Results

Total Results: 1,018 records

Showing results for "ultimately".

101. Emergency department visits for antibiotic-associated adverse events. | PSNet
     psnet.ahrq.gov/issue/emergency-department-visits-antibiotic-associated-adverse-events
     October 31, 2014 - An ultimately fatal case of an antibiotic adverse drug event is discussed in an AHRQ WebM&M commentary

102. Structural iatrogenesis—a 43-year-old man with "opioid misuse." | PSNet
     psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
     September 04, 2016 - acetaminophen–hydrocodone for many years to experience job insecurity, withdrawal symptoms, and uncontrolled pain, which ultimately

103. Reducing in-hospital cardiac arrests and hospital mortality by introducing a medical emergency team. | PSNet
     psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
     March 11, 2013 - Rapid response systems function within a variety of structures, but they ultimately remain a mechanism

104. Creating the web-based intensive care unit safety reporting system.  | PSNet
     psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
     October 13, 2018 - They discuss how reports are generated, collected, and ultimately disseminated back to frontline staff

105. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet
     psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
     November 30, 2012 - Among patients ultimately diagnosed with acute myocardial infarction or unstable angina, approximately

106. Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-and-missed-diagnoses-foster-and-adopted-children-prenatal-alcohol-exposure
     June 27, 2018 - The vast majority of children ultimately determined to have fetal alcohol spectrum disorder in this cohort

107. Workplace violence against anesthesiologists: we are not immune to this patient safety threat. | PSNet
     psnet.ahrq.gov/issue/workplace-violence-against-anesthesiologists-we-are-not-immune-patient-safety-threat
     March 06, 2005 - increased risk of burnout , burden on health care systems because of decreased retention in practice, and ultimately

108. The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. | PSNet
     psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-quality-assessment-and
     May 24, 2015 - Quality and safety are ultimately determined by the degree to which health care improves important patient

109. Improving patient care. The cognitive psychology of missed diagnoses. | PSNet
     psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
     October 03, 2012 - events surrounding a series of diagnostic errors in a patient initially treated for pharyngitis and ultimately

110. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. | PSNet
     psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients
     October 19, 2022 - The authors discuss the clinical and legal information from selected malpractice suits but ultimately

111. Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. | PSNet
     psnet.ahrq.gov/issue/innovative-patient-safety-curriculum-using-ipad-game-passed-improved-patient-safety-concepts
     November 16, 2022 - concepts, which was followed by a 20-minute lecture on patient safety, 20–30 minutes of the game, and ultimately

112. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. | PSNet
     psnet.ahrq.gov/issue/impact-traditional-and-smart-pump-infusion-technology-nurse-medication-administration
     May 18, 2022 - Ultimately, creation of a " closed-loop " system that integrates technological solutions to prescription

113. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
     October 19, 2022 - for patients with obesity are discussed in an AHRQ WebM&M commentary , which examined a case of an ultimately

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39389/psn-pdf
     January 03, 2017 - underlying problems, and for creating a "second victim" by disciplining the nurse (who was fired and ultimately

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42063/psn-pdf
     January 06, 2018 - The authors critically examine the evidence supporting 41 separate PSPs and ultimately arrive at a list

116. Human Factors Engineering | PSNet
     psnet.ahrq.gov/primer/human-factors-engineering
     December 15, 2024 - Each of these safety hazards ultimately was attributed to a relatively simple yet overlooked problem … This workaround was deemed to be a substantial contributor to the ultimately fatal error.

117. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
     psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
     February 12, 2020 - underlying problems, and for creating a " second victim " by disciplining the nurse (who was fired and ultimately

118. The role of the medical emergency team in end-of-life care: a multicenter, prospective, observational study. | PSNet
     psnet.ahrq.gov/issue/role-medical-emergency-team-end-life-care-multicenter-prospective-observational-study
     July 13, 2010 - at seven hospitals in three countries, nearly one-third of patients seen by a rapid response team ultimately

119. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. | PSNet
     psnet.ahrq.gov/issue/bundle-interventions-used-reduce-prescribing-and-administration-errors-hospitalized-children
     September 09, 2015 - The authors ultimately determined that the poor quality of existing literature precludes conclusions

120. The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units. | PSNet
     psnet.ahrq.gov/issue/effect-executive-walk-rounds-nurse-safety-climate-attitudes-randomized-trial-clinical-units
     June 16, 2011 - conclude that greater implementation of EWRs may serve as an important tool to improve safety culture and, ultimately