U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: 1,018 records

Showing results for "ultimately".

  1. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet

    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

  2. Failure to Rescue | PSNet

    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

  3. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet

    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

  4. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet

    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

  5. Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. | PSNet

    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. Copy Citation …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60269/psn-pdf
    April 29, 2020 - The delay in treatment allowed the infection more time to progress, and the patient ultimately required … at building multidisciplinary consensus around the rules that are useful and important, that will ultimately

  7. Resuscitation Errors: A Shocking Problem | PSNet

    psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
    October 19, 2022 - The patient was ultimately stabilized and transferred to the cardiac intensive care unit. … The case detailed here illustrates an all-too-common user error that ultimately reflects a larger systems

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60857/psn-pdf
    August 26, 2020 - The patient ultimately developed gangrene of the left great toe distal to the site of compression.  … psnet.ahrq.gov//#15 https://psnet.ahrq.gov//#31 https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov//#32 Ultimately

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50949/psn-pdf
    February 26, 2020 - At this institution, culture specimens are ultimately tested at the microbiology laboratory located 10 … Follow-up investigation by the ED ultimately revealed the initial sample with the high cardiac troponin

  10. Failure to Rescue the Mother | PSNet

    psnet.ahrq.gov/web-mm/failure-rescue-mother
    September 23, 2020 - of anterior previa, this condition often requires making a vertical or fundal uterine incision.( 5 ) Ultimately … This patient ultimately did develop a hemorrhage.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - failure to identify sepsis in a pediatric patient, leading to the development of septic shock and ultimately … 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

  12. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
    January 01, 2024 - failure to identify sepsis in a pediatric patient, leading to the development of septic shock and ultimately … thinking that sepsis follows a clear continuum from SIRS to sepsis, followed by severe sepsis and ultimately … mitigated the negative outcomes that subsequently developed. 17 Recognition of Pediatric Sepsis (7) • Ultimately

  13. Missed Pneumonia | PSNet

    psnet.ahrq.gov/web-mm/missed-pneumonia
    June 01, 2005 - pneumonia describes overdiagnosis: attributing a constellation of clinical signs as symptoms to pneumonia ultimately … study, 27.3% of the patients admitted from the emergency department (ED) with a diagnosis of pneumonia ultimately

  14. Poorly Advanced Directives | PSNet

    psnet.ahrq.gov/web-mm/poorly-advanced-directives
    August 01, 2018 - 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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49687/psn-pdf
    August 21, 2013 - Her heart rate slowed, and she ultimately developed asystole. … She ultimately regained a pulse but required high doses of vasopressors to maintain her blood pressure

  16. The Fluidity of Diagnostic "Wet Reads" | PSNet

    psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads
    April 24, 2018 - 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.

  17. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Although the primary operator is ultimately responsible for the patient, each team member must be involved … Ultimately, this case is an excellent example of what can happen when best practices are not followed

  18. A Painful Dilemma | PSNet

    psnet.ahrq.gov/web-mm/painful-dilemma
    September 01, 2013 - 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

  19. The Next Step: Use of a Pre-Operative Checklist to Prevent Missteps | PSNet

    psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
    April 24, 2018 - 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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49700/psn-pdf
    February 01, 2014 - Care was ultimately withdrawn 4 days after the event.
SHARE:
Facebook Twitter Print Facebook Share

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

You selected to view results for the following site:

View results from all sites