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psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
December 21, 2014 - The guidelines also required timely discussion with an attending physician, which ultimately led to a
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psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians
June 21, 2016 - expressed concern that physicians who train for fewer hours will leave residency less skilled and ultimately
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psnet.ahrq.gov/issue/controversy-and-quality-improvement-lingering-questions-about-ethics-oversight-and-patient
January 15, 2014 - Ultimately, the decision was overturned by OHRP (with considerable pressure from those in the safety
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - The authors critically examine the evidence supporting 41 separate PSPs and ultimately arrive at a list
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psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
November 23, 2016 - findings demonstrated many benefits and some unanticipated consequences of the redesign efforts but ultimately
-
psnet.ahrq.gov/node/33789/psn-pdf
August 01, 2015 - NS: Ultimately do you come away from it feeling more optimistic about the role health information
technology … RW: The hope is that ultimately the computer frees up time, and it does that in the same way that it … What do you think will ultimately be different in 10 years compared to where we are now? … little bit more disappointed in today's
current state because I have a better sense of where we can ultimately
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - One of the early cases we tried was a case that ultimately I could have settled for $40,000 or $50,000 … Instead of seeing people as ultimately disposable, we're getting our arms around them and we're enrolling … Hold them accountable but protect them from draconian penalties if we want to protect ultimately our … Ultimately it's not about claims at all, it's about making people safer. … RB : I bristle at the headlines that say apology saves money because ultimately it's not about claims—it's
-
psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - One of the early cases we tried was a case that ultimately I could have settled for $40,000 or $50,000 … Instead of seeing people as ultimately disposable, we're getting our arms around them and we're enrolling … Hold them accountable but protect them from draconian penalties if we want to protect ultimately our … Ultimately it's not about claims at all, it's about making people safer. … RB : I bristle at the headlines that say apology saves money because ultimately it's not about claims—it's
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - You and colleagues began to chart a strategy to get this on the radar screen, and ultimately that led … Then, ultimately I see the Institute of Medicine getting involved. How did
that all happen? … physical examination, then you order some tests, come up with some
ideas, maybe get some consults, and ultimately … We will
ultimately get to decision support and medical record systems that really do improve diagnosis … But in some ways the promise held out over the last 30 years was ultimately that we
wouldn't need the
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psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety-incidents-hospital
June 25, 2014 - A set of 20 domains were ultimately outlined with most studies identifying individual factors, communication
-
psnet.ahrq.gov/node/865413/psn-pdf
March 27, 2024 - Ultimately, you have an attack, and suddenly incident
command is triggered. … Mostly your building systems may
be on, but ultimately, all the technology that you normally relied … And ultimately, when
hospitals are attacked with ransomware, lives are threatened, and we need to plan
-
psnet.ahrq.gov/node/49764/psn-pdf
June 01, 2016 - She became progressively tachypneic with an increasing oxygen requirement,
ultimately requiring intubation … multiple communication failures, necessary care
was delayed, and the patient rapidly deteriorated and ultimately
-
psnet.ahrq.gov/node/49418/psn-pdf
October 01, 2003 - quite toxic to the lungs), but he developed multiple complications including progressive
pneumonia and ultimately … Ultimately, these are
problems of knowledge, training, and credentialing, but they can also be addressed
-
psnet.ahrq.gov/primer/root-cause-analysis
March 30, 2022 - The patient ultimately died of hypovolemic shock.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
December 01, 2007 - .): Elopement
Ultimately, the patient was found outside the emergency department, with ED discharge … Ultimately the patient was found outside of the emergency department, with ED Discharge Instructions
-
psnet.ahrq.gov/node/33681/psn-pdf
March 01, 2009 - improve consumer
information materials, such as prescription drug labeling, to promote comprehension and ultimately … more easily obtain, process, and understand
health information to be able to make informed decisions ultimately
-
psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - He ultimately underwent surgery and was discharged to home a few days later. … After
discussion with his family, the patient was ultimately transitioned to hospice and died several
-
psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 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
-
psnet.ahrq.gov/node/33647/psn-pdf
March 01, 2007 - Terrified and in restraints, she ultimately managed to self-extubate and clear her breathing passage.
-
psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
January 01, 2024 - • The Joint Commission requires annual drills to identify areas of improvement and
success, ultimately … • Regular obstetric simulations can improve team communication, processes and
collaboration, ultimately