Results

Total Results: 5,550 records

Showing results for "death".

261. Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet
     psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
     July 22, 2020 - Commentary Hastened death due to disease burden and distress that has not received … Hastened death due to disease burden and distress that has not received timely, quality palliative care … Hastened death due to disease burden and distress that has not received timely, quality palliative care

262. 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.

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47477/psn-pdf
     November 14, 2018 - https://psnet.ahrq.gov/issue/losing-laura This magazine article reports on the preventable death of … Written by the patient's husband, the article outlines the failures that led to her death despite the

264. National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide. | PSNet
     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

265. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. | PSNet
     psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
     November 10, 2021 - A substantial proportion of people with a pregnancy-related mental health cause of death had a history … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death

266. 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

267. 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

268. 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

269. 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

270. The faces of medical error...from tears to transparency. | PSNet
     psnet.ahrq.gov/issue/faces-medical-errorfrom-tears-transparency
     May 01, 2022 - The circumstances leading to the death of Lewis Blackman , one of the patients discussed in this video … series, are discussed in more detail in a separate article that analyzes his death as an example of

271. Effect of a postdischarge virtual ward on readmission or death for high-risk patients: a randomized clinical trial. | PSNet
     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

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74838/psn-pdf
     February 16, 2022 - err-human-building-safer-health-system https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

273. 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

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45595/psn-pdf
     April 19, 2017 - estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters A recent article asserted that medical error is the third leading cause of death … could not clearly determine whether the adverse events detected actually contributed to the patient's death … estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46704/psn-pdf
     December 04, 2018 - surveying-care-teams-after-hospital-deaths-identify-preventable-harm-and- opportunities Mortality reviews, in which all cases of in-hospital death

276. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. | PSNet
     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

277. Drug and opioid-involved overdose deaths- United States, 2013-2017. | PSNet
     psnet.ahrq.gov/issue/drug-and-opioid-involved-overdose-deaths-united-states-2013-2017
     June 28, 2017 - This Centers for Disease Control and Prevention report provides drug and opioid overdose death figures

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47611/psn-pdf
     January 23, 2019 - 2013-2017 This Centers for Disease Control and Prevention report provides drug and opioid overdose death

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72647/psn-pdf
     January 20, 2021 - issue/association-unexpected-newborn-deaths-changes-obstetric-and-neonatal- process-care Unexpected death … including over 5 million births between 2011 and 2017 in the United States found unexpected newborn death

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47964/psn-pdf
     May 15, 2019 - They found a higher odds of death among opioid users with at least a single incidence of inappropriate