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psnet.ahrq.gov/node/49818/psn-pdf
January 01, 2018 - 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
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psnet.ahrq.gov/node/49596/psn-pdf
December 01, 2009 - Based on a neighbor's recommendation, the patient explored alternate options and ultimately had his total … The patient was ultimately seen in the emergency department and
received appropriate treatment for uncomplicated
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psnet.ahrq.gov/web-mm/paradoxical-pulse
May 01, 2013 - While surviving the emergent resuscitation, the patient ultimately suffered additional complications … Unfortunately, his effusion progressed to cause hemodynamic compromise from which he ultimately succumbed
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psnet.ahrq.gov/node/49670/psn-pdf
November 01, 2012 - pneumonia describes overdiagnosis: attributing a constellation of
clinical signs as symptoms to pneumonia ultimately … ,
27.3% of the patients admitted from the emergency department (ED) with a diagnosis of pneumonia
ultimately
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psnet.ahrq.gov/node/49646/psn-pdf
February 01, 2012 - primary team
engaged the patient and his family in advanced directive discussions, and the patient ultimately … The family
ultimately decided to withdraw life-sustaining interventions, and the patient died peacefully
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psnet.ahrq.gov/web-mm/waiting-too-long
February 01, 2013 - 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
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psnet.ahrq.gov/web-mm/staggered-sensitivity-results
May 01, 2013 - Ultimately, the chosen empiric antibiotic did not match the susceptibility of the bacterial pathogen. … Ultimately, 3 days later, the susceptibility results were finalized, and the organism was determined
-
psnet.ahrq.gov/node/60858/psn-pdf
August 26, 2020 - 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 … psnet.ahrq.gov//#8
https://psnet.ahrq.gov//#37
https://psnet.ahrq.gov//#37
https://psnet.ahrq.gov//#38
Ultimately
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psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - However, serial brain imaging demonstrated expansion of the intracranial hemorrhage and ultimately brainstem … Ultimately, the initial ECG changes were retrospectively interpreted as consistent with intracranial … consideration, of intracranial hemorrhage would likely have prevented the administration of anticoagulation and ultimately
-
psnet.ahrq.gov/node/72516/psn-pdf
November 25, 2020 - However, serial brain imaging
demonstrated expansion of the intracranial hemorrhage and ultimately brainstem … Ultimately, the initial ECG changes were retrospectively interpreted as
consistent with intracranial … , of intracranial
hemorrhage would likely have prevented the administration of anticoagulation and ultimately
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psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership-standards
March 10, 2025 - Book/Report
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards.
Citation Text:
Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. Schyve PM. San Diego, CA: Governance Institute; 2009.
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psnet.ahrq.gov/issue/charting-course-launching-patient-centric-healthcare
December 19, 2018 - Book/Report
Charting the Course: Launching Patient-Centric Healthcare.
Citation Text:
Charting the Course: Launching Patient-Centric Healthcare. Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.
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psnet.ahrq.gov/node/33752/psn-pdf
August 01, 2013 - if
you can show that by doing some little things to help them take care of themselves better, then ultimately … Ultimately, I think that's a big part of what we're doing, relabeling what needs to be
http://www.nytimes.com … additional looks at why those projects worked and why they have
been relatively hard to replicate, I think ultimately
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psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
September 15, 2024 - Ultimately, preventing WSPEs depends on the combination of system solutions, strong teamwork and safety
-
psnet.ahrq.gov/primer/failure-rescue
September 15, 2024 - 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/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
March 31, 2021 - The delay in treatment allowed the infection more time to progress, and the patient ultimately required … succeed at building multidisciplinary consensus around the rules that are useful and important, that will ultimately
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psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - Ultimately, he required placement of bilateral pleural catheters to manage reaccumulation of the pleural … handoffs, reduced night staffing, poorly calibrated trainee autonomy, and cultural hierarchy barriers that ultimately
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psnet.ahrq.gov/issue/staff-care-how-engage-staff-nhs-and-why-it-matters
November 30, 2016 - Book/Report
Staff Care: How to Engage Staff in the NHS and Why It Matters.
Citation Text:
Staff Care: How to Engage Staff in the NHS and Why It Matters. London, UK: Point of Care Foundation; January 2014.
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Prin…
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psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds-guide
May 06, 2015 - Book/Report
The Patient Safety Leadership WalkRounds Guide.
Citation Text:
The Patient Safety Leadership WalkRounds Guide. Frankel AS, Grillo S, Pittman MA. Chicago, IL: Health Research and Educational Trust; 2006.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
April 01, 2006 - Ultimately, the child required two pericardiocenteses and was intubated overnight in the PICU.