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Showing results for "outcome".

381. Psn-Pdf (pdf file)
     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

382. Psn-Pdf (pdf file)
     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

383. Psn-Pdf (pdf file)
     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

384. BMJ Open Quality. | PSNet
     psnet.ahrq.gov/issue/bmj-open-quality
     August 24, 2016 - October 11, 2016 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health

385. Hospital infections hard to gauge. | PSNet
     psnet.ahrq.gov/issue/hospital-infections-hard-gauge
     July 20, 2011 - March 6, 2005 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through

386. Psn-Pdf (pdf file)
     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

387. Psn-Pdf (pdf file)
     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

388. Fires during surgeries a bigger risk than thought. | PSNet
     psnet.ahrq.gov/issue/fires-during-surgeries-bigger-risk-thought
     August 24, 2016 - September 28, 2005 View More Related Resources Fatal outcome after

389. The antidote to medical errors. | PSNet
     psnet.ahrq.gov/issue/antidote-medical-errors
     May 02, 2017 - Same Author(s) Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome

390. Making Just Culture a Reality: One Organization's Approach | PSNet
     psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
     October 01, 2007 - the fact that many other providers have made the same mistake or behavioral choice, with no adverse outcome … teaches us to shift our attention from retrospective judgment of others, focused on the severity of the 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.

391. Can protecting patients be made recession-proof? | PSNet
     psnet.ahrq.gov/issue/can-protecting-patients-be-made-recession-proof
     November 10, 2010 - September 12, 2012 Good intention, uncertain outcome...our take on physician dispensing

392. Patient safety law protects some documents in court case. | PSNet
     psnet.ahrq.gov/issue/patient-safety-law-protects-some-documents-court-case
     May 30, 2012 - October 10, 2018 Good intention, uncertain outcome...our take on physician dispensing

393. Hospitals try to break a deadly 'code.' | PSNet
     psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
     August 24, 2016 - January 19, 2012 Epidemiology and patient outcome after medical emergency team calls

394. A pinpoint beam strays invisibly, harming instead of healing. | PSNet
     psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
     March 09, 2011 - May 29, 2019 Understanding patient safety and quality outcome data.

395. Selling soap. | PSNet
     psnet.ahrq.gov/issue/selling-soap
     March 06, 2005 - March 6, 2005 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through

396. Entire UPMC transplant team missed hepatitis alert. | PSNet
     psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
     March 06, 2005 - March 6, 2005 Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49785/psn-pdf
     February 01, 2017 - 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 … to overcome those barriers to effectively communicate.(7) Such practices might have led to a better outcome

398. A Picture Speaks 1000 Words | PSNet
     psnet.ahrq.gov/web-mm/picture-speaks-1000-words
     July 16, 2015 - 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

399. Back to Basics | PSNet
     psnet.ahrq.gov/web-mm/back-basics
     July 13, 2010 - 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

400. One ACE Too Many | PSNet
     psnet.ahrq.gov/web-mm/one-ace-too-many
     June 21, 2016 - 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 …   Digoxin (acute overdose) Hyperkalemia following acute overdose predicts poor outcome