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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. 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].

4. 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].

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. State: nurse error caused death. | PSNet
   psnet.ahrq.gov/issue/state-nurse-error-caused-death
   May 10, 2006 - Newspaper/Magazine Article State: nurse error caused death. … This article reports on a federal warning issued to a hospital after a medication error led to the death … April 12, 2006 Inquiry into reporter's death finds multiple failures in care. … More Related Resources Investigators find hospital error caused mother’s death

9. The problem with preventable deaths. | PSNet
   psnet.ahrq.gov/issue/problem-preventable-deaths
   July 24, 2024 - Commentary The problem with preventable deaths. Citation Text: Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

10. Arresting death: saving 100,000 lives. | PSNet
    psnet.ahrq.gov/issue/arresting-death-saving-100000-lives
    June 07, 2006 - Newspaper/Magazine Article Arresting death: saving 100,000 lives. … Arresting death: saving 100,000 lives. Trustee. 2007;60(1):6-11. … Arresting death: saving 100,000 lives. Trustee. 2007;60(1):6-11.

11. '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

12. Nurse is charged in death of patient. | PSNet
    psnet.ahrq.gov/issue/nurse-charged-death-patient
    January 25, 2006 - Newspaper/Magazine Article Nurse is charged in death of patient.

13. 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.

14. 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

15. A piece of my mind. A death in the family. | PSNet
    psnet.ahrq.gov/issue/piece-my-mind-death-family
    October 19, 2022 - A death in the family. Citation Text: Khan A. A Death in the Family. … A Death in the Family. JAMA. 2017;318(16). doi:10.1001/jama.2017.13531.

16. 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

17. 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

18. Kaiser blames baby's death on medication error. | PSNet
    psnet.ahrq.gov/issue/kaiser-blames-babys-death-medication-error
    March 21, 2007 - Magazine Article Published March 21, 2007 Kaiser blames baby's death … Twitter Linkedin Email Print This news story reports on the death

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. 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