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Total Results: 5,205 records

Showing results for "death".

41. An Avoidable Death of a Three-year-old Child from Sepsis. | PSNet
    psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis
    August 31, 2016 - Book/Report An Avoidable Death of a Three-year-old Child from Sepsis. … Citation Text: An Avoidable Death of a Three-year-old Child from Sepsis. … This investigation outlines how inadequate care contributed to the death of a child who developed sepsis … Copy URL Cite Citation Citation Text: An Avoidable Death … August 4, 2021 An Investigation into the Death of Baby J at University Hospitals Bristol

42. 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

43. 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

44. 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.

45. 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.

46. 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

47. Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet
    psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
    October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple … Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical … This investigation determined that mixed drug toxicity was the cause of a patient's death at a Veterans … Copy URL Cite Citation Citation Text: Unexpected Death

48. 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

49. Implementation of prescription drug monitoring programs associated with reductions in opioid-related death rates. | PSNet
    psnet.ahrq.gov/issue/implementation-prescription-drug-monitoring-programs-associated-reductions-opioid-related
    September 09, 2020 - Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death … A WebM&M commentary discussed a death due to an opioid overdose. … Implementation of prescription drug monitoring programs associated with reductions in opioid-related death

50. Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. | PSNet
    psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
    March 10, 2021 - saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death … saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death … Rates of unanticipated death due to medical error were low, however clinicians should consider related … saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death

51. Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018. | PSNet
    psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results
    August 10, 2022 - Mortality review as a tool to assess the contribution of healthcare-associated infections to death … Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results … mortality review measures were developed to measure the potential contribution of HAIs to patient death … Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results

52. FDA begins inquiry after death and illness from saline bags meant for training. | PSNet
    psnet.ahrq.gov/issue/fda-begins-inquiry-after-death-and-illness-saline-bags-meant-training
    October 17, 2012 - Newspaper/Magazine Article FDA begins inquiry after death and illness from saline … Citation Text: FDA begins inquiry after death and illness from saline bags meant for training. … training purposes was inadvertently distributed and used for actual care and led to patient harm and death … Cite Citation Citation Text: FDA begins inquiry after death

53. Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet
    psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
    January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014 … Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. … This retrospective cohort study found that the leading cause of death among resident physicians is cancer … , and the second leading cause of death is suicide . … Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014.

54. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33561/psn-pdf
    September 15, 2024 - after surgery or other invasive procedure Intraoperative or immediately postoperative/post-procedure death … in an American Society of Anesthesiologists Class I patient Product or device events Patient death … or serious injury associated with unsafe administration of blood products Maternal death or serious … or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy Patient death … Commonly accepted criteria include being usually preventable, causing serious harm or death, easily

55. Never Events | PSNet
    psnet.ahrq.gov/primer/never-events
    June 15, 2024 - after surgery or other invasive procedure Intraoperative or immediately postoperative/post-procedure death … in an American Society of Anesthesiologists Class I patient Product or device events Patient death or … a device in patient care, in which the device is used for functions other than as intended Patient death … or serious injury associated with unsafe administration of  blood products Maternal death  or serious … or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy Patient death

56. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73588/psn-pdf
    August 11, 2021 - Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … other than death. … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … other than death. … https://psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47905/psn-pdf
    April 03, 2019 - Ranking hospitals based on preventable hospital death rates: a systematic review with implications for … Ranking Hospitals Based on Preventable Hospital Death Rates: A Systematic Review With Implications for … https://psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review … 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

58. Do No Harm: Jess's Story. | PSNet
    psnet.ahrq.gov/issue/project-jessica
    September 16, 2020 - This video chronicles how an undiagnosed heart condition led to a teenager's death and offers tips … Two fatal cases of accidental intrathecal vincristine administration: learning from death … Mortality review as a tool to assess the contribution of healthcare-associated infections to death … April 17, 2013 The short life and lonely death of Sabrina Seelig.

59. Weekend hospitalization and additional risk of death: an analysis of inpatient data. | PSNet
    psnet.ahrq.gov/issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data
    September 23, 2015 - Study Weekend hospitalization and additional risk of death: an analysis of inpatient … Weekend hospitalization and additional risk of death: An analysis of inpatient data. … Weekend admissions have also been associated with 10% higher odds of death. … Weekend hospitalization and additional risk of death: An analysis of inpatient data.

60. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73561/psn-pdf
    August 04, 2021 - Mortality review as a tool to assess the contribution of healthcare-associated infections to death: … Mortality review as a tool to assess the contribution of healthcare-associated infections to death: … //psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections- death-results … mortality review measures were developed to measure the potential contribution of HAIs to patient death … https://psnet.ahrq.gov/issue/mortality-review-tool-assess-contribution-healthcare-associated-infections-death-results