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Showing results for "outcome".

  1. Rapid response teams: ten essentials leaders need to know. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
    December 21, 2014 - March 31, 2021 Physician health and wellbeing provide challenges to patient safety and outcome

  2. The growth of rapid response systems.  | PSNet

    psnet.ahrq.gov/issue/growth-rapid-response-systems
    April 24, 2018 - December 1, 2008 A prospective study of factors influencing the outcome of patients after

  3. Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors. | PSNet

    psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
    June 10, 2018 - July 18, 2018 Good intention, uncertain outcome...our take on physician dispensing in

  4. To ask or not to ask?: the results of a formative assessment of a video empowering patients to ask their health care providers to perform hand hygiene. | PSNet

    psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
    June 28, 2013 - September 30, 2015 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health

  5. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - April 4, 2011 Patient assessments of a hypothetical medical error: effects of health outcome

  6. Building a safety culture. | PSNet

    psnet.ahrq.gov/issue/building-safety-culture
    December 21, 2014 - December 21, 2014 EMS helicopter crashes: what influences fatal outcome?

  7. Leapfrog and critical care: evidence- and reality-based intensive care for the 21st century. | PSNet

    psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
    September 30, 2009 - A clinical case of electronic health record drug alert fatigue: consequences for patient outcome

  8. Patient safety and medical liability: current status and an agenda for the future. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
    January 01, 2015 - April 16, 2018 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health

  9. Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet

    psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - May 1, 2017 Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome

  10. An Agenda for Research in Ambulatory Patient Safety. | PSNet

    psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
    December 22, 2008 - March 6, 2005 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through

  11. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - March 20, 2018 Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome

  12. Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community. | PSNet

    psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
    September 26, 2016 - December 27, 2018 Good intention, uncertain outcome...our take on physician dispensing

  13. Refused Medication Error | PSNet

    psnet.ahrq.gov/web-mm/refused-medication-error
    November 01, 2005 - is problematic on many levels, this commentary focuses on the three likely causes of the unfortunate outcome … transfer can be discussed and improved upon.( 11 ) Several best practices might have led to a different outcome … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49466/psn-pdf
    October 14, 2004 - studies cite practitioner communication skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow https://psnet.ahrq.gov//#references were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an adverse patient outcome

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49833/psn-pdf
    June 01, 2018 - challenges us to review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse outcome … Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA

  16. Turn the Other Cheek | PSNet

    psnet.ahrq.gov/web-mm/turn-other-cheek
    October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012 Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015 Outcome of 6 years of protocol use for preventing wrong site office surgery

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49546/psn-pdf
    October 17, 2007 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and http://www.acgme.org/outcome … Available at: http://www.acgme.org/outcome/. Accessed September 27, 2007. 13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162 http://www.acgme.org/outcome/ http://www.ama-assn.org

  18. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - judgment and errors in technique occurred, and the attending surgeon was ultimately responsible for the outcome … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … understandings about the allowable number and location of cannulation attempts, could also have improved the outcome … Following these best practices could have resulted in a much better outcome for the patient in this case

  19. Pregnant With Danger | PSNet

    psnet.ahrq.gov/web-mm/pregnant-danger
    January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.

  20. The SAGES FUSE program: bridging a patient safety gap. | PSNet

    psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
    April 05, 2017 - June 7, 2018 Fatal outcome after inadvertent injection of topical epinephrine.
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