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Total Results: 5,203 records

Showing results for "death".

4801. EHR Copy and Paste and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
      January 01, 2018 - RW : So, have we entered a death spiral where people have devalued the physical examination so they don't … RH : I wouldn't say death spiral.

4802. Safety in Radiology | PSNet
      psnet.ahrq.gov/perspective/safety-radiology
      October 01, 2013 - August 15, 2012 Clinical and pathological disagreement upon the cause of death in a teaching … August 10, 2022 Preventing maternal death.

4803. Adverse Events in Dentistry | PSNet
      psnet.ahrq.gov/perspective/adverse-events-dentistry
      December 22, 2020 - classification schema of AE types and a severity index, ranging from temporary minimal/mild harm to death … Obviously, we know about the ones that are litigated or in the newspaper, such as for patient death.

4804. What Do We Know About Emergency Department Safety? | PSNet
      psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
      June 01, 2010 - Unanticipated death after discharge home from the emergency department. … April 1, 2010 Unanticipated death after discharge home from the emergency department.

4805. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - ED crowding has led to a dose-response increase in all-cause 30-day mortality and one preventable death … WebM&M Cases Delay in Appropriate Diagnosis and Treatment Leading to Death

4806. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
      January 01, 2024 - and Sepsis A case involving an intraoperative dural tear during spine surgery that led to sepsis and death … persistent pseudomeningocele formation, meningitis, hydrocephalus, arachnoiditis, and, in rare cases, death

4807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50389/psn-pdf
      September 25, 2019 - was performed, which confirmed that although the patient did have tumor lysis syndrome, the cause of death

4808. Managing Ascites: Hazards of Fluid Removal | PSNet
      psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
      June 01, 2018 - Errors in Sepsis Management May 1, 2015 Inquiry into reporter's death

4809. Hiding in Plain Sight | PSNet
      psnet.ahrq.gov/web-mm/hiding-plain-sight
      April 24, 2019 - Safety September 1, 2008 WebM&M Cases Time of Death

4810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49638/psn-pdf
      January 01, 2012 - model (7,8 ), much less a team mental model.(9) Said another way, this child's arrest and subsequent death

4811. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - The patient's family requested an autopsy in order to determine the cause of death.

4812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49432/psn-pdf
      February 09, 2004 - Serious adverse outcomes occurred in 90% of the cases, including death in 31% of cases.

4813. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences | PSNet
      psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
      December 18, 2019 - all his active acute medical problems had been addressed likely would have resulted in his premature death

4814. A Potent Medication Administered in a Not So Viable Route | PSNet
      psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
      July 20, 2016 - If skin ischemia progresses to necrosis and tissue death, treatment usually consists of local dressing

4815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49593/psn-pdf
      October 01, 2009 - The device was lodged within the trachea and right bronchus.(1) One death was reported in a case with

4816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - Unexpected autoptic finding in a sudden death: gossypiboma. Forensic Sci Int. 2010;199:e23-e26.

4817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49462/psn-pdf
      October 01, 2004 - providing supplemental oxygen, the patient's underlying disease was likely severe enough to cause death

4818. Diagnostic Failure: The Growing Deficit | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
      June 01, 2005 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention

4819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - circumstances, this error could have resulted in significant harm, including neurologic impairment and death … norepinephrine related to a pump programming error that resulted in cardiac arrest and the patient’s subsequent death

4820. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - circumstances, this error could have resulted in significant harm, including neurologic impairment and death … norepinephrine related to a pump programming error that resulted in cardiac arrest and the patient’s subsequent death