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psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - the percentage
of deaths for which adverse events in management either caused or contributed to the outcome … practice and focusing on
adverse events within the process of care serves as an equally important outcome
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psnet.ahrq.gov/issue/rapid-response-teams
October 29, 2008 - June 12, 2008
Epidemiology and patient outcome after medical emergency team calls triggered … October 16, 2013
Epidemiology and patient outcome after medical emergency team calls … February 1, 2011
The effect of medical emergency teams on patient outcome: a review of
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psnet.ahrq.gov/issue/effect-lean-intervention-improve-safety-processes-and-outcomes-surgical-emergency-unit
January 04, 2010 - Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome … The effects of aviation-style non-technical skills training on technical performance and outcome … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome
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psnet.ahrq.gov/issue/composite-measures-profiling-hospitals-bariatric-surgery-performance
January 31, 2013 - used clinical registry data from the Michigan Bariatric Surgery Collaborative to develop a composite outcome … August 30, 2023
A human factors intervention in a hospital--evaluating the outcome
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psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - primer describes the framework
for measuring patient safety based on Donabedian’s structure-process-outcome … As outcome measures, patient safety indicators may not provide detailed and actionable information on … Outcome measures of patient safety, including hospital acquired infections, hospital
acquired conditions … developing a set of
indicators to measure patient safety for post-acute care facilities, including outcome … On the correlation between outcome
indicators and the structure and process indicators used to proxy
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psnet.ahrq.gov/issue/mortality-among-patients-acute-myocardial-infarction-influences-patient-centered-care-and
April 10, 2024 - July 18, 2016
"Closing the loop": a mixed-methods study about resident learning from outcome … January 7, 2015
Epidemiology and patient outcome after medical emergency team calls triggered
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psnet.ahrq.gov/primer/patient-safety-indicators
September 07, 2019 - primer describes the framework for measuring patient safety based on Donabedian’s structure-process-outcome … As outcome measures, patient safety indicators may not provide detailed and actionable information on … Outcome measures of patient safety, including hospital acquired infections, hospital acquired conditions … developing a set of indicators to measure patient safety for post-acute care facilities , including outcome … On the correlation between outcome indicators and the structure and process indicators used to proxy
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psnet.ahrq.gov/issue/use-medical-emergency-teams-medical-and-surgical-patients-impact-patient-nurse-and
November 09, 2011 - September 12, 2016
The impact of rapid response team on outcome of patients transferred … July 5, 2013
The effect of medical emergency teams on patient outcome: a review of the … December 1, 2008
A prospective study of factors influencing the outcome of patients after
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psnet.ahrq.gov/node/37308/psn-pdf
January 05, 2012 - Whereas a past study showed similar outcome benefits using an RRS led by trained physician assistants … rapid-response-teams-walk-dont-run
https://psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
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psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - Issue #1
Overcalling error due to evaluation of a case with knowledge of the patient’s outcome (hindsight … Several radiologists reviewed the chest x-ray (after the outcome) and reported it “consistent” with … interpret chest x-ray findings
differently than radiologists who are unaware of the ultimate outcome … The best way to minimize the impact of hindsight bias is to ignore the outcome. … It is not clear how many observers,
blinded to the outcome, would miss this finding, but surely some
-
psnet.ahrq.gov/node/39239/psn-pdf
September 27, 2017 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome … psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
February 03, 2021 - January 14, 2011
Strategies to improve the patient safety outcome indicator: preventing … March 18, 2010
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/node/33614/psn-pdf
June 01, 2005 - The relevant
corollary is that any study reporting dramatic improvements in any major clinical outcome … The investigators had three clinicians
independently review each outcome, and found that they agreed … Given this relatively poor agreement, how does one assign the final outcome for each case—majority rules … For instance,
in the previously mentioned study of medication reconciliation (11), the outcome was " … In some cases, a surrogate outcome has no established relationship to patient outcomes.
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psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
June 23, 2009 - the percentage of deaths for which adverse events in management either caused or contributed to the outcome … in practice and focusing on adverse events within the process of care serves as an equally important outcome
-
psnet.ahrq.gov/node/38778/psn-pdf
March 04, 2011 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome … psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
September 02, 2009 - accusations of medication error are a small portion of medical malpractice claims with a lethal outcome … April 4, 2011
Patient assessments of a hypothetical medical error: effects of health outcome
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psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
January 20, 2015 - The studies took varied approaches to intervention design and outcome measurement. … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome
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psnet.ahrq.gov/node/61080/psn-pdf
October 28, 2020 - Kienzler et al evaluated outcome after in-hospital re-bleeding in 243
consecutive patients with aneurysmal … Rebleeding was fatal in 71% of patients and caused severe neurological
outcome in the survivors.11,12 … surgical care should be carefully weighed to avoid preventable
complications and optimize functional outcome … Outcome after In-Hospital Rebleeding of Rupture of
Intracranial Aneurysms. … Unruptured intracranial aneurysms: natural history,
clinical outcome, and risks of surgical and endovascular
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - Issue #1 Overcalling error due to evaluation of a case with knowledge of the patient’s outcome (hindsight … interpret chest x-ray findings differently than radiologists who are unaware of the ultimate outcome … The best way to minimize the impact of hindsight bias is to ignore the outcome. … The outcome (good or bad) for a patient should not be revealed when trying to classify diagnostic mistakes … It is not clear how many observers, blinded to the outcome, would miss this finding, but surely some
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psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
May 04, 2022 - November 2, 2022
Personality traits and traumatic outcome symptoms in registered nurses … September 11, 2019
"Closing the loop": a mixed-methods study about resident learning from outcome