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Total Results: 1,018 records

Showing results for "ultimately".

81. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
    psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
    November 15, 2023 - struggle to define “report-worthy” events and question whether actions stemming from incident reports ultimately

82. Diagnostic Errors Case Studies | PSNet
    psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    August 10, 2025 - He was ultimately discharged with a diagnosis of “Bipolar 1 – moderate-severe with mixed features.” … The radiology assessment was challenging due to dense breast tissue and ultimately interpreted as “probably … The patient ultimately presented to the emergency department with a bowel obstruction, was diagnosed

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33785/psn-pdf
    May 01, 2015 - It was only afterward, as they participated in the process of rating their peers and they ultimately … But then, a couple of videos later, I was sampling recordings of surgeons that ultimately rated at the … However, I never imagined for a second that it would be as powerfully associated with outcomes as ultimately … I believe that that ultimately will hold true for operative surgery as well. … use big data approaches to assessing spatial movements of instruments that appear on a screen and ultimately

84. How physicians think: a case-based diagnostic simulation exercise. | PSNet
    psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise
    August 14, 2019 - use of a case-based simulation to explore how physicians reason, create differential diagnoses, and ultimately

85. Misdiagnosis of thoracic aortic emergencies occurs frequently among transfers to aortic referral centers: an analysis of over 3700 patients. | PSNet
    psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
    October 28, 2020 - transfers present their own risks, these researchers evaluated emergency transfers of patients who did not ultimately

86. Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. | PSNet
    psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review
    October 19, 2022 - They ultimately included 47 studies in their analysis, 28 of which demonstrated a relationship between

87. The intersection of traumatic childbirth and obstetric racism: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/intersection-traumatic-childbirth-and-obstetric-racism-qualitative-study
    June 14, 2023 - Ultimately these experiences caused long-term harm to their mental health, decreased trust in healthcare

88. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. | PSNet
    psnet.ahrq.gov/issue/commercialised-experience-operating-embodied-preferences-ambiguous-variations-and-explaining
    August 24, 2022 - describe their preferences for and experiences with a device which caused widespread harm to women and was ultimately

89. Career impact of the chief resident in quality and safety training program: an alumni evaluation | PSNet
    psnet.ahrq.gov/issue/career-impact-chief-resident-quality-and-safety-training-program-alumni-evaluation
    June 19, 2019 - suggests that such programs can teach residents to lead and engage other residents in patient safety and ultimately

90. Medical bias: from pain pills to COVID-19, racial discrimination in health care festers. | PSNet
    psnet.ahrq.gov/issue/medical-bias-pain-pills-covid-19-racial-discrimination-health-care-festers
    June 24, 2020 - This story examines how racial bias  can affect diagnosis, research, and treatment, ultimately resulting

91. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet
    psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice
    June 08, 2022 - harm” goals) over participants’ emotional experience and sociotechnical design elements, which can ultimately

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39549/psn-pdf
    March 22, 2011 - Ultimately, creation of a "closed-loop" system that integrates technological solutions to prescription

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42968/psn-pdf
    February 26, 2014 - prescribing physician's note with the order entered into the e-prescribing system and the medication ultimately

94. Blaming others for threatening events. | PSNet
    psnet.ahrq.gov/issue/blaming-others-threatening-events
    November 25, 2009 - and personal characteristics, with interpersonal and intrapersonal mediators playing a role, which ultimately

95. Safety incidents in family medicine. | PSNet
    psnet.ahrq.gov/issue/safety-incidents-family-medicine
    December 11, 2013 - reporting system, designed to encourage error reporting in ambulatory family medicine practices, ultimately

96. CE/MOC Quizzes | PSNet
    psnet.ahrq.gov/cme
    February 26, 2025 - However, she suffered from ischemic stroke and intracranial hemorrhages, ultimately leading to a transition … Ultimately, he developed osteomyelitis, requiring multiple surgeries and a long hospital stay due to

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/846127/psn-pdf
    March 15, 2023 - By the time this patient ultimately underwent surgical reassessment, his symptoms had worsened and he … The patient in this case ultimately developed septic complications and was admitted to the hospital for … may lead to lower readmission rates,7 better provider communication and patient satisfaction, and ultimately

98. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet
    psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
    May 21, 2019 - who improvised a response to a fire by setting a back-fire while the rest of his crew panicked and ultimately

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33726/psn-pdf
    March 01, 2012 - One of the early cases we tried was a case that ultimately I could have settled for $40,000 or $50,000 … Instead of seeing people as ultimately disposable, we're getting our arms around them and we're enrolling … Hold them accountable but protect them from draconian penalties if we want to protect ultimately our … Ultimately it's not about claims at all, it's about making people safer. … RB: I bristle at the headlines that say apology saves money because ultimately it's not about claims—it's

100. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.368_slideshow.ppt
     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. 6 Background … already complex and risk-fraught arena 24 Take-Home Points (2) In general, surgical outcomes are ultimately