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Showing results for "death".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35403/psn-pdf
     February 18, 2011 - Of the 100 most frequent causes of death, 23 were associated with higher mortality when those patients … that hospitals function less effectively during weekend hours, a notion supported by the Sunday night death

342. Complaints to the Parliamentary and Health Service Ombudsman. | PSNet
     psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
     April 17, 2024 - August 4, 2021 An Investigation into the Death of Baby J at University Hospitals Bristol … March 28, 2018 An Avoidable Death of a Three-year-old Child from Sepsis.

343. Eliminating vincristine administration events. | PSNet
     psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
     February 15, 2023 - February 15, 2023 Proactive prevention of maternal death from maternal hemorrhage. … February 3, 2021 Death and neurological devastation from intrathecal vinca alkaloids:

344. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-470
     December 31, 2024 - Errors involving high-risk medications have the potential to cause serious harm or death. … of closed malpractice claims, diagnostic errors comprised 26.6% of cases, 39% of which resulted in death … of closed malpractice claims, diagnostic errors comprised 26.6% of cases, 39% of which resulted in death … Errors involving high-risk medications have the potential to cause serious harm or death. … circulation and autopsy revealed sudden cardiac arrest without myocardial infarction as the cause of death

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34680/psn-pdf
     February 09, 2011 - deaths related to medical errors are overestimates, which do not account for the expected risk of death

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44982/psn-pdf
     April 06, 2016 - In 2010, The Joint Commission issued a sentinel event alert on preventing maternal death. … surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2016 https://psnet.ahrq.gov/issue/preventing-maternal-death

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41568/psn-pdf
     April 05, 2013 - As in prior studies, reviewers' agreement on whether a death was preventable was only moderate.

348. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
     December 01, 2015 - The cause of death was unclear, but the providers felt the patient likely had a fatal arrhythmia related … 10 This Case Silencing all telemetry alarms in this patient was an error that contributed to his death … safety concerns surrounding excessive alarm burden garnered attention in 2010 after a highly publicized death … MGH death spurs review of patient monitors. Boston Globe. February 21, 2010. … 'Alarm fatigue' linked to patient's death. Boston Globe.

349. An E.R. kicks the habit of opioids for pain. | PSNet
     psnet.ahrq.gov/issue/er-kicks-habit-opioids-pain
     May 27, 2020 - August 9, 2023 View More Related Resources Lessons learned from a death … December 17, 2014 Inquiry into reporter's death finds multiple failures in care.

350. Hospital Medication Errors Commonplace. | PSNet
     psnet.ahrq.gov/issue/hospital-medication-errors-commonplace
     August 02, 2023 - July 29, 2020 A tragic death shows how ERs fail patients who struggle with addiction. … October 25, 2013 Inquiry into reporter's death finds multiple failures in care.

351. 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

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38343/psn-pdf
     December 09, 2014 - Investigators found that while the proportion of maternal death and newborn death or brain damage claims

353. 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. | PSNet
     psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
     February 19, 2020 - February 19, 2020 Government Response to the Investigation into the Death of Elizabeth … March 28, 2018 The Life and Death of Elizabeth Dixon: A Catalyst for Change.

354. How the coronavirus is delaying life-altering surgeries. | PSNet
     psnet.ahrq.gov/issue/how-coronavirus-delaying-life-altering-surgeries
     May 20, 2020 - April 22, 2020 Hastened death due to disease burden and distress that has not received … August 19, 2020 Avoiding care during the pandemic could mean life or death.

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49694/psn-pdf
     October 01, 2013 - The intern went to the counter of the floor's central nursing unit to complete the death certificate … The unit clerk usually put the death certificate folder on the counter next to the deceased patient's … This time, the chart next to the death certificate was Mr. B's chart. The intern grabbed Mr. … B, he shifted his focus to completing the death certificate. … A and notified her about the death of her husband. After being notified of the error, Mrs.

356. Hidden Danger! Insidious Postpartum Bleeding After Emergency Cesarean Delivery. | PSNet
     psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
     November 25, 2020 - Cardiomyopathy and cardiovascular conditions were leading causes of death in non-Hispanic Black women … Hemorrhage was a cause of death in about 13% of all women. … Mental health causes of maternal death appear related to drug overdose and suicide. 4 The causes of … maternal death have changed over time. … Increasing maternal age is strongly correlated with increased risk of maternal death; 27% of maternal

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43063/psn-pdf
     May 01, 2015 - study estimating that as many as 200,000 to 400,000 patients experience harms that contribute to their death … John James, a scientist who became engaged in patient safety efforts following the death of his son

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45615/psn-pdf
     October 26, 2016 - 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

359. Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. | PSNet
     psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments
     July 19, 2023 - April 17, 2024 An Investigation into the Death of Baby J at University Hospitals Bristol … March 28, 2018 An Avoidable Death of a Three-year-old Child from Sepsis.

360. How chaos at chain pharmacies is putting patients at risk. | PSNet
     psnet.ahrq.gov/issue/how-chaos-chain-pharmacies-putting-patients-risk
     June 12, 2019 - February 12, 2016 Investigators find hospital error caused mother’s death in Brooklyn … September 6, 2016 FDA begins inquiry after death and illness from saline bags meant for