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Showing results for "death".

41. Mother says ER misdiagnosis leads to son's death. | PSNet
    psnet.ahrq.gov/issue/mother-says-er-misdiagnosis-leads-sons-death
    December 19, 2007 - Audiovisual Mother says ER misdiagnosis leads to son's death.

42. Nebraska Medical Center investigates staff after girl's death. | PSNet
    psnet.ahrq.gov/issue/nebraska-medical-center-investigates-staff-after-girls-death
    August 18, 2010 - Newspaper/Magazine Article Nebraska Medical Center investigates staff after girl's death … April 14, 2010 This news piece focuses on a heparin overdose that resulted in the death … March 25, 2009 Baby's death spotlights safety risks linked to computerized systems.

43. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet
    psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
    April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the … Citation Text: Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City … unsubstantiated, the report highlights lack of clinical review and inaccurate analysis of patient death … Citation Citation Text: Failures in Care Coordination and Reviewing a Patient's Death … Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death

44. Race, postoperative complications, and death in apparently healthy children. | PSNet
    psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
    August 10, 2022 - Study Classic Race, postoperative complications, and death … Race, postoperative complications, and death in apparently healthy children. … Race, postoperative complications, and death in apparently healthy children.

45. A tragic death: a time to blame or a time to learn? | PSNet
    psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
    March 23, 2011 - Commentary A tragic death: a time to blame or a time to learn? … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.

46. Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. | PSNet
    psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
    March 10, 2021 - Classic Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … This column chronicles the tragic death of Betsy Lehman , a Boston Globe health columnist, who fell … Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death … June 10, 2018 Death and neurological devastation from intrathecal vinca alkaloids: prepared

47. When we're all responsible for a patient's death, no one is. | PSNet
    psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one
    December 09, 2020 - Newspaper/Magazine Article When we're all responsible for a patient's death, no one … Citation Text: When we're all responsible for a patient's death, no one is. … Cite Citation Citation Text: When we're all responsible for a patient's death

48. Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet
    psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed
    September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims … In this closed claims analysis of anesthesia malpractice claims for death or brain damage, researchers … found that situational awareness errors on the part of the anesthesiologist contributed to death or … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims

49. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. | PSNet
    psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication-prescriptions-among
    August 04, 2021 - Study Hospitalization and death associated with potentially inappropriate medication … Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly … medication prescribing, this study examined the impact of such prescriptions on hospitalization and death … being hospitalized in the month following an inappropriate prescription, an associated greater risk of death … Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly

50. Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. | PSNet
    psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
    May 26, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death … Text: Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death … investigation examined  care coordination , screening and other factors that contributed to a patient death … Text: Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death … January 29, 2020 Failures in Care Coordination and Reviewing a Patient's Death at the

51. Laura Levis' death outside ER has changed hospital signage, lighting in Mass. | PSNet
    psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
    May 05, 2021 - Newspaper/Magazine Article Laura Levis' death outside ER has changed hospital signage … Citation Text: Laura Levis' death outside ER has changed hospital signage, lighting in Mass. … This story outlines how the state of Massachusetts responded to the accidental death of a patient unable … Copy URL Cite Citation Citation Text: Laura Levis' death

52. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. | PSNet
    psnet.ahrq.gov/issue/randomised-controlled-trial-assessing-efficacy-electronic-discharge-communication-tool
    August 24, 2016 - 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 … April 29, 2018 "It's the difference between life and death": the views of professional … February 17, 2016 Effect of a postdischarge virtual ward on readmission or death for

53. Do No Harm: Stories of Life, Death, and Brain Surgery. | PSNet
    psnet.ahrq.gov/issue/do-no-harm-stories-life-death-and-brain-surgery
    January 07, 2019 - Book/Report Do No Harm: Stories of Life, Death, and Brain Surgery. … Citation Text: Do No Harm: Stories of Life, Death, and Brain Surgery. Marsh H. … Cite Citation Citation Text: Do No Harm: Stories of Life, Death

54. Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. | PSNet
    psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
    April 22, 2017 - Review Ranking hospitals based on preventable hospital death rates: a systematic … Ranking Hospitals Based on Preventable Hospital Death Rates: A Systematic Review With Implications for … This systematic review examined whether preventable death rates could be used as a measure of hospital … The authors conclude that preventable death rates would not be a valid or reliable measure of patient … Ranking Hospitals Based on Preventable Hospital Death Rates: A Systematic Review With Implications for

55. Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. | PSNet
    psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health
    May 03, 2023 - Book/Report Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment … Citation Text: Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons … analysis examines a delayed diagnosis, referral , and treatment of skin cancer that contributed to the death … Linkedin Copy URL Cite Citation Citation Text: Death

56. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet
    psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
    January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide … A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. … of how misread labels, look-alike syringes, and medication preparation error resulted in a patient’s death … A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion.

57. Nursing home residents with dementia: association between place of death and patient safety culture. | PSNet
    psnet.ahrq.gov/issue/nursing-home-residents-dementia-association-between-place-death-and-patient-safety-culture
    November 04, 2020 - Study Nursing home residents with dementia: association between place of death and … Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture. … speaking-up behavior and communication openness were associated with a decreased risk of in-residence death … Nursing Home Residents With Dementia: Association Between Place of Death and Patient Safety Culture.

58. Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation. | PSNet
    psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-medicolegal-death
    December 14, 2016 - Ethical considerations on disclosure when medical error is discovered during medicolegal death … Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation … Autopsy is considered the gold standard for finding answers in death investigations . … ethical considerations when forensic pathologists discover a medical error unrelated to the cause of death … Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation

59. Baby's death spotlights safety risks linked to computerized systems. | PSNet
    psnet.ahrq.gov/issue/babys-death-spotlights-safety-risks-linked-computerized-systems
    December 05, 2018 - Newspaper/Magazine Article Baby's death spotlights safety risks linked to computerized

60. Why are medical errors still a leading cause of death? | PSNet
    psnet.ahrq.gov/issue/why-are-medical-errors-still-leading-cause-death
    September 13, 2017 - Newspaper/Magazine Article Why are medical errors still a leading cause of death? … Citation Text: Why are medical errors still a leading cause of death? Headley M. … Cite Citation Citation Text: Why are medical errors still a leading cause of death