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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
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psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
August 01, 2012 - May 1, 2017
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/simulation-based-training-patient-safety-10-principles-matter
January 02, 2017 - Does training with human patient simulation translate to improved patient safety and outcome
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psnet.ahrq.gov/issue/scottish-audit-surgical-mortality
September 13, 2017 - April 10, 2019
The use of report cards and outcome measurements to improve the safety
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psnet.ahrq.gov/issue/reduce-readmissions-pharmacy-programs-focus-transitions-hospital-community
September 26, 2016 - December 27, 2018
Good intention, uncertain outcome...our take on physician dispensing
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psnet.ahrq.gov/issue/mismatched-prescribing-and-pharmacy-templates-parenteral-nutrition-pn-lead-data-entry-errors
June 10, 2018 - July 18, 2018
Good intention, uncertain outcome...our take on physician dispensing in
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psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or
September 14, 2016 - June 13, 2018
Fatal outcome after inadvertent injection of topical epinephrine.
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psnet.ahrq.gov/issue/agenda-research-ambulatory-patient-safety
December 22, 2008 - March 6, 2005
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through
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psnet.ahrq.gov/issue/ask-or-not-ask-results-formative-assessment-video-empowering-patients-ask-their-health-care
June 28, 2013 - September 30, 2015
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health
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psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know
December 21, 2014 - March 31, 2021
Physician health and wellbeing provide challenges to patient safety and outcome
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psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
July 29, 2015 - June 8, 2011
The relationship of the emotional climate of work and threat to patient outcome
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psnet.ahrq.gov/issue/leapfrog-and-critical-care-evidence-and-reality-based-intensive-care-21st-century
September 30, 2009 - A clinical case of electronic health record drug alert fatigue: consequences for patient outcome
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psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
February 24, 2011 - April 4, 2011
Patient assessments of a hypothetical medical error: effects of health outcome
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psnet.ahrq.gov/issue/using-met-service-manage-acute-thromboembolic-stroke
January 05, 2017 - February 13, 2008
Epidemiology and patient outcome after medical emergency team calls
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psnet.ahrq.gov/issue/building-safety-culture
December 21, 2014 - December 21, 2014
EMS helicopter crashes: what influences fatal outcome?
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psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
October 02, 2013 - March 20, 2018
Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome
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psnet.ahrq.gov/issue/growth-rapid-response-systems
April 24, 2018 - December 1, 2008
A prospective study of factors influencing the outcome of patients after
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psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
January 01, 2015 - April 16, 2018
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health
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psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
June 10, 2018 - May 7, 2018
Good intention, uncertain outcome...our take on physician dispensing in offices
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psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
December 21, 2018 - August 18, 2010
Strategies to improve the patient safety outcome indicator: preventing