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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - was Commissioner of Health in New York, I created the first program publishing data on risk-adjusted mortality

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33624/psn-pdf
    December 01, 2005 - litigation on the one hand, and yet on the other hand acknowledge that there is tremendous morbidity and mortality

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33762/psn-pdf
    March 01, 2014 - data to drive quality improvements—Florence Nightingale was looking at infection-related outcomes and mortality—and

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73902/psn-pdf
    September 29, 2021 - Mortality in patients with SEA is approximately 16%, while 15% of survivors have permanent paresis or … diagnosis is delayed have the worst outcomes.12–14 Early diagnosis of SEA is key to reducing morbidity and mortality

  5. Patient Safety in Office-Based Care Settings | PSNet

    psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
    January 31, 2024 - High-quality office-based care, such as primary care, is essential to improve health outcomes , to decrease mortality … Over time, these lapses in quality and safety cause significant morbidity, and perhaps even mortality

  6. Getting Into Patient Safety: A Personal Story | PSNet

    psnet.ahrq.gov/perspective/getting-patient-safety-personal-story
    August 01, 2006 - I'm fond of making the observation that, when I was a resident, the mortality in neonatal surgery was … By the time I quit pediatric surgery 20 years later, neonatal mortality was down to around 2% or 3%.

  7. In Conversation With… Dave deBronkart | PSNet

    psnet.ahrq.gov/perspective/conversation-dave-debronkart
    June 01, 2014 - As a result, we end up with unnecessary morbidity and mortality. … Congressional hearings on unnecessary surgery and ABC's 1982 "The Deep Sleep" special on anesthesia mortality

  8. Identifying Adverse Events Not Present on Admission: Can We Do It? | PSNet

    psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
    October 01, 2008 - of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality … September 6, 2023 Perspective Where Does Risk-Adjusted Mortality

  9. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet

    psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
    April 01, 2009 - given antibiotics) was shown to have encouraged unnecessary use of antibiotics and not to have reduced mortality … was Commissioner of Health in New York, I created the first program publishing data on risk-adjusted mortality

  10. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
    January 31, 2024 - Over time, these lapses in quality and safety cause significant morbidity, and perhaps even mortality … High-quality office-based care, such as primary care, is essential to improve health outcomes , to decrease mortality

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33773/psn-pdf
    September 01, 2014 - Overuse as a Patient Safety Problem September 1, 2014 Moriates C. Overuse as a Patient Safety Problem. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/overuse-patient-safety-problem Perspective Nearly half of primary care physicians in the United States believe that patients cared for in their own prac…

  12. The Hidden Harms of Hand Sanitizer | PSNet

    psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
    March 04, 2020 - The Hidden Harms of Hand Sanitizer Citation Text: Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  13. Transfer Troubles | PSNet

    psnet.ahrq.gov/web-mm/transfer-troubles
    December 29, 2014 - study, approximately 17% of the adverse events resulted in potential harm to patients, although the mortality … rate was extremely low (0.04%).( 8 ) Communication Errors Communication errors are the most frequent

  14. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet

    psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
    April 27, 2022 - Mortality in patients with SEA is approximately 16%, while 15% of survivors have permanent paresis or … diagnosis is delayed have the worst outcomes. 12–14 Early diagnosis of SEA is key to reducing morbidity and mortality

  15. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet

    psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
    October 28, 2020 - research has also indicated that feelings of loneliness may also be a risk factor for recurrent stroke and mortality … Nursing Homes Becoming Islands of Isolation Amid ‘Shocking” Mortality Rate. The New York Times.

  16. Long-Term Care and the Response to COVID-19 | PSNet

    psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
    October 28, 2020 - research has also indicated that feelings of loneliness may also be a risk factor for recurrent stroke and mortality … Nursing Homes Becoming Islands of Isolation Amid ‘Shocking” Mortality Rate. The New York Times.

  17. Hyponatremia Secondary to Home Parenteral Nutrition Error | PSNet

    psnet.ahrq.gov/web-mm/hyponatremia-secondary-home-parenteral-nutrition-error
    May 27, 2020 - Indeed, sepsis remains one of the greatest sources of mortality among pediatric patients with intestinal

  18. Miscalculated Risk | PSNet

    psnet.ahrq.gov/web-mm/miscalculated-risk
    March 01, 2015 - the Same Author(s) Perspective Where Does Risk-Adjusted Mortality

  19. Think Like a Surgeon | PSNet

    psnet.ahrq.gov/web-mm/think-surgeon
    December 04, 2024 - Nonetheless, mortality is quite high because the presence of acalculous cholecystitis is usually a marker

  20. Good Night's Sleep Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - August 20, 2018 Effect of work-hours regulations on intensive care unit mortality in
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