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psnet.ahrq.gov/node/42607/psn-pdf
January 09, 2014 - Critical care transition programs and the risk of
readmission or death after discharge from an ICU: … Critical care transition programs and the risk of readmission or death after
discharge from an ICU: … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after- … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu
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psnet.ahrq.gov/node/37000/psn-pdf
September 15, 2011 - Unanticipated death after discharge home from the
emergency department. … Unanticipated Death After Discharge Home From the Emergency
Department. … https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
This retrospective … cohort study, conducted over a 10-year period, linked hospital records and state death
records to identify … https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
March 24, 2021 - Two fatal cases of accidental intrathecal vincristine administration: learning from death … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … Mortality review as a tool to assess the contribution of healthcare-associated infections to death
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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
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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
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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
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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
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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
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psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - Study
A quality improvement study: medication error leading to thyrotoxicosis and death … A quality improvement study: medication error leading to thyrotoxicosis and death. … A quality improvement study: medication error leading to thyrotoxicosis and death.
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psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
September 08, 2010 - Study
Injury and death associated with incidents reported to the Patient Safety Net … Injury and death associated with incidents reported to the patient safety net. … Injury and death associated with incidents reported to the patient safety net.
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psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
May 31, 2017 - Newspaper/Magazine Article
Death due to pharmacy compounding error reinforces need … Citation Text:
Death due to pharmacy compounding error reinforces need for safety focus. … Linkedin
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Death
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psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
March 07, 2018 - Newspaper/Magazine Article
For Colorado mom, story of daughter's hospital death is … Citation Text:
For Colorado mom, story of daughter's hospital death is key to others' safety. … Cite
Citation
Citation Text:
For Colorado mom, story of daughter's hospital death … October 19, 2020
Lessons learned from a death outside a hospital's doorstep.
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psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
May 11, 2022 - bias , patient management discontinuity and inappropriate physical restraint that contributed to the death … August 26, 2020
Avoiding care during the pandemic could mean life or death. … May 31, 2023
Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment
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psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
March 03, 2021 - Magazine Article
What a new doctor learned about medical mistakes from her Mom's death … Citation Text:
What a new doctor learned about medical mistakes from her Mom's death. Allen M. … Citation
Citation Text:
What a new doctor learned about medical mistakes from her Mom's death
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psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - This magazine article reports on the preventable death of a patient during an acute asthma attack. … Written by the patient's husband, the article outlines the failures that led to her death despite the … Improving Diagnostic Safety and Quality
April 26, 2023
Lessons learned from a death … January 8, 2018
Inquiry into reporter's death finds multiple failures in care.
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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
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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
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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
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psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
March 09, 2022 - Study
Clinical and pathological disagreement upon the cause of death in a teaching … 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 … July 28, 2021
The slow, troubling death of the autopsy.
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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