Results

Total Results: 5,205 records

Showing results for "death".

241. Associations between stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans: observational evaluation. | PSNet
     psnet.ahrq.gov/issue/associations-between-stopping-prescriptions-opioids-length-opioid-treatment-and-overdose-or
     April 05, 2017 - 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.

242. 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

243. 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

244. Advancing Patient Safety Through State Reporting Systems | PSNet
     psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
     June 01, 2007 - object in a patient after surgery or other procedure Intraoperative or immediately postoperative death … in an ASA Class I patient Product or Device Events Patient death or serious disability … 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

245. Addiction treatment providers in Pa. face little state scrutiny despite harm to clients. | PSNet
     psnet.ahrq.gov/issue/addiction-treatment-providers-pa-face-little-state-scrutiny-despite-harm-clients
     May 05, 2021 - April 15, 2020 A tragic death shows how ERs fail patients who struggle with addiction … September 19, 2018 Death by 1,000 clicks: where electronic health records went wrong. … August 17, 2022 A tragic death shows how ERs fail patients who struggle with addiction

246. Misdiagnoses: a hidden risk of genetic testing. | PSNet
     psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing
     July 10, 2019 - This news article reports on the unexpected death of a child and how the family experienced psychological … September 21, 2016 MGH death spurs review of patient monitors.

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841770/psn-pdf
     December 21, 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.

248. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet
     psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
     November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention

249. 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

250. Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. | PSNet
     psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
     April 27, 2022 - Maternal death and preventable poor neonatal outcomes are indications of health care safety and quality … June 18, 2013 The Life and Death of Elizabeth Dixon: A Catalyst for Change.

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60997/psn-pdf
     October 07, 2020 - bias, patient management discontinuity and inappropriate physical restraint that contributed to the death … psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself https://psnet.ahrq.gov/issue/death-suicide-within

252. Good for You, Good for Us, Good for Everybody. | PSNet
     psnet.ahrq.gov/issue/good-you-good-us-good-everybody
     October 20, 2021 - s) Digital Clinical Safety Strategy October 20, 2021 The Life and Death … July 1, 2020 Government Response to the Investigation into the Death of Elizabeth Dixon … August 25, 2021 The Life and Death of Elizabeth Dixon: A Catalyst for Change.

253. Independent Neurology Inquiry. | PSNet
     psnet.ahrq.gov/issue/independent-neurology-inquiry
     November 16, 2022 - November 16, 2022 The Life and Death of Elizabeth Dixon: A Catalyst for Change. … July 1, 2020 Government Response to the Investigation into the Death of Elizabeth Dixon … June 4, 2024 Government Response to the Investigation into the Death of Elizabeth Dixon

254. 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

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840174/psn-pdf
     August 28, 2024 - the risk management team, the surgeon ultimately contacted the patient’s wife some months after his death … Schweitzer The family of a patient who dies is vulnerable no matter the cause of their loved one’s death … The circumstances of the death may be difficult for a family to initially consider, but over time may … In the weeks closely following the patient’s death, she may have wondered about the facts of his care … Additionally, if the patient had been working prior to their death, their likely life expectancy is also

256. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. | PSNet
     psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson
     January 25, 2012 - Commentary Threats to safety during sedation outside of the operating room and the death … Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … Threats to safety during sedation outside of the operating room and the death of Michael Jackson.

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45126/psn-pdf
     December 22, 2018 - Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … A WebM&M commentary discussed a death due to an opioid overdose.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42149/psn-pdf
     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 … https://psnet.ahrq.gov/issue/sentinel-event-alert https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838912/psn-pdf
     December 01, 2005 - discrepancies-between-clinical-and-autopsy-diagnosis-and-value-post-mortem- histology-meta Autopsies are considered the gold standard in determining cause of death … and identifying diagnostic errors that may have played a role in the death. … changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy

260. Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates. | PSNet
     psnet.ahrq.gov/issue/mandatory-provider-review-and-pain-clinic-laws-reduce-amounts-opioids-prescribed-and-overdose
     August 02, 2017 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death … Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death … Mandatory Provider Review And Pain Clinic Laws Reduce The Amounts Of Opioids Prescribed And Overdose Death