Results

Total Results: 1,018 records

Showing results for "ultimately".

121. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. | PSNet
     psnet.ahrq.gov/issue/improving-situation-awareness-reduce-unrecognized-clinical-deterioration-and-serious-safety
     December 02, 2014 - pediatric hospital that would improve situational awareness of clinically deteriorating patients and ultimately

122. A 38-year-old woman with fetal loss and hysterectomy. | PSNet
     psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
     January 12, 2011 - details a seemingly routine full-term pregnancy that rapidly evolved into a course of complications, ultimately

123. Closing the loop with ambulatory staff on safety reports. | PSNet
     psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
     April 22, 2016 - At baseline, 50% of staff who requested feedback ultimately received it; after three years, the rate

124. Medical emergency team calls in the radiology department: patient characteristics and outcomes. | PSNet
     psnet.ahrq.gov/issue/medical-emergency-team-calls-radiology-department-patient-characteristics-and-outcomes
     July 06, 2011 - A case of an ultimately fatal adverse event that occurred while a patient was being transported from

125. Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet
     psnet.ahrq.gov/issue/diagnostic-inaccuracy-smartphone-applications-melanoma-detection
     April 24, 2018 - The concern is that reliance on these dermatologic applications could delay diagnoses and ultimately

126. Delayed time to defibrillation after in-hospital cardiac arrest. | PSNet
     psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
     June 08, 2010 - Patients who received delays in treatment were ultimately found to have lower rates of survival after

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49499/psn-pdf
     December 02, 2020 - The patient ultimately received a diagnosis of left superficial femoral artery occlusion and underwent … Fortunately, the patient ultimately received the correct diagnosis and therapy with a desirable outcome

128. Medicare's decision to withhold payment for hospital errors: the devil is in the details. | PSNet
     psnet.ahrq.gov/issue/medicares-decision-withhold-payment-hospital-errors-devil-details
     March 13, 2013 - monitoring its effects, they applaud the efforts of this landmark policy and remain hopeful that it will ultimately

129. The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. | PSNet
     psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
     January 09, 2018 - Ultimately, it paints a hopeful picture of where health care information technology may take us, making

130. The Limits of Safety: Organizations, Accidents and Nuclear Weapons. | PSNet
     psnet.ahrq.gov/issue/limits-safety-organizations-accidents-and-nuclear-weapons
     July 28, 2013 - In fact, Sagan ultimately concludes that good fortune played a greater role than good design in the safety

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33568/psn-pdf
     June 15, 2024 - The patient ultimately died of hypovolemic shock.  

132. From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions. | PSNet
     psnet.ahrq.gov/issue/physician-intent-pharmacy-label-prevalence-and-description-discrepancies-cross-sectional
     July 22, 2020 - prescribing physician's note with the order entered into the e-prescribing system and the medication ultimately

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49539/psn-pdf
     June 01, 2007 - For unclear reasons, the patient ultimately received general anesthesia and suffered the adverse outcome … Patients may ultimately require a period of reflection, either alone or in conversation with their families

134. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
     psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
     February 26, 2025 - By the time this patient ultimately underwent surgical reassessment, his symptoms had worsened and he … The patient in this case ultimately developed septic complications and was admitted to the hospital for … may lead to lower readmission rates, 7 better provider communication and patient satisfaction, and ultimately

135. The preventable proportion of healthcare-associated infections 2005-2016: systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/preventable-proportion-healthcare-associated-infections-2005-2016-systematic-review-and-meta
     April 26, 2017 - From the 144 studies ultimately included in the analysis, they found that implementation of evidence-based

136. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet
     psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
     January 05, 2012 - An ultimately fatal medication error in an ICU patient is analyzed in this AHRQ WebM&M commentary .

137. The relationship between organizational culture and family satisfaction in critical care. | PSNet
     psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care
     April 25, 2012 - between safety culture and family satisfaction with care among a subset of patients who had prolonged and ultimately

138. Connie's Story: A Nurse's Personal Experience with MRSA | PSNet
     psnet.ahrq.gov/perspective/connies-story-nurses-personal-experience-mrsa
     June 29, 2023 - former nurse who developed a methicillin-resistant Staphylococcus aureus (MRSA) infection, which ultimately

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50615/psn-pdf
     October 30, 2019 - between the operating room nursing staff and the emergency department, the blood bank, the surgeons and, ultimately … In this scenario, the blood banking and transfusion checks ultimately shed light on the identification

140. Impact of inpatient harms on hospital finances and patient clinical outcomes. | PSNet
     psnet.ahrq.gov/issue/impact-inpatient-harms-hospital-finances-and-patient-clinical-outcomes
     February 28, 2018 - This study relied on complicated cost accounting and statistical modeling, ultimately using three different