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Total Results: 5,550 records

Showing results for "death".

  1. Surgeon Scorecard. | PSNet

    psnet.ahrq.gov/issue/surgeon-scorecard
    January 22, 2014 - This database compiles the death and complication rates of surgeons performing eight specific elective … October 2, 2013 What a new doctor learned about medical mistakes from her Mom's death

  2. Pregnancy-related deaths: saving women’s lives before, during and after delivery. | PSNet

    psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
    September 07, 2016 - This analysis describes the prevalence of pregnancy-related death and areas of concern during pregnancy

  3. Mental health conditions leading cause of pregnancy-related deaths. | PSNet

    psnet.ahrq.gov/issue/mental-health-conditions-leading-cause-pregnancy-related-deaths
    November 29, 2017 - This article discusses how poor maternal mental health can contribute to patient death . … January 15, 2020 Proactive prevention of maternal death from maternal hemorrhage.

  4. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. | PSNet

    psnet.ahrq.gov/issue/changing-dynamics-drug-overdose-epidemic-united-states-1979-through-2016
    November 21, 2021 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death … January 17, 2024 Community pharmacy medication review, death and re-admission after hospital

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46151/psn-pdf
    May 24, 2017 - This news article reports on this critical safety problem in the context of the preventable death of … psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth https://psnet.ahrq.gov/issue/preventing-maternal-death

  6. Vital signs: overdoses of prescription opioid pain relievers- United States, 1999-2008. | PSNet

    psnet.ahrq.gov/issue/vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
    February 27, 2019 - Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death

  7. Patient alarms often unheard, unheeded. | PSNet

    psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded
    August 24, 2016 - August 24, 2016 'Alarm fatigue’ a factor in 2nd death. … October 5, 2011 MGH death spurs review of patient monitors. … January 18, 2012 'Alarm fatigue’ a factor in 2nd death.

  8. Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet

    psnet.ahrq.gov/issue/estimating-deaths-due-medical-error-ongoing-controversy-and-why-it-matters
    December 30, 2014 - A recent article asserted that medical error is the third leading cause of death in the United States … could not clearly determine whether the adverse events detected actually contributed to the patient's death

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34702/psn-pdf
    December 23, 2008 - letter, the authors report their analysis of fatal medication errors as reported on United States death … They find a 2.57-fold increase in the incidence of medication errors as the reported cause of death,

  10. An infection, unnoticed, turns unstoppable. | PSNet

    psnet.ahrq.gov/issue/infection-unnoticed-turns-unstoppable
    November 07, 2012 - newspaper article reports on gaps in communication and a missed sepsis diagnosis that led to a patient's death … Copy Citation Related Resources From the Same Author(s) Death of a boy prompts

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35439/psn-pdf
    October 26, 2005 - organization’s response to a 2001 incident in which an incomplete bibliographic review played a role in the death … medical-research-and-institutional-review-board-librarians-role-human-subject-testing https://psnet.ahrq.gov/issue/research-volunteer-death

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42780/psn-pdf
    June 17, 2014 - intrathecal-chemotherapy-potential-medication-error https://psnet.ahrq.gov/issue/not-again https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes … -120-prepared https://psnet.ahrq.gov/issue/death-and-neurological-devastation-intrathecal-vinca-alkaloids-prepared-syringes

  13. Using root cause analysis to reduce falls with injury in the psychiatric unit. | PSNet

    psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
    September 18, 2019 - March 18, 2020 Death by suicide within 1 week of hospital discharge: a retrospective … October 24, 2018 The causes of their death appear (unto our shame perpetual): why root … February 21, 2018 Death by suicide within 1 week of hospital discharge: a retrospective

  14. Malpractice makes perfect. | PSNet

    psnet.ahrq.gov/issue/malpractice-makes-perfect
    April 04, 2018 - 2013 Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … March 14, 2018 View More Related Resources Lessons learned from a death … June 26, 2019 Death by 1,000 clicks: where electronic health records went wrong.

  15. A night in the hospital, from both ends of the stethoscope. | PSNet

    psnet.ahrq.gov/issue/night-hospital-both-ends-stethoscope
    October 21, 2015 - March 30, 2016 Inquiry into reporter's death finds multiple failures in care. … November 12, 2014 Trail of medical missteps in a Peace Corps death. … June 5, 2013 What a new doctor learned about medical mistakes from her Mom's death.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/857259/psn-pdf
    November 30, 2023 - Medication Mix-Up Leads to Patient Death November 30, 2023 Sanchez L, Romano PS. … Medication Mix-Up Leads to Patient Death. PSNet [internet]. 2023. … https://psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death The Case  An 81-year-old man was transferred … Medication mix-up blamed for death of a patient at Lexington hospital. Lex18 News. July 25, 2023. … Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139. [Available at] 3.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60563/psn-pdf
    June 03, 2020 - The authors discuss the value of assessing cause of death for patients thought to have died from COVID

  18. Rapid response team activation by patients can mitigate errors. | PSNet

    psnet.ahrq.gov/issue/rapid-response-team-activation-patients-can-mitigate-errors
    July 18, 2018 - May 2, 2018 Death due to pharmacy compounding error reinforces need for safety focus. … July 24, 2019 Lessons learned from a death outside a hospital's doorstep. … April 17, 2019 Death by 1,000 clicks: where electronic health records went wrong.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47128/psn-pdf
    October 13, 2018 - Discussing an error that resulted in the death of a young man, this commentary reviews how cognitive … bias and misdiagnosis contributed to the incident and the impact of the patient's death on his family

  20. Hospital Reporting of Deaths Related to Restraint and Seclusion.  | PSNet

    psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
    September 20, 2006 - Book/Report Hospital Reporting of Deaths Related to Restraint and Seclusion.  Citation Text: Hospital Reporting of Deaths Related to Restraint and Seclusion.  Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350 Copy Citation …
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