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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - retention of a foreign object in a patient after surgery or other procedure
Intraoperative or immediately postoperative
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
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psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
March 01, 2004 - code of 512.1 in any secondary diagnosis field per 100 medical and surgical discharges Postoperative
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psnet.ahrq.gov/node/74713/psn-pdf
January 26, 2022 - He underwent internal fixation without
intraoperative complications and was admitted to a routine postoperative
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psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - High flow nasal oxygen is of great benefit when intubating obese patients, and in the postoperative period
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - WebM&M Cases
Respiratory Distress after Neck Surgery: Two Cases of Postoperative
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psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Information obtained in the preoperative period may become crucial in the operating room or during the postoperative
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psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
June 24, 2020 - November 16, 2022
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Masheter.pdf
March 01, 2004 - focuses on three specific
kinds of AEs: new acute pulmonary embolism, acute myocardial infarction, and
postoperative … The PS
Indicator postoperative sepsis and AE Class septicemia/bacteremia are an
example of partial … The PS Indicator postoperative sepsis includes only
elective surgery cases or a patient with length
-
psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
July 17, 2024 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative
-
psnet.ahrq.gov/web-mm/transfer-troubles
December 29, 2014 - The patient survived the surgery, but experienced persistent postoperative hypotension (shock) of unclear
-
www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
December 01, 2017 - Smaller studies of general surgery patients also support a correlation between postoperative glucose
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - Postoperative cesarean section complication.
Magnesium toxicity.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - Postoperative cesarean section complication
9.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
April 01, 2022 - prevented the sterile dressing from being properly secured, allowing for a break in sterility in the postoperative
-
psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - The "10/30" rule, first recommended by Adams and Lundy in 1942 to improve outcomes in postoperative patients
-
www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
February 01, 2016 - detection
Example: Use of prophylaxis for venous thromboembolism in appropriate patients
Example: Postoperative
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle_facnotes.docx
December 01, 2017 - Smaller studies of general surgery patients also support a correlation between postoperative glucose
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/029-ss-review-ssi-prevention-fg.docx
April 01, 2025 - In the surgery and postoperative phases there are opportunities for antimicrobial prophylaxis and evidence-based
-
psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiveness-course
February 01, 2011 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative