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psnet.ahrq.gov/node/37124/psn-pdf
December 04, 2016 - Public reporting of mortality indicators forces hospitals to evaluate each death as a potentially poor
outcome
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psnet.ahrq.gov/node/34931/psn-pdf
April 06, 2011 - a bias toward filing patient incident reports and settling claims when the care
results in a poor outcome
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psnet.ahrq.gov/node/43185/psn-pdf
May 14, 2014 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/node/37095/psn-pdf
September 04, 2010 - errors occurred frequently, most
were preventable, and 2.7% of patients experienced an adverse clinical outcome
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - 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/issue/does-teamwork-improve-performance-operating-room-multilevel-evaluation
July 02, 2014 - 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/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
June 18, 2008 - A morbidity and mortality conference-based classification system for adverse events: surgical outcome … report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome
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psnet.ahrq.gov/issue/medication-errors-during-medical-emergencies-large-tertiary-care-academic-medical-center
July 31, 2013 - July 20, 2022
Outcome of adverse events and medical errors in the intensive care unit … ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome
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psnet.ahrq.gov/issue/interventions-reduce-burnout-and-improve-resilience-impact-health-systems-outcomes
January 10, 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/issue/impact-rapid-response-system-delayed-emergency-team-activation-patient-characteristics-and
November 03, 2008 - Related Resources From the Same Author(s)
A prospective study of factors influencing the outcome … November 21, 2021
Epidemiology and patient outcome after medical emergency team calls
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psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - Editor's Note: An engineer and an attorney by training, David Marx, JD, is president of Outcome … the fact that many other providers have made the same mistake or behavioral choice, with no adverse outcome … First, with the assistance of David Marx, JD , president of Outcome Engineering, we conducted a survey … or dismissal) after a certain number of errors, or that predicate punishment on the severity of the outcome … Reckless behavior is punishable regardless of the outcome of the behavior.
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psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
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psnet.ahrq.gov/node/60047/psn-pdf
March 18, 2020 - The authors note that the ability to demonstrate improvements were limited
by lack of objective outcome
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psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
March 30, 2022 - 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/40897/psn-pdf
November 02, 2011 - infrequent-physician-use-implantable-cardioverter-defibrillators-risks-patient-
safety
This study found evidence of a volume–outcome
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psnet.ahrq.gov/node/44946/psn-pdf
February 01, 2017 - psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
Inpatient mortality represents a key outcome
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psnet.ahrq.gov/node/35704/psn-pdf
March 28, 2011 - number of patient complaints was low and nature of patient complaints varied (eg,
due to poor clinical outcome
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psnet.ahrq.gov/curated-library/opioid-stewardship
December 15, 2024 - Providers using TOWER were more adherent to the CDC guidelines, with no worsening patient-reported outcome … The authors estimate a 14% increased risk for an opioid-related adverse outcome within one year when
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psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
July 23, 2024 - collectors and data collection training Access to electronic health records Patient inclusion criteria Outcome … collect standardized local data Access to data from other participating (and non-participating) sites Outcome … HMS determined the specific patient outcome measures, which included CLABSI, DVT, and catheter occlusion … collectors and data collection training Access to electronic health records Patient inclusion criteria Outcome … collect standardized local data Access to data from other participating (and non-participating) sites Outcome
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psnet.ahrq.gov/node/35254/psn-pdf
April 06, 2011 - events, their
location of occurrence, and the low rate of incidents associated with a catastrophic outcome