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Total Results: 1,018 records

Showing results for "ultimately".

  1. Spotlight Case [MONTH] 2003 (ppt file)

    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.

  2. Aviation's gift to health care. | PSNet

    psnet.ahrq.gov/issue/aviations-gift-health-care
    December 19, 2018 - Newspaper/Magazine Article Aviation's gift to health care. Citation Text: Aviation's gift to health care. Nance JJ. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  3. Organizational Learning | PSNet

    psnet.ahrq.gov/curated-library/organizational-learning
    August 11, 2025 - networks, and processes to use data, information, evidence, and knowledge to implement change and, ultimately … networks, and processes to use data, information, evidence, and knowledge to implement change and, ultimately

  4. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet

    psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
    September 01, 2006 - industries, primarily aviation.( 3,4 ) Perhaps the most powerful ambition was that health care systems would ultimately … practical difficulty is resolving the inherent ambiguity in near-miss events: does the fact that there was ultimately

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33588/psn-pdf
    March 15, 2025 - that the intensity of the experience and the responsiveness of the organization affect how clinicians ultimately

  6. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/865308
    January 01, 2024 - networks, and processes to use data, information, evidence, and knowledge to implement change and, ultimately … networks, and processes to use data, information, evidence, and knowledge to implement change and, ultimately

  7. The Patient Safety Leadership WalkRounds Guide. | PSNet

    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. Copy Citation Save Save to your library …

  8. Staff Care: How to Engage Staff in the NHS and Why It Matters. | PSNet

    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. Copy Citation Save Save to your library Prin…

  9. Charting the Course: Launching Patient-Centric Healthcare. | PSNet

    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. Copy Citation Save Sav…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837791/psn-pdf
    August 05, 2022 - learning centers to test and implement safety strategies in their satellite ambulatory care settings and, ultimately … further accelerate the application of lessons learned to help safety leaders better understand and, ultimately

  11. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - • Before this could happen, the patient developed increasing hypoxemia and respiratory distress, ultimately … devices can trend and visually display continuous data, identify and respond to positional changes, and ultimately

  12. Delayed Sepsis Management Due to Ambiguous Allergy | PSNet

    psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
    January 13, 2021 - Ultimately, he was transitioned to comfort care and died. … without a penicillin allergy history (236.1 minutes vs 186.6 minutes, p=0.03).( 3 ) The antibiotic ultimately

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - Prior work focused on patient safety measurement, including the transition to digital measures, will ultimately

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49540/psn-pdf
    August 21, 2007 - 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

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49798/psn-pdf
    July 01, 2017 - Ultimately, the physician must use their experience and judgment to determine when the risks of proceeding … It is likely that peritonitis, sepsis, and multi-organ failure progressed postoperatively, ultimately

  16. Emergency Error | PSNet

    psnet.ahrq.gov/web-mm/emergency-error
    January 18, 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

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33672/psn-pdf
    September 01, 2008 - That may ultimately be an important tool to make sure that providers know where patients are, and the … efficiency of the hospital if it's implemented correctly and perhaps increase satisfaction, and ultimately

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60721/psn-pdf
    July 21, 2020 - Written escalation protocols can facilitate those decisions, but ultimately providers need to trust … including the American Telemedicine Association, have some guidelines for some specialties, but they ultimately … I tend to agree with the less regulated approach because, ultimately, it should be left up to the physician … But now, and ultimately, it’s going to end up being a normal part of operations.  

  19. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. | PSNet

    psnet.ahrq.gov/issue/role-ai-detecting-and-mitigating-human-errors-safety-critical-industries-review
    January 15, 2025 - Review The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Citation Text: Gursel E, Madadi M, Coble JB, et al. The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Reliability Eng System Saf. 2025;25…

  20. In Conversation With... Georgia Galanou Luchen, Pharm. D. | PSNet

    psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
    October 24, 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 they … Engaging patients in their own care is really important because ultimately, the patient can give you
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