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Showing results for "death".

381. 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

382. Supporting safe, equitable care during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/supporting-safe-equitable-care-during-covid-19-pandemic
     March 02, 2022 - January 15, 2020 Proactive prevention of maternal death from maternal hemorrhage. … October 21, 2020 The slow, troubling death of the autopsy.

383. Increases in drug and opioid overdose deaths—United States, 2000–2015. | PSNet
     psnet.ahrq.gov/issue/increases-drug-and-opioid-overdose-deaths-united-states-2000-2015
     January 23, 2019 - Study Classic Increases in drug and opioid overdose deaths—United States, 2000–2015. Citation Text: Rudd RA, Seth P, David F, et al. Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015. MMWR Morb Mortal Wkly Rep. 2016;65(50-51):1445-…

384. 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

385. 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

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38294/psn-pdf
     March 01, 2011 - Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. March 1, 2011 Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg. 2008;107(6):1924-35. doi:10.1213/a…

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845298/psn-pdf
     March 01, 2023 - National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023 Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ rep…

388. Zero preventable deaths after traumatic injury: an achievable goal. | PSNet
     psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
     March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. Citation Text: Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. Copy Citation Format: DOI Google Scholar BibT…

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836744/psn-pdf
     March 17, 2022 - Drug-related deaths among inpatients: a meta-analysis. March 17, 2022 Patel TK, Patel PB, Bhalla HL, et al. Drug-related deaths among inpatients: a meta-analysis. Eur J Clin Pharmacol. 2022;78(2):267-278. doi:10.1007/s00228-021-03214-w. https://psnet.ahrq.gov/issue/drug-related-deaths-among-inpatients-meta-analysis…

390. National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. | PSNet
     psnet.ahrq.gov/issue/national-statutory-reporting-not-even-ticking-boxes-quality-learning-deaths-reporting-quality
     February 22, 2023 - Study National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. Citation Text: Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The qua…

391. 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

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867020/psn-pdf
     October 23, 2024 - What can we learn from coroners’ reports on preventable deaths? October 23, 2024 Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths Analysis of system failure is only the beginning of the i…

393. 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

394. 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.

395. Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. | PSNet
     psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
     August 18, 2021 - Study Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. Citation Text: Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety pol…

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867690/psn-pdf
     March 05, 2025 - Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. March 5, 2025 Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths: longitudinal analyses of four retrospective record review studies. Diagnosis (Berl…

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850913/psn-pdf
     June 21, 2023 - Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. June 21, 2023 Cohen TN, Kanji FF, Wang AS, et al. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic med…

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60645/psn-pdf
     July 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. July 1, 2020 Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011. https://psnet.ah…

399. Inside the preventable deaths that happened within a prominent transplant center. | PSNet
     psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center
     May 02, 2018 - April 22, 2020 What a new doctor learned about medical mistakes from her Mom's death.

400. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. | PSNet
     psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
     January 05, 2017 - August 4, 2021 Eliminating preventable death at Ascension Health. … June 8, 2010 Injury and death associated with incidents reported to the Patient Safety