-
psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors
October 05, 2011 - Newspaper/Magazine Article
MGH death spurs review of patient monitors. … Citation Text:
MGH death spurs review of patient monitors. Kowalczyk L. Boston Globe. … This news account discusses a patient death after a heart monitor alarm was inadvertently turned off. … Related Resources From the Same Author(s)
'Alarm fatigue’ a factor in 2nd death … November 16, 2016
'Alarm fatigue’ a factor in 2nd death.
-
psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death
September 26, 2017 - Commentary
Unlabeled containers lead to patient's death. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7.
-
psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death
March 29, 2017 - Newspaper/Magazine Article
Trail of medical missteps in a Peace Corps death. … Citation Text:
Trail of medical missteps in a Peace Corps death. Stolberg SG. … investigation into failures , such as cognitive biases and poor judgment, that may have contributed to the death … Cite
Citation
Citation Text:
Trail of medical missteps in a Peace Corps death
-
psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
July 08, 2022 - Medication Mix-Up Leads to Patient Death
Citation Text:
Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. … Medical error—the third leading cause of death in the US. … Medication Mix-Up Leads to Patient Death. PSNet [internet].
-
psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
October 27, 2021 - Study
Contribution of adverse events to death of hospitalised patients. … Contribution of adverse events to death of hospitalised patients. … Contribution of adverse events to death of hospitalised patients.
-
psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
November 16, 2022 - Book/Report
The Life and Death of Elizabeth Dixon: A Catalyst for Change. … Citation Text:
The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. … inadequate clinician expertise were among the contributing factors identified in this analysis of the death … Copy URL
Cite
Citation
Citation Text:
The Life and Death … April 27, 2022
An Investigation into the Death of Baby J at University Hospitals Bristol
-
psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
November 16, 2022 - Commentary
Surgical accountability in the 1880s: the death of Susan Nixon. … Surgical accountability in the 1880s: the death of Susan Nixon. … Surgical accountability in the 1880s: the death of Susan Nixon.
-
psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage
January 15, 2020 - Newspaper/Magazine Article
Proactive prevention of maternal death from maternal hemorrhage … Citation Text:
Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. … Cite
Citation
Citation Text:
Proactive prevention of maternal death
-
psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us
September 16, 2020 - Commentary
Medical error—the third leading cause of death in the US. … Medical error-the third leading cause of death in the US. … more than 250,000 deaths per year, which would rank medical errors as the third most common cause of death … This estimation was developed by extrapolating preventable death rates from several studies with different … Medical error-the third leading cause of death in the US.
-
psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department
November 16, 2022 - Study
Unanticipated death after discharge home from the emergency department. … Unanticipated Death After Discharge Home From the Emergency Department. … This retrospective cohort study, conducted over a 10-year period, linked hospital records and state death … Unanticipated Death After Discharge Home From the Emergency Department.
-
psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
April 07, 2019 - Study
Reporting of death in US Food and Drug Administration medical device adverse … event reports in categories other than death. … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … other than death. … other than death.
-
psnet.ahrq.gov/issue/short-life-and-lonely-death-sabrina-seelig
October 08, 2008 - Newspaper/Magazine Article
The short life and lonely death of Sabrina Seelig. … Citation Text:
The short life and lonely death of Sabrina Seelig. Hartocollis A. … This newspaper article reports on the missteps that contributed to the death of a young woman after she … Cite
Citation
Citation Text:
The short life and lonely death
-
psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
July 08, 2020 - Study
Unexpected death within 72 hours of emergency department visit: were those … Unexpected death within 72 hours of emergency department visit: were those deaths preventable? … critical and unresolved issue in patient safety is how to determine whether unexpected harm, including death … This retrospective study used medical record review to uncover if medical error occurred in cases of death … Unexpected death within 72 hours of emergency department visit: were those deaths preventable?
-
psnet.ahrq.gov/issue/death-boy-prompts-new-medical-efforts-nationwide
March 22, 2014 - Newspaper/Magazine Article
Death of a boy prompts new medical efforts nationwide. … Citation Text:
Death of a boy prompts new medical efforts nationwide. Dwyer J. New York Times. … Reporting on the death of a boy due to a missed diagnosis of infection, this newspaper article discusses … Linkedin
Copy URL
Cite
Citation
Citation Text:
Death
-
psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care
March 30, 2016 - Newspaper/Magazine Article
Inquiry into reporter's death finds multiple failures … Citation Text:
Inquiry into reporter's death finds multiple failures in care. Stout D. … This article reports on the investigation following the death of New York Times reporter David E. … Cite
Citation
Citation Text:
Inquiry into reporter's death
-
psnet.ahrq.gov/issue/medication-error-death-rate-500-percent
August 10, 2016 - Audiovisual Presentation
Medication error death rate up 500 percent. … Citation Text:
Medication error death rate up 500 percent. Spiesel S, Chadwick A. "Day to Day." … Copy URL
Cite
Citation
Citation Text:
Medication error death
-
psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn
February 01, 2023 - Newspaper/Magazine Article
Investigators find hospital error caused mother’s death … Citation Text:
Investigators find hospital error caused mother’s death in Brooklyn. Goldstein J. … Factors contributing to her death include delayed recognition of deterioration , and communication failures … Cite
Citation
Citation Text:
Investigators find hospital error caused mother’s death … September 6, 2016
FDA begins inquiry after death and illness from saline bags meant for
-
psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust
August 04, 2021 - Book/Report
An Investigation into the Death of Baby J at University Hospitals Bristol … Citation Text:
An Investigation into the Death of Baby J at University Hospitals Bristol and Weston … This report examines a premature infant death associated with failings of antibiotic administration … March 28, 2018
An Avoidable Death of a Three-year-old Child from Sepsis. … January 12, 2022
The Life and Death of Elizabeth Dixon: A Catalyst for Change.
-
psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
August 31, 2016 - Book/Report
An Avoidable Death of a Three-year-old Child from Sepsis. … Citation Text:
An Avoidable Death of a Three-year-old Child from Sepsis. … This investigation outlines how inadequate care contributed to the death of a child who developed sepsis … Copy URL
Cite
Citation
Citation Text:
An Avoidable Death … August 4, 2021
An Investigation into the Death of Baby J at University Hospitals Bristol
-
psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
November 25, 2009 - Multi-use Website
National Confidential Enquiry into Patient Outcome and Death. … Citation Text:
National Confidential Enquiry into Patient Outcome and Death. … National Confidential Enquiry into Patient Outcome and Death; NCEPOD
Copy Citation … Copy URL
March 17, 2011
National Confidential Enquiry into Patient Outcome and Death … National Confidential Enquiry into Patient Outcome and Death; NCEPOD
Copy Citation