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Showing results for "outcome".

9301. Chasing zero harm in radiation oncology: using pre-treatment peer review. | PSNet
      psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
      January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…

9302. The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet
      psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
      June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

9303. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet
      psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma
      October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

9304. Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet
      psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
      October 07, 2020 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

9305. Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. | PSNet
      psnet.ahrq.gov/issue/fundamental-use-surgical-energy-fuse-essential-educational-program-operating-room-safety
      June 07, 2018 - Commentary Fundamental Use of Surgical Energy (FUSE): an essential educational program for operating room safety. Citation Text: Jones SB, Munro MG, Feldman LS, et al. Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety. Perm J. 2017;21:1…

9306. Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. | PSNet
      psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
      November 15, 2023 - Commentary Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. Citation Text: Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …

9307. Bedside shift report improves patient safety and nurse accountability. | PSNet
      psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability
      April 16, 2010 - Commentary Bedside shift report improves patient safety and nurse accountability. Citation Text: Baker SJ. Bedside shift report improves patient safety and nurse accountability. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…

9308. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. | PSNet
      psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
      April 03, 2005 - Study Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Citation Text: Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57. Copy Cita…

9309. Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center. | PSNet
      psnet.ahrq.gov/issue/findings-naloxone-database-and-its-utilization-improve-safety-and-education-tertiary-care
      April 12, 2023 - Study Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center. Citation Text: Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Med…

9310. The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. | PSNet
      psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
      March 23, 2022 - Study The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. Citation Text: Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…

9311. Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. | PSNet
      psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
      February 10, 2015 - Study Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. Citation Text: Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…

9312. Turn the Other Cheek | PSNet
      psnet.ahrq.gov/web-mm/turn-other-cheek
      October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012 Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015 Outcome of 6 years of protocol use for preventing wrong site office surgery

9313. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - is 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 … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome

9314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - studies cite practitioner communication skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow https://psnet.ahrq.gov//#references were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an adverse patient outcome

9315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49833/psn-pdf
      June 01, 2018 - challenges us to review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse outcome … Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA

9316. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.

9317. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - 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 case

9318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49546/psn-pdf
      October 17, 2007 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and http://www.acgme.org/outcome … Available at: http://www.acgme.org/outcome/. Accessed September 27, 2007. 13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162 http://www.acgme.org/outcome/ http://www.ama-assn.org

9319. Testing a classification model for emergency department errors. | PSNet
      psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
      March 02, 2010 - October 26, 2010 EMS helicopter crashes: what influences fatal outcome?

9320. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. | PSNet
      psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
      May 11, 2016 - May 11, 2016 A human factors intervention in a hospital--evaluating the outcome of a