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psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
June 16, 2019 - Meeting/Conference Proceedings
Proceedings of a summit on preventing patient harm and death … Citation Text:
Proceedings of a summit on preventing patient harm and death from i.v. medication errors … Citation
Citation Text:
Proceedings of a summit on preventing patient harm and death
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psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
October 19, 2022 - Association between unmet nonmedication needs after hospital discharge and readmission or death … February 24, 2021
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
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psnet.ahrq.gov/node/74201/psn-pdf
December 22, 2021 - Next of kin involvement in regulatory investigations of
adverse events that caused patient death: a … psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-
death-process … //psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process … //psnet.ahrq.gov/issue/next-kin-involvement-regulatory-investigations-adverse-events-caused-patient-death-process
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psnet.ahrq.gov/node/37100/psn-pdf
October 04, 2011 - A sudden death with lung embolism after inadvertent
infusion of zinc oxide shake lotion. … A sudden death with lung embolism after inadvertent infusion of zinc
oxide shake lotion. … https://psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion … how misread labels, look-alike syringes, and medication
preparation error resulted in a patient’s death … https://psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
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psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction
August 07, 2024 - Newspaper/Magazine Article
A tragic death shows how ERs fail patients who struggle … Citation Text:
A tragic death shows how ERs fail patients who struggle with addiction. Pattani A. … Copy URL
Cite
Citation
Citation Text:
A tragic death
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psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
July 08, 2008 - Study
Community pharmacy medication review, death and re-admission after hospital … Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched … Researchers found that patients receiving the service had a reduction in readmissions and death. … Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy
Citation Text: … When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. … When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet]. … event, which most likely led to asphyxiation and severe hypoxia resulting in cardiopulmonary arrest and death … When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy. PSNet [internet].
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psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
August 04, 2021 - Commentary
Unexpected intraoperative patient death: the imperatives of family- and … Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. … Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care.
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psnet.ahrq.gov/node/39198/psn-pdf
June 27, 2011 - Potential medical adverse events associated with death: a
forensic pathology perspective. … Potential medical adverse events associated with death: a forensic
pathology perspective. … https://psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-
perspective … https://psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective … https://psnet.ahrq.gov/issue/potential-medical-adverse-events-associated-death-forensic-pathology-perspective
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psnet.ahrq.gov/node/37902/psn-pdf
July 09, 2008 - Relationship between preventability of death after
coronary artery bypass graft surgery and all-cause … Relationship between preventability of death after coronary artery bypass
graft surgery and all-cause … https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft … https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all … https://psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
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psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
August 05, 2020 - fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
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psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
August 20, 2021 - children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death
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psnet.ahrq.gov/node/37556/psn-pdf
November 21, 2016 - Unexpected intraoperative patient death: the imperatives
of family- and surgeon-centered care. … Unexpected intraoperative patient death: the imperatives of
family- and surgeon-centered care. … https://psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon- … https://psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care … https://psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care
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psnet.ahrq.gov/node/45882/psn-pdf
June 28, 2017 - Early death after discharge from emergency departments:
analysis of national US insurance claims data … Early death after discharge from emergency departments: analysis
of national US insurance claims data … https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us- … https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data … https://psnet.ahrq.gov/issue/early-death-after-discharge-emergency-departments-analysis-national-us-insurance-claims-data
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psnet.ahrq.gov/node/44469/psn-pdf
September 16, 2015 - Unexpected Death of a Patient During Treatment With
Multiple Medications, Tomah VA Medical Center, Tomah … https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va- … This investigation determined that mixed drug toxicity was the cause of a patient's death at a
Veterans … https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah … https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
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psnet.ahrq.gov/node/46928/psn-pdf
May 16, 2018 - Serious incidents after death: content analysis of
incidents reported to a national database. … Serious incidents after death: content analysis of incidents
reported to a national database. … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
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psnet.ahrq.gov/issue/learning-mistakes
March 28, 2018 - Summarizing an NHS investigation into the death of a 3-year-old boy, this report highlights the need … October 7, 2020
An Avoidable Death of a Three-year-old Child from Sepsis. … April 17, 2024
An Investigation into the Death of Baby J at University Hospitals Bristol … January 14, 2015
An Avoidable Death of a Three-year-old Child from Sepsis.
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psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
March 23, 2022 - Study
Problems in care and avoidability of death after discharge from intensive care … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … Association between unmet nonmedication needs after hospital discharge and readmission or death
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psnet.ahrq.gov/node/42672/psn-pdf
October 23, 2013 - SBAR improves nurse–physician communication and
reduces unexpected death: a pre and post intervention … SBAR improves nurse-physician communication and
reduces unexpected death: a pre and post intervention … https://psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-
death-pre-and-post … https://psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post … https://psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
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psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
May 13, 2020 - newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death … September 1, 2021
Lessons learned from a death outside a hospital's doorstep. … June 26, 2019
Death by 1,000 clicks: where electronic health records went wrong.