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Showing results for "death".

1. Death by handwriting. | PSNet
   psnet.ahrq.gov/issue/death-handwriting
   October 19, 2022 - Newspaper/Magazine Article Death by handwriting. … Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32. … Death by handwriting. Trustee : the journal for hospital governing boards. 2005;58(9):29-32.

2. Preventing maternal death. | PSNet
   psnet.ahrq.gov/issue/preventing-maternal-death
   April 26, 2023 - Sentinel Event Alerts Preventing maternal death. … Citation Text: Preventing maternal death. Sentinel Event Alert. 2010;44(44):1-4. … This recently retired alert targets prevention of maternal death and highlights the need to manage blood … URL Cite Citation Citation Text: Preventing maternal death

3. Death by PCA | PSNet
   psnet.ahrq.gov/web-mm/death-pca
   January 06, 2017 - Death by PCA Citation Text: Hicks RW. Death by PCA. PSNet [internet]. … Death by PCA. PSNet [internet]. … effects, including pruritus, bradypnea, hypoxia, nausea, vomiting, sedation, urinary retention, and death … Programming errors contribute to death from patient-controlled analgesia: case report and estimate of … Death by PCA. PSNet [internet].

4. Time of Death? | PSNet
   psnet.ahrq.gov/web-mm/time-death
   January 03, 2017 - Time of Death? Citation Text: Taekman JM, Wright MC. Time of Death?. PSNet [internet]. … Time of Death?. PSNet [internet]. … The code team never came together to discuss this error (the premature pronouncement of death); rather … What apparent signs of death should be sought? … Time of Death?. PSNet [internet].

5. Learning from every death. | PSNet
   psnet.ahrq.gov/issue/learning-every-death
   June 28, 2011 - Commentary Learning from every death. … Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. … Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053.

6. The slow, troubling death of the autopsy. | PSNet
   psnet.ahrq.gov/issue/slow-troubling-death-autopsy
   August 19, 2020 - Newspaper/Magazine Article The slow, troubling death of the autopsy. … Citation Text: The slow, troubling death of the autopsy. Ashworth S. Elemental. … The rate of autopsies – the “gold standard” of death investigation – are decreasing worldwide. … URL Cite Citation Citation Text: The slow, troubling death

7. Cause of death: sloppy doctors. | PSNet
   psnet.ahrq.gov/issue/cause-death-sloppy-doctors
   January 14, 2011 - Newspaper/Magazine Article Cause of death: sloppy doctors. … Citation Text: Cause of death: sloppy doctors. Caplan J. Time. January 15, 2007. … Copy URL Cite Citation Citation Text: Cause of death … February 4, 2015 FDA begins inquiry after death and illness from saline bags meant for

8. Eliminating preventable death at Ascension Health. | PSNet
   psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health
   June 03, 2020 - Commentary Eliminating preventable death at Ascension Health. … Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54. … Eliminating preventable death at Ascension Health.

9. Organ donor's surgery death sparks questions. | PSNet
   psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions
   April 06, 2016 - Newspaper/Magazine Article Organ donor's surgery death sparks questions. … Citation Text: Organ donor's surgery death sparks questions. Cohen E. CNN. April 9, 2012. … This news article reports on errors that contributed to the death of a live organ donor and describes … URL Cite Citation Citation Text: Organ donor's surgery death

10. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
    psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - The death was unexpected, particularly given the patient's low preoperative risk, and the family and … The Commentary This patient's death certainly warrants the label "unexpected." … ) of less than 0.5%.( 2 ) What then should we infer from her unfortunate and unexpected death: chance … Using this framework, "death in low-mortality DRG" would score highly on clinical importance and (in … One can justify using an indicator like death in a low-mortality DRG as a screening test, that, when

11. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. | PSNet
    psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
    April 07, 2019 - Study Reporting of death in US Food and Drug Administration medical device adverse … event reports in categories other than death. … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … other than death. … other than death.

12. 'Alarm fatigue’ a factor in 2nd death. | PSNet
    psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
    September 30, 2015 - Newspaper/Magazine Article 'Alarm fatigue’ a factor in 2nd death. … Citation Text: 'Alarm fatigue’ a factor in 2nd death. Kowalczyk L. Boston Globe. … Reporting on a patient death involving alarm fatigue , this newspaper article describes how one hospital … Cite Citation Citation Text: 'Alarm fatigue’ a factor in 2nd death … nbsp; Copy Citation Related Resources From the Same Author(s) MGH death

13. Unlabeled containers lead to patient's death. | PSNet
    psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
    September 26, 2017 - Commentary Unlabeled containers lead to patient's death. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.

14. MGH death spurs review of patient monitors. | PSNet
    psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
    October 05, 2011 - Newspaper/Magazine Article MGH death spurs review of patient monitors. … Citation Text: MGH death spurs review of patient monitors. Kowalczyk L. Boston Globe. … This news account discusses a patient death after a heart monitor alarm was inadvertently turned off. … Related Resources From the Same Author(s) 'Alarm fatigue’ a factor in 2nd death … November 16, 2016 'Alarm fatigue’ a factor in 2nd death.

15. Medication Mix-Up Leads to Patient Death | PSNet
    psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
    July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medical error—the third leading cause of death in the US. … Medication Mix-Up Leads to Patient Death. PSNet [internet].

16. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet
    psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
    July 08, 2020 - Study Unexpected death within 72 hours of emergency department visit: were those … Unexpected death within 72 hours of emergency department visit: were those deaths preventable? … critical and unresolved issue in patient safety is how to determine whether unexpected harm, including death … This retrospective study used medical record review to uncover if medical error occurred in cases of death … Unexpected death within 72 hours of emergency department visit: were those deaths preventable?

17. Government Response to the Investigation into the Death of Elizabeth Dixon. | PSNet
    psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
    February 19, 2020 - Book/Report Government Response to the Investigation into the Death of Elizabeth … Citation Text: Government Response to the Investigation into the Death of Elizabeth Dixon. … London, England: Crown Copyright; 2023   Following an investigation into the death of 11-month-old … Cite Citation Citation Text: Government Response to the Investigation into the Death

18. The Life and Death of Elizabeth Dixon: A Catalyst for Change. | PSNet
    psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
    November 16, 2022 - Book/Report The Life and Death of Elizabeth Dixon: A Catalyst for Change. … Citation Text: The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. … inadequate clinician expertise were among the contributing factors identified in this analysis of the death … Copy URL Cite Citation Citation Text: The Life and Death … April 27, 2022 An Investigation into the Death of Baby J at University Hospitals Bristol

19. Life after death: the aftermath of perioperative catastrophes. | PSNet
    psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
    March 29, 2012 - Review Life after death: the aftermath of perioperative catastrophes. … Life after death: the aftermath of perioperative catastrophes. … This review addresses how patient death in the operating room affects anesthesiologists and examines … Life after death: the aftermath of perioperative catastrophes.

20. Lessons learned from a death outside a hospital's doorstep. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
    October 30, 2019 - Newspaper/Magazine Article Lessons learned from a death outside a hospital's doorstep … Citation Text: Lessons learned from a death outside a hospital's doorstep. Palmer J. … Reporting on lessons to be learned from the cascade of failures connected with the preventable death … Cite Citation Citation Text: Lessons learned from a death