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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/surgical-team-training-promoting-high-reliability-nontechnical-skills
May 01, 2019 - Related Resources
A human factors intervention in a hospital--evaluating the outcome … February 13, 2014
The relationship of the emotional climate of work and threat to patient outcome
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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
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psnet.ahrq.gov/issue/improving-patient-safety
January 18, 2011 - June 30, 2021
Strategies to improve the patient safety outcome indicator: preventing … August 26, 2011
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/issue/effect-rapid-response-team-hospital-wide-mortality-and-code-rates-outside-icu-childrens
December 02, 2014 - Generalizing the results from positive RRT outcome studies is often limited by methodological issues … A past study also demonstrated clinical outcome benefits, but used a physician assistant–led RRT.
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psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - Dangers of Missing an Epidural Abscess:
Multiple Visits and Delayed Diagnosis with
a Severely Negative Outcome … DANGERS OF MISSING AN EPIDURAL
ABSCESS: MULTIPLE VISITS AND DELAYED
DIAGNOSIS WITH A DEVASTATING OUTCOME … describing how multiple preventable errors over
several clinical visits culminated in a devastating
outcome … Spinal Epidural Abscess: Evaluation of Factors Influencing Outcome. … Spinal epidural abscess: clinical presentation, management, and outcome.
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psnet.ahrq.gov/node/33592/psn-pdf
December 15, 2024 - commission (doing something wrong) or omission (failing to do the right thing) leading
to an undesirable outcome … or significant potential for such an outcome." … miss: an unsafe situation that is indistinguishable from a preventable adverse event except for
the outcome
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psnet.ahrq.gov/node/35820/psn-pdf
December 31, 2018 - multidisciplinary content on how simulation is being used in
health care education, performance assessment, outcome
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psnet.ahrq.gov/taxonomy/term/3437
It simply indicates that an undesirable clinical outcome resulted from some aspect of diagnosis or therapy
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psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
April 24, 2024 - The safety culture of an operating room is known to affect teamwork and patient outcome.
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psnet.ahrq.gov/issue/ismp-targeted-medication-safety-best-practices-community-pharmacy
March 21, 2012 - Citation
Related Resources From the Same Author(s)
Good intention, uncertain outcome … June 10, 2018
Fatal outcome after inadvertent injection of topical epinephrine.
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psnet.ahrq.gov/web-mm/premature-extubation
May 25, 2011 - The published frequency of this outcome has varied from zero to 80%.( 6 ) Patients who are intubated … Effect of failed extubation on the outcome of mechanical ventilation. Chest. 1997;112:186-192. … Predictors of extubation outcome in patients who have successfully completed a spontaneous breathing … Protocol directed weaning from mechanical ventilation: clinical outcome in patients randomized for a … Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation.
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psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
July 02, 2019 - May 4, 2011
Unscheduled returns to the emergency department: an outcome of medical errors … October 26, 2010
EMS helicopter crashes: what influences fatal outcome?
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psnet.ahrq.gov/issue/association-hospital-markup-preventable-adverse-events-following-pancreatic-surgery-united
March 14, 2022 - May 12, 2021
A human factors intervention in a hospital--evaluating the outcome of a … surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome
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psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
May 22, 2019 - report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome … A morbidity and mortality conference-based classification system for adverse events: surgical outcome
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psnet.ahrq.gov/issue/scoping-review-distributed-cognition-acute-care-clinical-decision-making
April 08, 2020 - beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome … April 17, 2013
The effect of medical emergency teams on patient outcome: a review of
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psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
May 21, 2019 - interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome … July 5, 2013
The relationship of the emotional climate of work and threat to patient outcome
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psnet.ahrq.gov/issue/prevalence-types-and-sources-bullying-reported-us-general-surgery-residents-2019
May 06, 2020 - April 15, 2020
Outcome differences between surgeons performing first and subsequent coronary … The effects of aviation-style non-technical skills training on technical performance and outcome
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psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
July 22, 2020 - Related Resources From the Same Author(s)
Personality traits and traumatic outcome … August 12, 2020
Personality traits and traumatic outcome symptoms in registered nurses