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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
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psnet.ahrq.gov/node/33588/psn-pdf
September 07, 2019 - events are
individualized: the severity of any error(s), degree of perceived responsibility, and the outcome … Across studies, clinicians involved in these events report feelings of
responsibility for the patient outcome
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psnet.ahrq.gov/issue/improving-patient-safety-long-term-care-facilities-training-modules
August 17, 2022 - March 20, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting
September 01, 2021 - August 26, 2011
Strategies to improve the patient safety outcome indicator: preventing
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - May 2, 2018
Fatal outcome after inadvertent injection of topical epinephrine.
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psnet.ahrq.gov/issue/20-years-after-err-human-leapfrog-hospital-safety-grades-prove-transparency-can-save-lives
December 11, 2019 - August 18, 2021
Understanding patient safety and quality outcome data.
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psnet.ahrq.gov/issue/blame-what-does-it-look
February 02, 2022 - September 23, 2020
Understanding patient safety and quality outcome data.
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psnet.ahrq.gov/issue/piece-my-mind-trials-and-tribulations
October 19, 2022 - September 25, 2019
The impact of rapid response team on outcome of patients transferred
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psnet.ahrq.gov/issue/shortage-everything-except-errors-harm-associated-drug-shortages
February 13, 2019 - June 10, 2018
Good intention, uncertain outcome...our take on physician dispensing in
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psnet.ahrq.gov/issue/call-action-safeguarding-integrity-healthcare-quality-and-safety-systems
November 09, 2022 - March 20, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
November 30, 2022 - June 10, 2018
Fatal outcome after inadvertent injection of topical epinephrine.
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psnet.ahrq.gov/issue/patient-worker-safety
May 20, 2019 - October 19, 2011
Personality traits and traumatic outcome symptoms in registered nurses
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psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
April 26, 2023 - June 5, 2019
Understanding patient safety and quality outcome data.
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psnet.ahrq.gov/issue/teamwork-toolkit
July 21, 2021 - June 12, 2019
The relationship of the emotional climate of work and threat to patient outcome
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psnet.ahrq.gov/node/836885/psn-pdf
May 16, 2022 - effect of bag-mask ventilation versus advanced airway placement on overall
survival and neurologic outcome … bag-mask ventilation vs endotracheal intubation
during cardiopulmonary resuscitation on neurological outcome … Treatment and outcome of out-of-hospital cardiac arrest in
outpatient health care facilities. … Cardiac Arrest and Cardiopulmonary Resuscitation
Outcome Reports: Update of the Utstein Resuscitation
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psnet.ahrq.gov/node/74251/psn-pdf
January 26, 2022 - 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
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psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
August 24, 2016 - September 28, 2005
View More
Related Resources
Fatal outcome after
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psnet.ahrq.gov/node/45222/psn-pdf
June 08, 2016 - represents one of the few safety interventions that has achieved a sustainable
improvement in a clinical outcome
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psnet.ahrq.gov/issue/antidote-medical-errors
May 02, 2017 - Same Author(s)
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome