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psnet.ahrq.gov/node/47973/psn-pdf
July 18, 2019 - aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
https://psnet.ahrq.gov/issue/physician-health-and-wellbeing-provide-challenges-patient-safety-and-outcome-quality-across
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psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - The outcome in the case also is improbable. … This last issue raises concerns regarding liability exposure, since a patient with an adverse outcome … result, unable to pursue a successful legal claim against an offshore provider, may associate the poor outcome … who travel for advanced medical procedures available overseas but not adopted by US surgeons pending outcome
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psnet.ahrq.gov/web-mm/around-block
March 04, 2020 - This case and its catastrophic outcome raise many questions. … The comparative effects of postoperative analgesic therapies on pulmonary outcome: cumulative meta-analyses … Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial. … Effects of perioperative analgesic technique on the surgical outcome and duration of rehabilitation after
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psnet.ahrq.gov/node/840174/psn-pdf
August 28, 2024 - error in the team’s intraoperative care that may
or may not have contributed to the patient’s poor outcome … what happened, placing blame
where it did not belong, or feeling she held some responsibility for the outcome … Immediately after
the surgery, the Risk Management team should have been notified of the surgical outcome … The resulting note in the medical
record would identify who attended the meeting about the surgical outcome … It should be fully implemented so as to keep a bad outcome from
becoming worse.
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psnet.ahrq.gov/node/60212/psn-pdf
January 29, 2021 - ethics; discharge communications;
home isolation; psychological safety of staff and patients, and; outcome
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Deterioration
June 14, 2023
To address a well-documented hospital adverse outcome … Twitter
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To address a well-documented hospital adverse outcome
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psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities
November 11, 2020 - error in the team’s intraoperative care that may or may not have contributed to the patient’s poor outcome … what happened, placing blame where it did not belong, or feeling she held some responsibility for the outcome … Immediately after the surgery, the Risk Management team should have been notified of the surgical outcome … The resulting note in the medical record would identify who attended the meeting about the surgical outcome … It should be fully implemented so as to keep a bad outcome from becoming worse.
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psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - They also point out that while wrong-
site surgery is a devastating and unacceptable outcome, current
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psnet.ahrq.gov/node/45667/psn-pdf
November 16, 2016 - than what might be expected
would be difficult to identify based on such data and suggest that other outcome
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psnet.ahrq.gov/node/40978/psn-pdf
March 21, 2012 - However, the
volume–outcome relationship may be limited to selected surgical procedures, suggesting
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psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - large ingestions of acetaminophen with suicidal intent, in which a nomogram ( 6 ) helps to predict outcome … and need for N-acetylcysteine treatment, the nomogram offers little value in predicting outcome with … Outcome of acetaminophen overdose in pediatric patients and factors contributing to hepatotoxicity.
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psnet.ahrq.gov/node/49514/psn-pdf
July 01, 2006 - The luxury of hindsight allows us to speculate on how the tragic outcome described in this case might … a quick phone call to the
patient's physician would have intercepted and avoided the catastrophic outcome … Cyclosporine, tacrolimus
Digoxin (acute overdose) Hyperkalemia following acute overdose predicts poor outcome
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psnet.ahrq.gov/node/49532/psn-pdf
March 15, 2007 - The Commentary
This case is about a near miss, a tragic outcome narrowly averted by an alert physician … insulin requirements and the cascade of clinical events
that may have ultimately led to an adverse outcome—one … Outcome benefit of intensive insulin therapy in the
critically ill: insulin dose versus glycemic control
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psnet.ahrq.gov/node/49692/psn-pdf
September 01, 2013 - The case was reviewed in light of the tragic outcome. … it was the workaround and the failure to address the broader systems flaw before it led to
a tragic outcome … Weekend and weeknight admissions have the same outcome of
weekday admissions to an intensive care unit
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
May 01, 2010 - *
The Present Case
The case is severe and shocking, as is the outcome: the death of a infant
In … appropriate response
*
*
Just Culture…
Balances accountability with learning
Determines whether outcome
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psnet.ahrq.gov/node/33588/psn-pdf
March 15, 2025 - events are
individualized: the severity of any error(s), degree of perceived responsibility, and the outcome … natural-history-recovery-healthcare-provider-second-victim-after-adverse-patient-events
responsibility for the patient outcome
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psnet.ahrq.gov/node/42342/psn-pdf
December 31, 2014 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/node/38120/psn-pdf
June 16, 2011 - teamwork nor organizational culture at the clinic level was significantly correlated with
process or outcome
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psnet.ahrq.gov/node/40941/psn-pdf
April 13, 2016 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/node/39212/psn-pdf
March 04, 2011 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome