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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
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psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
August 09, 2013 - RIS
Download Citation
Related Resources From the Same Author(s)
Postoperative … January 27, 2010
Changes in safety attitude and relationship to decreased postoperative … 2012
An observational study of the frequency, severity, and etiology of failures in postoperative
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psnet.ahrq.gov/issue/systematic-quantitative-assessment-risks-associated-poor-communication-surgical-care
August 11, 2010 - September 26, 2012
Postoperative handover: problems, pitfalls, and prevention of error … January 27, 2010
Changes in safety attitude and relationship to decreased postoperative … 2012
An observational study of the frequency, severity, and etiology of failures in postoperative
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psnet.ahrq.gov/issue/hospital-readmission-after-noncardiac-surgery-role-major-complications
July 20, 2016 - March 10, 2021
A comprehensive estimation of the costs of 30-day postoperative complications … October 19, 2012
Postoperative sepsis in the United States. … See More About The Topic
Hospitals
Health Care Providers
Risk Managers
Surgery
Postoperative
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psnet.ahrq.gov/issue/positive-predictive-value-ahrq-accidental-puncture-or-laceration-patient-safety-indicator
April 03, 2017 - April 3, 2017
How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative … March 6, 2012
Detection of postoperative respiratory failure: how predictive is the Agency … May 29, 2019
Clinical validation of the AHRQ postoperative venous thromboembolism patient
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psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
March 07, 2018 - approaches to help minimize the risk of such error
Describe the role of decision-support alerts in postoperative … It is obvious that a major miscommunication occurred in the postoperative care of this patient. … Both postoperative fluid shifts after a major surgery and the ongoing need for analgesia and heart rate … For frail patients undergoing high-risk procedures, postoperative high-intensity care is required to … Intraoperative Care Transitions Are Not Associated with Postoperative Adverse Outcomes.
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psnet.ahrq.gov/node/37569/psn-pdf
March 21, 2017 - Decubitus ulcers, postoperative hip fractures, and postoperative thromboembolic events all appear as
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psnet.ahrq.gov/node/41265/psn-pdf
January 03, 2017 - Recent studies have shown that EMRs can be used to detect diagnostic errors
and postoperative complications … electronic-health-record-based-surveillance-diagnostic-errors-primary-care
https://psnet.ahrq.gov/issue/automated-identification-postoperative-complications-within-electronic-medical-record-using
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psnet.ahrq.gov/node/46529/psn-pdf
November 08, 2017 - automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing
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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www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-lit-review.html
January 01, 2017 - The mean postoperative increase in peak airway pressure was significantly larger in group PV (7.1 vs. … Group CV experienced significant postoperative increases in plateau pressure (p=0.007), but group PV … The mean postoperative decrease in dynamic lung compliance in group CV was significantly larger than … Group CV experienced significant postoperative increases in shunt (15.5% to 21.4%; p=0.021), but group … Protective ventilation may also help attenuate the postoperative pulmonary dysfunction (increases in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/ltvv-litreview.docx
January 01, 2017 - The mean postoperative increase in peak airway pressure was significantly larger in group PV (7.1 vs. … Group CV experienced significant postoperative increases in plateau pressure (p=0.007), but group PV … The mean postoperative decrease in dynamic lung compliance in group CV was significantly larger than … Group CV experienced significant postoperative increases in shunt (15.5% to 21.4%; p=0.021), but group … Protective ventilation may also help attenuate the postoperative pulmonary dysfunction (increases in
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - 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/issue/operating-room-briefings
January 02, 2017 - The authors describe a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital … September 28, 2010
Changes in prognosis after the first postoperative complication.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
March 10, 2008 - adapting the coding algorithms to define some of these PSIs, such as “Postoperative physiologic
and … respiratory
failure
No, because many
procedure codes are
required
PSI 12: Postoperative … Of course, such intoxications are also unlikely to affect postoperative patients
because any alcohol … CIHI has adopted PSI 8 (“postoperative hip
fracture,” renamed as “In-Hospital Hip Fracture Rate”) and … pulmonary embolism or deep vein thrombosis, and
postoperative respiratory failure, while the National
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www.ahrq.gov/research/findings/final-reports/stpra/stprasumm.html
April 01, 2013 - separated the basic events into components of the operative process (i.e., preoperative, operative, and postoperative … representation of the real system and processes under study (e.g., the preoperative, operative, and postoperative … across the various providers, including the physicians, surgeons, and ASC preoperative, operative, and postoperative
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psnet.ahrq.gov/node/39748/psn-pdf
August 11, 2010 - identified communication failures in all phases of surgical
care, including intraoperatively and during postoperative … address this issue, including standardized checklists—which were remarkably
successful at reducing postoperative
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psnet.ahrq.gov/node/39716/psn-pdf
August 09, 2013 - determine the key elements of racing "pit stops" and draw lessons for improving the safety of the
postoperative … learning
by data monitoring and analysis—have subsequently been applied to standardize and improve the
postoperative
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psnet.ahrq.gov/node/35516/psn-pdf
February 03, 2011 - supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-
randomized-controlled
This study addresses the benefits of a low-risk intervention to reduce postoperative … demonstrated that 80% fraction of inspired oxygen (FiO2)
perioperatively reduced the incidence of postoperative
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/45-iscr-pathway-audit-tool.xlsx
June 01, 2023 - Clear liquids postoperative day (POD) 0 0 0 ERROR:#DIV/0! … Postoperative antibiotics administered 0 0 ERROR:#DIV/0!
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
May 01, 2004 - postoperative
hemorrhage or
hematoma in any
secondary diagnosis
field AND code for
postoperative … Postoperative
wound
dehiscence
Discharges with ICD-
9-CM codes for
reclosure of
postoperative … The definitions of three PSIs (postoperative
hemorrhage or hematoma, postoperative pulmonary embolism … Three PSIs—postoperative physiological and metabolic derangements,
postoperative pulmonary compromise … Postoperative
adverse events of cholecystectomy in the Medicare
population.