-
psnet.ahrq.gov/node/838307/psn-pdf
October 12, 2022 - transfers present their own
risks, these researchers evaluated emergency transfers of patients who did not ultimately
-
psnet.ahrq.gov/node/38012/psn-pdf
August 27, 2008 - An ultimately fatal case of an antibiotic adverse drug event is discussed in an
AHRQ WebM&M commentary
-
psnet.ahrq.gov/node/41822/psn-pdf
November 07, 2012 - mistakenly taking two
contraindicated medications, which resulted in an adverse drug reaction and ultimately
-
psnet.ahrq.gov/node/37905/psn-pdf
December 19, 2018 - Why Hospitals Should Fly: The Ultimate Flight Plan to
Patient Safety and Quality Care.
December 19, 2018
Nance JJ. Boseman, MT: Second River Healthcare Press; 2008. ISBN: 9780974386058.
https://psnet.ahrq.gov/issue/why-hospitals-should-fly-ultimate-flight-plan-patient-safety-and-quality-care
This book describes si…
-
psnet.ahrq.gov/node/33689/psn-pdf
October 01, 2009 - psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov//#ref2
https://psnet.ahrq.gov//#ref3
crashing every day—to ultimately … and other conferences), all of which increase the
chances that errors will see the light of day, and ultimately … Led to New
York law regarding supervision and work
hours, and ultimately ACGME duty hours
regulations … leg
amputated
University
Community
Hospital, Tampa,
FL
1995
New focus on wrong-site surgery, ultimately
-
psnet.ahrq.gov/node/34882/psn-pdf
February 28, 2011 - The author uses the details of the case to illustrate the many systems problems that
ultimately contributed
-
psnet.ahrq.gov/node/34816/psn-pdf
February 28, 2018 - and personal characteristics, with interpersonal and intrapersonal mediators
playing a role, which ultimately
-
psnet.ahrq.gov/node/41215/psn-pdf
September 04, 2013 - A case of an ultimately fatal adverse event that
occurred while a patient was being transported from
-
psnet.ahrq.gov/node/43861/psn-pdf
July 01, 2016 - The vast majority of children ultimately
determined to have fetal alcohol spectrum disorder in this
-
psnet.ahrq.gov/node/35344/psn-pdf
March 11, 2011 - They discuss
how reports are generated, collected, and ultimately disseminated back to frontline staff
-
psnet.ahrq.gov/node/612828/psn-pdf
February 23, 2022 - identified a hematoma that
was likely related to the radiology procedure as well as decreased flow that was ultimately … features that would have
led to earlier confirmatory imaging with magnetic resonance angiography, which ultimately … imaging and subsequent CT imaging delayed the
diagnosis and management of the renal artery stenosis that ultimately
-
psnet.ahrq.gov/node/34935/psn-pdf
June 23, 2009 - events surrounding a series of diagnostic errors in a patient initially treated
for pharyngitis and ultimately
-
psnet.ahrq.gov/node/39003/psn-pdf
January 28, 2010 - reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-
emergency-team
Rapid response systems function within a variety of structures, but they ultimately
-
psnet.ahrq.gov/node/41034/psn-pdf
January 04, 2012 - at seven hospitals in three countries, nearly one-third of patients seen by a rapid
response team ultimately
-
psnet.ahrq.gov/node/34760/psn-pdf
March 28, 2005 - this book demonstrates Reason's thinking at its finest
and illustrates many of the key concepts that ultimately
-
psnet.ahrq.gov/node/35265/psn-pdf
February 03, 2011 - details a seemingly
routine full-term pregnancy that rapidly evolved into a course of complications, ultimately
-
psnet.ahrq.gov/node/866168/psn-pdf
January 02, 2000 - Among patients ultimately diagnosed
with acute myocardial infarction or unstable angina, approximately
-
psnet.ahrq.gov/node/33655/psn-pdf
August 01, 2007 - Consistent with this view, the Joint
Commission has openly stated that "A hospital's governing body is ultimately … improved stroke care to the governing board, it resulted in a highly
successful year-long task force and ultimately
-
psnet.ahrq.gov/node/34662/psn-pdf
December 24, 2008 - experience of patients,
functioning of microsystems and organizations, and environmental factors), and ultimately
-
psnet.ahrq.gov/node/44907/psn-pdf
May 25, 2016 - The
authors ultimately determined that the poor quality of existing literature precludes conclusions