Results

Total Results: 5,205 records

Showing results for "death".

141. Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
     September 23, 2020 - Association between unmet nonmedication needs after hospital discharge and readmission or death … Association between unmet nonmedication needs after hospital discharge and readmission or death among … Association between unmet nonmedication needs after hospital discharge and readmission or death among … October 14, 2020 Problems in care and avoidability of death after discharge from intensive

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44405/psn-pdf
     September 02, 2015 - Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological … Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74119/psn-pdf
     November 24, 2021 - When we're all responsible for a patient's death, no one is. … https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one The issue of system versus … https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one https://psnet.ahrq.gov/issue

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38046/psn-pdf
     September 10, 2008 - Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 … Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 … https://psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital … https://psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis … -100 https://psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39277/psn-pdf
     August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. … https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts … This recently retired alert targets prevention of maternal death and highlights the need to manage blood … https://psnet.ahrq.gov/issue/preventing-maternal-death https://psnet.ahrq.gov/issue/sentinel-event-alert

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45029/psn-pdf
     April 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … https://psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael- … https://psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson … https://psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson

147. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet
     psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
     September 23, 2020 - Study Relationship between preventability of death after coronary artery bypass graft … 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

148. Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet
     psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
     September 10, 2014 - Recommendations drawn from the analysis call for improvements in suicide death review , root cause analysis … September 10, 2014 Failures in Care Coordination and Reviewing a Patient's Death at the … September 4, 2019 Unexpected Death of a Patient During Treatment With Multiple Medications … Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death

149. Report links Georgia's abortion ban to preventable deaths. | PSNet
     psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
     November 13, 2024 - exploring how delayed procedural care and medication access workarounds result in preventable maternal death … August 17, 2022 A tragic death shows how ERs fail patients who struggle with addiction

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44761/psn-pdf
     January 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46188/psn-pdf
     June 21, 2017 - Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … https://psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root- … https://psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis … https://psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35459/psn-pdf
     December 10, 2014 - Death by handwriting. December 10, 2014 Glabman M. Death by handwriting. … https://psnet.ahrq.gov/issue/death-handwriting This article discusses several strategies implemented … https://psnet.ahrq.gov/issue/death-handwriting

153. Maternal deaths at MetroWest hospital prompt state probes. | PSNet
     psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
     August 24, 2016 - Maternal death is a sentinel event . … November 21, 2007 MGH death spurs review of patient monitors. … June 8, 2011 'Alarm fatigue’ a factor in 2nd death.

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73546/psn-pdf
     July 28, 2021 - A tragic death shows how ERs fail patients who struggle with addiction. July 28, 2021 Pattani A. … https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction Patients … https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction https://

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41316/psn-pdf
     February 05, 2014 - Organ donor's surgery death sparks questions. February 5, 2014 Cohen E. CNN. April 9, 2012. … https://psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions This news article reports on … errors that contributed to the death of a live organ donor and describes regulations to protect organ … https://psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions

156. Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. | PSNet
     psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
     September 30, 2020 - This report analyzes the death of a veteran after presenting at an emergency room with suicidal ideation … July 27, 2022 Failures in Care Coordination and Reviewing a Patient's Death at the VA … May 31, 2023 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35160/psn-pdf
     January 02, 2017 - Unlabeled containers lead to patient's death. January 2, 2017 Cohen MR, Smetzer JL. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death The authors review selected incidents … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46550/psn-pdf
     November 15, 2017 - "It's the difference between life and death": the views of professional medical interpreters on their … "It's the difference between life and death": The views of professional medical interpreters on their … https://psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters … https://psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role … https://psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36726/psn-pdf
     January 22, 2017 - Eliminating preventable death at Ascension Health. … Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54. … https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health The authors report the results … https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health https://psnet.ahrq.gov//#

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40831/psn-pdf
     October 05, 2011 - 'Alarm fatigue’ a factor in 2nd death. October 5, 2011 Kowalczyk L. Boston Globe. …   https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death Reporting on a patient death involving … https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death https://psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded