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Thielen, Jackie MSN, RN, APRN-NP
It is incumbent for health care professionals to identify and reduce risk of harm. Left unchecked, minor risk may progress to increased care needs and subsequent morbidity. Recognizing nursing's front-line impact, a nursing clinical peer review committee was developed in an acute care hospital to analyze retrospectively select patient cases for opportunities to reduce risk in future similar situations. Risk-adjusted mortality and code blue calls decreased.
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case study, code blue, failure to rescue, patient safety indicators, peer review, quality improvement, rapid response team
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