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Total Results: 1,064 records

Showing results for "ultimately".

181. In Conversation With… Mark L. Graber, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
     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? … 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 … While researchers tackle and, ultimately, solve these complex issues, it will be a huge leap forward

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74242/psn-pdf
     January 07, 2022 - medical errors.10,11 These medical pre-procedure checklists should be able to be utilized by anyone but ultimately … checklists should be confirmed as complete by the nurse, the physician directly caring for the patient, and ultimately

183. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
     December 23, 2020 - The errors led to considerable soul searching and, ultimately, a major change in institutional practices

184. Code Blue—Where To? | PSNet
     psnet.ahrq.gov/web-mm/code-blue-where
     March 30, 2020 - The Commentary Although it was ultimately discovered that this patient did not want resuscitation, … While "best" strategy depends ultimately on the hospital's resources, we think the best solution is properly

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33576/psn-pdf
     December 15, 2024 - Ultimately, preventing WSPEs depends on the combination of system solutions, strong teamwork and safety

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35392/psn-pdf
     June 16, 2011 - Measuring patient safety climate: a review of surveys. June 16, 2011 Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. https://psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys This systematic review compares th…

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34707/psn-pdf
     September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50914/psn-pdf
     February 19, 2020 - Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service February 19, 2020 Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise co…

189. Breathe Easy: Safe Tracheostomy Management | PSNet
     psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
     June 07, 2023 - Multiple unsuccessful attempts were made and the patient ultimately went into cardiac arrest. … Fortunately in the case presented, this recommended practice was ultimately followed to avert further

190. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - While researchers tackle and, ultimately, solve these complex issues, it will be a huge leap forward … 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? … 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

191. Communication With Consultants | PSNet
     psnet.ahrq.gov/web-mm/communication-consultants
     October 01, 2018 - 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

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49745/psn-pdf
     October 01, 2015 - The patient developed acute kidney injury, which subsequently subsided, and she ultimately was discharged … Ultimately, this is an unfortunate case of toxicity that could probably have been prevented by a systematic

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49619/psn-pdf
     February 01, 2011 - While surviving the emergent resuscitation, the patient ultimately suffered additional complications … Unfortunately, his effusion progressed to cause hemodynamic compromise from which he ultimately succumbed

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49832/psn-pdf
     June 01, 2018 - Her blood cultures ultimately grew Escherichia coli, which may have spread from her bowel to her bloodstream … Ultimately, she recovered and was discharged home a week later.

195. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
     psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
     July 01, 2004 - 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

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49547/psn-pdf
     October 01, 2007 - The Commentary Although it was ultimately discovered that this patient did not want resuscitation, many … While "best" strategy depends ultimately on the hospital's resources, we think the best solution is

197. When the Meds Don’t Reach the Bed | PSNet
     psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
     May 16, 2022 - Ultimately, these failures led to an avoidable readmission. … a review; clarifying the goals of care with the patient and his family during the second admission ultimately … Recommendations Ultimately, the discharge process is too complex to expect that any single intervention

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39985/psn-pdf
     November 10, 2010 - Establishing a global learning community for incident- reporting systems. November 10, 2010 Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. https://psnet.ahrq.gov/issue/establishing-…

199. Cybersecurity and How to Maintain Patient Safety | PSNet
     psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
     March 27, 2024 - for, respond to, and recover from cyberattacks much more quickly and effectively in the future and, ultimately … 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 on … And ultimately, when hospitals are attacked with ransomware, lives are threatened, and we need to plan

200. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
     psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
     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 on … And ultimately, when hospitals are attacked with ransomware, lives are threatened, and we need to plan … for, respond to, and recover from cyberattacks much more quickly and effectively in the future and, ultimately