-
psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - a failure to identify sepsis in a pediatric patient, leading to the development of septic shock and ultimately … into thinking that sepsis follows a clear continuum from SIRS to sepsis, followed by severe sepsis and ultimately … Ultimately, the goal of early sepsis recognition is the rapid implementation of appropriate treatment
-
psnet.ahrq.gov/node/865411/psn-pdf
March 27, 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
-
psnet.ahrq.gov/node/33596/psn-pdf
January 29, 2025 - inadequate response manifested by failure to perform appropriate testing and
delayed treatment for an ultimately … "failure-to-rescue—nursing," was shown to be associated with nurse staffing and skill mix, and was
ultimately
-
psnet.ahrq.gov/node/74021/psn-pdf
October 25, 2021 - community, and really across the continuum of care, is to increase medication optimization and safety,
and ultimately … Ultimately, we talked about
community pharmacies being the final safety net for that patient before … Engaging patients in their own care is really important because ultimately, the patient can give you
-
psnet.ahrq.gov/node/49558/psn-pdf
April 01, 2008 - primary care physicians, with 83.1 million visits occurring in 2002 (1) , of which 3.1 million were ultimately … Despite aggressive antifungal therapy, the patient ultimately succumbed to
overwhelming infection and
-
psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - 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
-
psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - The patient missed this follow-up appointment and ultimately returned to the clinic several months later … The patient was ultimately diagnosed with
primary lung adenocarcinoma involving the right upper lung
-
psnet.ahrq.gov/node/49533/psn-pdf
March 01, 2007 - Ultimately, the chosen empiric antibiotic did not match the susceptibility of the bacterial pathogen. … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
Ultimately
-
psnet.ahrq.gov/node/49424/psn-pdf
November 01, 2003 - After
significant delay, the patient was ultimately anesthetized and underwent C-section. … crisis, but can give providers a set of tools to make their responses
more rational, productive, and ultimately
-
psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - Given that her new presentation included fever, blood cultures were drawn, ultimately growing yeast. … to dialysis and receipt of pain treatment with IV opiates led to
problems with vascular access and ultimately
-
psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - 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
-
psnet.ahrq.gov/node/49746/psn-pdf
October 01, 2015 - The patient had a prolonged postoperative course with intra-abdominal infection before ultimately dying … Ultimately, if the process goes uninterrupted, death
may result, from either septic or hypovolemic shock
-
psnet.ahrq.gov/node/49753/psn-pdf
February 01, 2016 - The urologist persisted in using the robotic technology and ultimately was able to complete the
procedure … The patient ultimately required several additional
surgeries and a prolonged hospital stay. … In general, surgical outcomes are ultimately a direct manifestation of the skill and experience of the
-
psnet.ahrq.gov/node/50612/psn-pdf
October 30, 2019 - Ultimately, he required placement
of bilateral pleural catheters to manage reaccumulation of the pleural … , reduced night staffing, poorly calibrated trainee autonomy, and cultural hierarchy
barriers that ultimately
-
psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - The patient had a prolonged postoperative course with intra-abdominal infection before ultimately dying … Ultimately, if the process goes uninterrupted, death may result, from either septic or hypovolemic shock
-
psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - Frailty is ultimately
associated with increased mortality. … allowing our
patients to get deconditioned while we’re presumably healing them is also not acceptable and ultimately
-
psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
September 01, 2014 - Ultimately, the primary care provider called the insurance company directly and was informed that if … Ultimately, we need to better understand why our health care system has evolved to be so complex that
-
psnet.ahrq.gov/node/863649/psn-pdf
February 28, 2024 - Some of those systems ultimately became training centers for TeamSTEPPS and
shared their experiences … Stephen Hines: Ultimately, the value of TeamSTEPPS is not in the curriculum itself, but in how people … The revisions aim to make it easier for people to get value out of TeamSTEPPS, but ultimately, it
is
-
psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
October 31, 2023 - The urologist persisted in using the robotic technology and ultimately was able to complete the procedure … The patient ultimately required several additional surgeries and a prolonged hospital stay. … In general, surgical outcomes are ultimately a direct manifestation of the skill and experience of the
-
psnet.ahrq.gov/perspective/conversation-charles-ornstein
October 01, 2009 - Ultimately, the truth comes out. … from medical mistakes in the United States were the equivalent of a jumbo jet 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