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Total Results: 5,205 records

Showing results for "death".

401. Clash in the name of care. | PSNet
     psnet.ahrq.gov/issue/clash-name-care
     April 27, 2016 - November 21, 2007 MGH death spurs review of patient monitors. … June 8, 2011 'Alarm fatigue’ a factor in 2nd death.

402. 5 cataract surgeries, 5 people blinded: what went wrong? | PSNet
     psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
     June 08, 2011 - November 21, 2007 MGH death spurs review of patient monitors. … September 30, 2015 'Alarm fatigue’ a factor in 2nd death.

403. 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…

404. Before mea culpa, Children’s was confident its air systems weren’t source of infection | PSNet
     psnet.ahrq.gov/issue/mea-culpa-childrens-was-confident-its-air-systems-werent-source-infection
     July 19, 2010 - September 21, 2005 View More Related Resources Death Inside Lemuel … 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36980/psn-pdf
     June 29, 2011 - Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia. June 29, 2011 Charles A, Ranson D, Bohensky M, et al. Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals in Melbourne, Australia. Int J…

406. 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

407. 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…

408. 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…

409. 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

410. Patient harm: when an attorney won't take your case. | PSNet
     psnet.ahrq.gov/issue/patient-harm-when-attorney-wont-take-your-case
     July 22, 2015 - October 2, 2013 What a new doctor learned about medical mistakes from her Mom's death … February 1, 2015 The short life and lonely death of Sabrina Seelig.

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33871/psn-pdf
     December 22, 2018 - Maternal death is devastating for families, as highlighted in several recent media reports. … ready for, recognize, respond to, and learn from situations that frequently contribute to maternal death … movement has also paid limited attention to issues of health equity, particularly the persistently higher death … Safety bundles are an important step in addressing preventable maternal death and morbidity and health

412. A boy's life is lost to sepsis. Thousands are saved in his wake. | PSNet
     psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake
     November 07, 2012 - Copy Citation Related Resources From the Same Author(s) Death of a boy prompts … October 29, 2014 Inquiry into reporter's death finds multiple failures in care.

413. Are vital home health workers now a safety threat? | PSNet
     psnet.ahrq.gov/issue/are-vital-home-health-workers-now-safety-threat
     March 28, 2018 - April 9, 2014 Death by 1,000 clicks: where electronic health records went wrong. … August 19, 2020 Avoiding care during the pandemic could mean life or death.

414. The burnout crisis in American medicine. | PSNet
     psnet.ahrq.gov/issue/burnout-crisis-american-medicine
     September 03, 2014 - Mortality review as a tool to assess the contribution of healthcare-associated infections to death … March 4, 2020 Death by 1,000 clicks: where electronic health records went wrong.

415. Clues to better health care from old malpractice lawsuits. | PSNet
     psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
     August 17, 2016 - March 11, 2020 Death by 1,000 clicks: where electronic health records went wrong. … February 6, 2013 The short life and lonely death of Sabrina Seelig.

416. At surgery clinic, rush to save Joan Rivers's life. | PSNet
     psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life
     November 14, 2012 - October 8, 2008 The short life and lonely death of Sabrina Seelig. … September 10, 2014 Organ donor's surgery death sparks questions.

417. 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…

418. Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. | PSNet
     psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer-2003-2005
     November 25, 2009 - saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death

419. 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…

420. 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…