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Total Results: 5,205 records

Showing results for "death".

181. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38336/psn-pdf
     January 14, 2009 - Proceedings of a summit on preventing patient harm and death from IV medication errors. … January 14, 2009 Proceedings of a summit on preventing patient harm and death from i.v. medication errors … https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors … https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors

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/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

184. 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

185. 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

186. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. | PSNet
     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.

187. 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

188. 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

189. Time for a change in injury and trauma care delivery: a trauma death review analysis. | PSNet
     psnet.ahrq.gov/issue/time-change-injury-and-trauma-care-delivery-trauma-death-review-analysis
     November 21, 2021 - Study Time for a change in injury and trauma care delivery: a trauma death review … 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.

190. 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

191. 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

192. 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

193. Service members are left in dark on health errors. | PSNet
     psnet.ahrq.gov/issue/service-members-are-left-dark-health-errors
     July 09, 2014 - Reporting on a case involving an overlooked test result that contributed to the death of a patient in … July 9, 2014 FDA begins inquiry after death and illness from saline bags meant for training … September 12, 2012 The short life and lonely death of Sabrina Seelig.

194. Mortality among patients admitted to hospitals on weekends as compared with weekdays. | PSNet
     psnet.ahrq.gov/issue/mortality-among-patients-admitted-hospitals-weekends-compared-weekdays
     September 04, 2019 - Of the 100 most frequent causes of death, 23 were associated with higher mortality when those patients … that hospitals function less effectively during weekend hours, a notion supported by the Sunday night death … Related Resources From the Same Author(s) Community pharmacy medication review, death

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44026/psn-pdf
     November 03, 2015 - Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized … Effect of a postdischarge virtual ward on readmission or death for high- risk patients: a randomized … https://psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients … https://psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical … https://psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60185/psn-pdf
     April 01, 2020 - Administration (VA), this observational study examined the association between opioid treatment cessation and death … Researchers found an increased risk of death from overdose or suicide regardless of the length of treatment … ; the risk of death increased with longer treatment duration.

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33830/psn-pdf
     March 22, 2016 - the IOM report, multiple researchers and commentators have produced widely varying estimates of the death … If true, this would make medical error the third leading cause of death in the US. … The 2016 study—and earlier studies that also put the death toll from medical errors in the hundreds of … An electronic death review process that relied on input from frontline clinicians has been shown to … Identifying preventable harm through death reviews should be viewed as part of an overall strategy to

198. When my father died. | PSNet
     psnet.ahrq.gov/issue/when-my-father-died
     July 01, 2011 - The physician author recounts the story of her father's death—a death that she feels was preventable … July 16, 2015 Effect of a postdischarge virtual ward on readmission or death for high-risk

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49550/psn-pdf
     December 01, 2007 - 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

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34641/psn-pdf
     March 03, 2011 - study-deaths-associated-anesthesia-and-surgery-based-study-599-548- anesthesias-ten Published in 1954, this article examines the death … retrospectively reviewed 7977 deaths in 599,548 patients from 1948 to 1952 and determined the primary cause of death … There was one anesthesia death for every 1,560 patients, a death rate of 0.06%.