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psnet.ahrq.gov/node/865373/psn-pdf
March 27, 2024 - Up to this point, a lot of our models for patient care only focused on one
outcome at a time. … The core presumption is that if we
can predict an adverse outcome, we can change the direction of that … outcome. … It really humbled us and made us realize that just
being able to predict an outcome is not the same … as effecting an improvement of that outcome.
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psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
January 01, 2025 - persistent problem.
24
Afferent Arm Modification: Mortality
25
Study Study type Modifications Outcome … Children
Afferent Arm Modification: Cardiorespiratory arrest
26
Study Study Type Modifications Outcome … hospital policies.
27
Efferent Arm Modification: Mortality
28
Study Study Type Modifications Outcome … )
Adults
Efferent Arm Modification: Cardiorespiratory Arrest
29
Study Study Type Modification Outcome … consider evaluating other common opioid
stewardship interventions as well as optimizing clinical outcome
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psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
March 28, 2011 - Same Author(s)
Patient assessments of a hypothetical medical error: effects of health outcome … December 1, 2011
Patient assessments of a hypothetical medical error: effects of health outcome
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psnet.ahrq.gov/issue/beware-basal-opioid-infusions-pca-therapy
June 05, 2018 - June 5, 2018
Fatal outcome after inadvertent injection of topical epinephrine. … February 13, 2019
Good intention, uncertain outcome...our take on physician dispensing
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psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
April 27, 2022 - 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 Severely Negative Outcome … Multiple preventable errors occurring over five clinical visits culminated in a debilitating outcome … Spinal Epidural Abscess: Evaluation of Factors Influencing Outcome. … Spinal epidural abscess: clinical presentation, management, and outcome.
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - October 4, 2011
Surgical adverse outcome reporting as part of routine clinical care. … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome
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psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
March 17, 2021 - March 2, 2022
Indicators for implementation outcome monitoring of reporting and learning … November 9, 2022
Outcome differences between surgeons performing first and subsequent
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psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
March 03, 2011 - 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/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-acute-change
September 17, 2008 - March 5, 2010
A prospective study of factors influencing the outcome of patients after … November 26, 2012
Epidemiology and patient outcome after medical emergency team calls
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psnet.ahrq.gov/node/853249/psn-pdf
September 06, 2023 - how-does-robotic-assisted-surgery-change-or-safety-culture
The safety culture of an operating room is known to affect teamwork and patient outcome
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psnet.ahrq.gov/node/851464/psn-pdf
July 19, 2023 - emergency-lights-and-sirens-ambulances-may-do-more-harm-good
https://psnet.ahrq.gov/issue/ems-helicopter-crashes-what-influences-fatal-outcome
-
psnet.ahrq.gov/node/852461/psn-pdf
August 16, 2023 - incident of maternal death and the family’s effort to demonstrate the role of discrimination in
the outcome
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psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
January 31, 2018 - July 24, 2019
The use of report cards and outcome measurements to improve the safety … Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome
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psnet.ahrq.gov/issue/new-perspectives-error-critical-care
March 10, 2011 - April 21, 2015
Outcome of adverse events and medical errors in the intensive care unit … June 27, 2012
The effect of medical emergency teams on patient outcome: a review of the
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psnet.ahrq.gov/issue/path-safe-and-reliable-healthcare
August 20, 2018 - 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/node/866192/psn-pdf
June 26, 2024 - external (e.g., health literacy), and organizational (e.g., access) factors that could have impacted the
outcome
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psnet.ahrq.gov/node/47492/psn-pdf
August 07, 2019 - pediatric-clinician-perspectives-communicating-diagnostic-uncertainty
https://psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
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psnet.ahrq.gov/node/74859/psn-pdf
February 23, 2022 - study assessing ClinicalTrials.gov identified the prevalence of registered studies with the
primary outcome
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psnet.ahrq.gov/node/846752/psn-pdf
March 29, 2023 - psnet.ahrq.gov/issue/surgeons-and-systems-working-together-drive-safety-and-quality
https://psnet.ahrq.gov/issue/outcome-differences-between-surgeons-performing-first-and-subsequent-coronary-artery-bypass
-
psnet.ahrq.gov/node/44954/psn-pdf
January 07, 2019 - snowball-blizzard-physicians-notes-uncertainty-medicine
https://psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty