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psnet.ahrq.gov/issue/hospitals-try-break-deadly-code
August 24, 2016 - January 19, 2012
Epidemiology and patient outcome after medical emergency team calls
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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
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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
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - March 6, 2005
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through
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psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing
March 09, 2011 - May 29, 2019
Understanding patient safety and quality outcome data.
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psnet.ahrq.gov/issue/reducing-adverse-obstetrical-outcomes-through-safety-sciences
May 30, 2018 - May 30, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/node/49397/psn-pdf
May 01, 2003 - invasive procedures:
A certified competent physician should directly supervise resident procedures until outcome … ACGME Outcome Project. General Competencies. [ go to related site ]
9. … cmd=Retrieve&db=PubMed&list_uids=11089715&dopt=Abstract
http://www.acgme.org/outcome/comp/compMin.asp
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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
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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
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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
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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
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psnet.ahrq.gov/issue/safety-nicu-preventing-medical-errors
November 11, 2015 - June 27, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
May 01, 2017 - May 17, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
March 20, 2013 - January 13, 2014
National Confidential Enquiry into Patient Outcome and Death.
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psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics
January 23, 2017 - Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome
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psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
May 07, 2018 - May 7, 2018
Fatal outcome after inadvertent injection of topical epinephrine.
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psnet.ahrq.gov/issue/daisy-award-extraordinary-nurses-patient-safety
June 28, 2018 - May 13, 2020
Understanding patient safety and quality outcome data.
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psnet.ahrq.gov/issue/patient-safety-handbook-second-edition
March 27, 2005 - January 29, 2015
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health
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psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention
May 07, 2018 - Copy Citation
Related Resources From the Same Author(s)
Fatal outcome after
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psnet.ahrq.gov/issue/reducing-alarm-hazards-selection-and-implementation-alarm-notification-systems
June 27, 2018 - A clinical case of electronic health record drug alert fatigue: consequences for patient outcome