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psnet.ahrq.gov/node/35979/psn-pdf
September 17, 2010 - Building on a model of
structure, process, and outcome measures used to evaluate health care quality
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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
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psnet.ahrq.gov/node/39839/psn-pdf
November 07, 2011 - For instance, managers were likely to report a more positive outcome and larger improvements
on staff
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psnet.ahrq.gov/node/39463/psn-pdf
February 10, 2015 - psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome
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psnet.ahrq.gov/issue/decontamination-surgical-instruments
September 21, 2022 - January 31, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/surgical-patient-safety-essential-information-surgeons-todays-environment
October 15, 2018 - March 21, 2016
The use of report cards and outcome measurements to improve the safety
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psnet.ahrq.gov/issue/cutaneous-procedures-adverse-events-reporting-caper
April 22, 2020 - June 10, 2013
Outcome of 6 years of protocol use for preventing wrong site office surgery
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psnet.ahrq.gov/issue/blame-culture-and-defensive-medicine
January 20, 2021 - beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome
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psnet.ahrq.gov/issue/toolkit-reduction-clostridium-difficile-infections-through-antimicrobial-stewardship
October 23, 2019 - December 18, 2008
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/preventing-maternal-death
April 26, 2023 - December 23, 2016
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health
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psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
August 01, 2012 - This report provides preliminary outcome data from a six-cohort collaborative that used the comprehensive
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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/42454/psn-pdf
September 09, 2013 - This finding represents a classic case of misaligned incentives: the outcome was
beneficial for payers
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psnet.ahrq.gov/node/44026/psn-pdf
November 03, 2015 - the intensity of the intervention, there was no effect on 30-day readmissions or any other
clinical outcome
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psnet.ahrq.gov/issue/bmj-open-quality
August 24, 2016 - October 11, 2016
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health
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psnet.ahrq.gov/issue/hospital-infections-hard-gauge
July 20, 2011 - March 6, 2005
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through
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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/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/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/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