Results

Total Results: 5,205 records

Showing results for "death".

4961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - lack a thorough understanding of how critical changes can quickly result in otherwise preventable death

4962. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - requiring only monitoring to “tension” pneumothorax with acute respiratory failure, shock, and even death

4963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - events are serious and costly errors that may lead to consequential harm, or in the most serious cases, death

4964. Pseudo-obstruction But a Real Perforation | PSNet
      psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
      April 01, 2015 - peritonitis, sepsis, and multi-organ failure progressed postoperatively, ultimately leading to the death

4965. Blind Spot | PSNet
      psnet.ahrq.gov/web-mm/blind-spot
      July 30, 2020 - practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death

4966. Moving Pains | PSNet
      psnet.ahrq.gov/web-mm/moving-pains
      August 17, 2017 - A root cause analysis later attributed the death, at least in part, to inadequate delivery of supplemental

4967. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
      psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
      April 18, 2018 - every hour delay in treatment of severe infections, such as sepsis, exponentially increases the odds of death

4968. Impatient Inpatient Dosing | PSNet
      psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
      June 24, 2020 - Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay

4969. Anticoagulation: Held Too Long | PSNet
      psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
      April 01, 2008 - TE in the setting of an artificial heart valve is typically catastrophic and leads to death or major

4970. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - natural course of a patient’s illness or underlying condition) that reaches a patient and results in death

4971. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
      February 01, 2023 - have not definitively shown to improve patient outcomes such as electrolyte repletion and avoidable death

4972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49811/psn-pdf
      November 01, 2017 - was crucial for a condition that, even when diagnosed and treated in a timely manner, may result in death

4973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49486/psn-pdf
      August 21, 2005 - Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay

4974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49807/psn-pdf
      October 01, 2017 - Miscommunications from poor translation can lead to delayed diagnoses and treatment, causing injury and even death

4975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49478/psn-pdf
      April 01, 2005 - without CN; adjustment for differences in co-morbidities yielded a 5.5-fold increase in the odds of death

4976. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
      psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
      October 30, 2024 - the 101 home visit patients showed no differences in readmissions, emergency department visits, or death

4977. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
      January 01, 2023 - prompt and proactive management challenging, ultimately resulting in airway collapse and patient death

4978. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
      psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
      September 23, 2024 - that experiencing two or more adverse events was associated with a threefold increase in the risk of death

4979. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - abusive head trauma cases were missed, and that 28% of those missed cases led to re-injury and 9% led to death

4980. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - Diagnostic delays can significantly increase the risk of death.