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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
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psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
September 02, 2009 - Study
Medical negligence in drug associated deaths.
Citation Text:
Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014.
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psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
July 08, 2015 - Magazine Article
The absence of a drug–disease interaction alert leads to a child's death … Citation Text:
The absence of a drug–disease interaction alert leads to a child's death. … Citation
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The absence of a drug–disease interaction alert leads to a child's death
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psnet.ahrq.gov/node/40523/psn-pdf
August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A
Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - in an ASA Class I patient
Product or Device Events
Patient death or serious disability associated … the use of contaminated drugs, devices, or
biologics provided by the health care facility
Patient death … a device in patient care in
which the device is used or functions other than as intended
Patient death … labor or delivery in a low-risk pregnancy while
being cared for in a health care facility
Patient death … neonates
Stage 3 or 4 pressure ulcers acquired after admission to a health care facility
Patient death
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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/node/33835/psn-pdf
June 01, 2017 - Overall, a nearly
30% increase in the risk of death if you were admitted on the weekend compared to … After looking at these 4 million admissions, we found that the odds of death was about
10% higher in … a
40% higher odds of death compared to patients who had had their operation on a Monday. … The risk of death in elective surgery is thankfully pretty low,
a fraction of a percent. … You have a higher risk of
death.
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psnet.ahrq.gov/issue/national-cross-sectional-cohort-study-relationship-between-quality-mental-healthcare-and
May 04, 2022 - National cross-sectional cohort study of the relationship between quality of mental healthcare and death … National cross-sectional cohort study of the relationship between quality of mental healthcare and death … National cross-sectional cohort study of the relationship between quality of mental healthcare and death
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psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
December 23, 2016 - event alert describes how ignoring alarms can have fatal outcomes and recounts an intensive care unit death … The sentinel event database includes 98 alarm-related events (80 of which resulted in death) between … Patient Safety in Acute Hospital Care Units
April 26, 2023
Preventing maternal death
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psnet.ahrq.gov/issue/last-responders-seek-expand-postmortem-covid-testing-unexplained-deaths
May 27, 2020 - The authors discuss the value of assessing cause of death for patients thought to have died from COVID … August 19, 2020
Avoiding care during the pandemic could mean life or death.
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psnet.ahrq.gov/issue/recent-two-fold-increase-medical-adverse-event-deaths-among-us-inpatients
April 06, 2022 - After analyzing national death certificate data from 1999 through 2019, researchers in this study found … that medical adverse events were listed as the underlying cause of death in 0.24% of deaths.
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psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes-120-prepared
June 10, 2018 - Newspaper/Magazine Article
Death and neurological devastation from intrathecal vinca … Citation Text:
Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes … Linkedin
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Death
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - SPOTLIGHT CASE
Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … findings include those that require immediate action and direct communication with providers to avoid death … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism.
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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/node/43955/psn-pdf
December 04, 2016 - For Colorado mom, story of daughter's hospital death is
key to others' safety. … https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
Patient and … https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/effect-postdischarge-virtual-ward-readmission-or-death-high-risk-patients-randomized-clinical
October 31, 2011 - Classic
Effect of a postdischarge virtual ward on readmission or death … Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical … Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical … controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death
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psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
March 03, 2011 - Approximately 1 in 11 admissions had an adverse event, and 15% of these led to significant disability or death … Association between unmet nonmedication needs after hospital discharge and readmission or death … December 29, 2014
Weekend hospitalization and additional risk of death: an analysis of
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psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients
August 31, 2016 - August 31, 2016
An Avoidable Death of a Three-year-old Child from Sepsis. … April 17, 2024
An Investigation into the Death of Baby J at University Hospitals Bristol … Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death … March 18, 2015
An Avoidable Death of a Three-year-old Child from Sepsis.
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psnet.ahrq.gov/node/44183/psn-pdf
November 03, 2015 - The absence of a drug–disease interaction alert leads to a
child's death. … https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
The disabling … https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/46079/psn-pdf
June 28, 2017 - Death due to pharmacy compounding error reinforces
need for safety focus. … https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
Compounding … https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
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