Results

Total Results: 5,550 records

Showing results for "death".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42593/psn-pdf
     June 10, 2018 - Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared … https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared- … https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes … -120-prepared https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38963/psn-pdf
     November 13, 2009 - Injury and death associated with incidents reported to the Patient Safety Net. … Injury and death associated with incidents reported to the patient safety net. … https://psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net This … https://psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net https:

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43435/psn-pdf
     August 06, 2014 - Trail of medical missteps in a Peace Corps death. August 6, 2014 Stolberg SG. … https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death Raising concerns about health … investigation into failures, such as cognitive biases and poor judgment, that may have contributed to the death … https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death https://psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38277/psn-pdf
     December 10, 2008 - Time for a change in injury and trauma care delivery: a trauma death review analysis. … Time for a change in injury and trauma care delivery: a trauma death review analysis. … https://psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis … https://psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41176/psn-pdf
     March 02, 2012 - Weekend hospitalization and additional risk of death: an analysis of inpatient data. … Weekend hospitalization and additional risk of death: An analysis of inpatient data. … https://psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data … Weekend admissions have also been associated with 10% higher odds of death. … https://psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data

186. 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://

187. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
     psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
     March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

188. Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. | PSNet
     psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
     October 07, 2020 - Lack of appropriate follow up of diagnostic imaging can result in care delays, patient harm, and death … July 19, 2023 An Investigation into the Death of Baby J at University Hospitals Bristol … March 28, 2018 An Avoidable Death of a Three-year-old Child from Sepsis.

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851650/psn-pdf
     July 26, 2023 - of early signs of clinical deterioration can result in transfer to the intensive care unit (ICU) or death … This study investigated whether critical illness events (transfer to ICU or death) impacted another … critical illness events increase the odds of additional patient transfers into the ICU, but not of death

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46081/psn-pdf
     April 19, 2017 - Why are medical errors still a leading cause of death? April 19, 2017 Headley M. … https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death This magazine article … https://psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death https://psnet.ahrq.gov/ … measuring-and-responding-deaths-medical-errors https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

191. Preventable deaths: who, how often, and why? | PSNet
     psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
     February 22, 2011 - Clinical experts then prepared discharge summaries, including an opinion on whether a death was preventable

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45719/psn-pdf
     June 29, 2017 - Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing … Systematic Review of the Prevalence of Medication Errors Resulting in Hospitalization and Death of Nursing … psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and- death-nursing … //psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing … //psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47895/psn-pdf
     March 27, 2019 - Death by 1,000 clicks: where electronic health records went wrong. … https://psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong Despite years … https://psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong https://psnet.ahrq.gov

194. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet
     psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
     June 16, 2019 - In October 1996, a medication error at a Denver-area hospital resulted in the death of a newborn infant … three nurses involved in the error were indicted for criminally negligent homicide, and blame for the death … Safe Medication Practices) discovered more than 50 latent system failures that contributed to the death

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45943/psn-pdf
     March 15, 2017 - identifying-and-reducing-complications-after-emergency-room-discharge 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 … psnet.ahrq.gov/issue/improving-emergency-department-discharge-process https://psnet.ahrq.gov/issue/unexpected-death-within … hours-emergency-department-visit-were-those-deaths-preventable https://psnet.ahrq.gov/issue/unexpected-death-within

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35106/psn-pdf
     April 06, 2011 - A case of the birth and death of a high reliability healthcare organisation. … A case of the birth and death of a high reliability healthcare organisation. … https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation This commentary … https://psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation https://psnet.ahrq.gov

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43361/psn-pdf
     July 16, 2014 - An Avoidable Death of a Three-year-old Child from Sepsis. … https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis This investigation outlines … how inadequate care contributed to the death of a child who developed sepsis while receiving treatment … https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis https://psnet.ahrq.gov/issue

198. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet
     psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
     July 20, 2022 - As in prior studies , reviewers' agreement on whether a death was preventable was only moderate. … December 16, 2020 Problems in care and avoidability of death after discharge from intensive

199. 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

200. Surveying care teams after in-hospital deaths to identify preventable harm and opportunities to improve advance care planning. | PSNet
     psnet.ahrq.gov/issue/surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and-opportunities
     April 17, 2024 - Mortality reviews, in which all cases of in-hospital death are discussed in structured format, can