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Showing results for "death".

1. Preventing maternal death. | PSNet
   psnet.ahrq.gov/issue/preventing-maternal-death
   March 27, 2024 - 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

2. 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.

3. Time of Death? | PSNet
   psnet.ahrq.gov/web-mm/time-death
   August 01, 2009 - Time of Death? … The code team never came together to discuss this error (the premature pronouncement of death); rather … too exhausted to continue A medical professional decides it’s time to stop, or Obvious signs of death … What apparent signs of death should be sought? … Video Video Title Length View 1 Time of Death 6:56

4. Death by PCA | PSNet
   psnet.ahrq.gov/web-mm/death-pca
   November 05, 2014 - Death by PCA Save Save to your library Print Share Facebook … 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

5. Learning from every death. | PSNet
   psnet.ahrq.gov/issue/learning-every-death
   August 05, 2009 - 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. … The rate of autopsies – the “gold standard” of death investigation – are decreasing worldwide. … August 19, 2020 Race, postoperative complications, and death in apparently healthy children

7. 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 … June 6, 2007 Inquiry into reporter's death finds multiple failures in care. … More Related Resources Investigators find hospital error caused mother’s death

8. Cause of death: sloppy doctors. | PSNet
   psnet.ahrq.gov/issue/cause-death-sloppy-doctors
   February 07, 2007 - Newspaper/Magazine Article Cause of death: sloppy doctors. … January 28, 2015 FDA begins inquiry after death and illness from saline bags meant for … January 24, 2024 Investigators find hospital error caused mother’s death in Brooklyn. … April 3, 2019 Death by 1,000 clicks: where electronic health records went wrong.

9. 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.

10. Government Response to the Investigation into the Death of Elizabeth Dixon. | PSNet
    psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
    November 16, 2022 - Book/Report Government Response to the Investigation into the Death of Elizabeth … London, England: Crown Copyright; 2023   Following an investigation into the death of 11-month-old … July 22, 2020 The Life and Death of Elizabeth Dixon: A Catalyst for Change. … 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death

11. 'Alarm fatigue’ a factor in 2nd death. | PSNet
    psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death
    February 23, 2011 - Newspaper/Magazine Article 'Alarm fatigue’ a factor in 2nd death. … Reporting on a patient death involving alarm fatigue , this newspaper article describes how one hospital … February 23, 2011 MGH death spurs review of patient monitors. … 2007 Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death

12. 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.

13. 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.

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. 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 … Reporting on lessons to be learned from the cascade of failures connected with the preventable death

16. 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. … This news article reports on errors that contributed to the death of a live organ donor and describes … November 25, 2009 Wife 'heartbroken' at death blamed on meningitis. … September 23, 2020 Avoiding care during the pandemic could mean life or death.

17. 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. … inadequate clinician expertise were among the contributing factors identified in this analysis of the death … October 6, 2021 Government Response to the Investigation into the Death of Elizabeth … July 19, 2023 Government Response to the Investigation into the Death of Elizabeth Dixon

18. The problem with preventable deaths. | PSNet
    psnet.ahrq.gov/issue/problem-preventable-deaths
    May 19, 2021 - 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…

19. A piece of my mind. A death in the family. | PSNet
    psnet.ahrq.gov/issue/piece-my-mind-death-family
    December 22, 2021 - 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.

20. 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