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Total Results: 5,550 records

Showing results for "death".

241. Psn-Pdf (pdf file)
     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

242. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet
     psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
     September 27, 2016 - Study The causes of their death appear (unto our shame perpetual): why root cause … The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best … The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best … March 3, 2019 Death by suicide within 1 week of hospital discharge: a retrospective study

243. Psn-Pdf (pdf file)
     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.

244. Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. | PSNet
     psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
     September 20, 2011 - Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death … Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of … Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of … Settings Help Improve Management of Sepsis May 31, 2023 Eliminating preventable death

245. Psn-Pdf (pdf file)
     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

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46280/psn-pdf
     December 03, 2018 - This news series reports on the incidence of maternal death, individual stories of harm, and factors … /lost-mothers-maternal-care-and-preventable-deaths https://psnet.ahrq.gov/issue/preventing-maternal-death

247. Psn-Pdf (pdf file)
     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 https:

248. Psn-Pdf (pdf file)
     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

249. Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
     July 13, 2010 - Investigators found that while the proportion of maternal death and newborn death or brain damage claims … September 1, 2021 Frequency and type of situational awareness errors contributing to death

250. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. | PSNet
     psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer
     February 24, 2011 - of deaths related to medical errors are overestimates, which do not account for the expected risk of death

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34667/psn-pdf
     January 17, 2018 - blaming-individuals In October 1996, a medication error at a Denver-area hospital resulted in the death … 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

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46187/psn-pdf
     December 06, 2017 - controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death … controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death … that the implementation of an electronic discharge communication tool did not significantly reduce death

253. Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. | PSNet
     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.

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44225/psn-pdf
     June 17, 2015 - Do No Harm: Stories of Life, Death, and Brain Surgery. June 17, 2015 Marsh H. … https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery This intensely personal … https://psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery https://psnet.ahrq.gov/issue

255. Medical device alarm safety in hospitals. | PSNet
     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

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854985/psn-pdf
     November 01, 2023 - In the UK, coroners may issue Prevention of Future Death reports (PFD) when they determine taking actions … diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah

257. Medical negligence in drug associated deaths. | PSNet
     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. Copy Citation Format: DOI Google Scholar PubMed BibT…

258. Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0. | PSNet
     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 Copy URL Cite Citation Citation Text: Death

259. Medical adverse events in the US 2018 mortality data. | PSNet
     psnet.ahrq.gov/issue/medical-adverse-events-us-2018-mortality-data
     December 21, 2022 - The risk of death due to adverse event was higher for younger patients and Black patients.

260. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
     January 01, 2024 - misinterpretation of lab results led to the missed diagnosis of pseudohyperkalemia, incorrect treatment and death … Autopsy confirmed sudden cardiac arrest without myocardial infarction as the cause of death. 7 7 … Unfortunately, the patient deteriorated and suffered sudden cardiac death likely due to TdP (meaning … /HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac … death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical