surgeons National Surgical Quality Improvement Program
(ACS-NSQIP) postoperative … This study found that the Patient Safety Indicators lacked sensitivity and specificity for detecting
postoperative
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psnet.ahrq.gov/node/74112/psn-pdf
April 14, 2017 - https://psnet.ahrq.gov/perspective/health-equity-and-maternal-health
https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
-
psnet.ahrq.gov/node/34874/psn-pdf
February 25, 2009 - intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-
aortic-surgery
This study examines the association between nurse staffing ratios and postoperative … The authors suggest that nurse staffing affects the quality of postoperative care and that continued
-
psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators
January 10, 2024 - The most common PSI was postoperative hemorrhage/hematoma (27.6%) and the highest cost by case was postoperative
-
psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-clinic
October 15, 2008 - The investigators evaluated an intervention of pharmacist medication assessments and a postoperative … medication order form and found that the intervention minimized postoperative medication discrepancies
-
psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - be limited to three-to-seven days duration in opioid-naïve patients. 2 , 3 Studies have identified postoperative … In postoperative pediatric populations, counseling by a medical professional increases the probability … Opioid use in the postoperative period should be minimized to a 3 to 7-day supply with a single agent … Association of lowering default pill counts in electronic medical record systems with postoperative opioid … Practitioner counseling associated with improved opioid disposal among families of postoperative pediatric
-
psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
September 26, 2012 - September 26, 2012
Postoperative handover: problems, pitfalls, and prevention of error … December 21, 2014
Changes in safety attitude and relationship to decreased postoperative … 2015
An observational study of the frequency, severity, and etiology of failures in postoperative
-
psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
January 05, 2011 - August 20, 2018
Automated identification of postoperative complications within an electronic … Association between night-time surgery and occurrence of intraoperative adverse events and postoperative … July 3, 2014
Impact of resident participation in surgical operations on postoperative
-
psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-based-approach
January 07, 2015 - November 6, 2015
An observational study of postoperative handoff standardization failures … 2021
Association between paediatric intraoperative anaesthesia handover and adverse postoperative … Night Coverage in Academic Residency
October 30, 2019
A partially structured postoperative