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Total Results: 5,550 records

Showing results for "death".

5021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49713/psn-pdf
      June 01, 2014 - CVC-associated air embolism is a preventable complication that can result in serious harm, including death

5022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73999/psn-pdf
      October 27, 2021 - Medication errors are not always reversible and can cause permanent damage or death; therefore, our

5023. An Easily Forgotten Tube | PSNet
      psnet.ahrq.gov/web-mm/easily-forgotten-tube
      June 01, 2016 - September 27, 2023 Frequency and type of situational awareness errors contributing to death

5024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49820/psn-pdf
      February 01, 2018 - in skilled nursing facilities are at high risk for rehospitalization, emergency department use, and death

5025. Situational Awareness and Patient Safety | PSNet
      psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
      May 01, 2012 - bundle checklist combined with physician confirmation reduces risk of nosocomial complications and death

5026. Lethal Vertigo | PSNet
      psnet.ahrq.gov/web-mm/lethal-vertigo
      September 20, 2011 - A subsequent review of the case indicated that the death was potentially avoidable, had life-saving neurosurgery

5027. ACGME's 2017 Revision of Common Program Requirements | PSNet
      psnet.ahrq.gov/perspective/acgmes-2017-revision-common-program-requirements
      January 31, 2018 - January 31, 2018 Causes of death of residents in ACGME-accredited programs 2000 through

5028. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
      June 01, 2016 - errors ( 1,2 ), the NECC incident ( 3 ) and the case of an antiseptic switch that resulted in a woman's death … Terrible tragedy—and powerful legacy—of preventable death.

5029. Rapid Response Teams: Lessons from the Early Experience | PSNet
      psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
      November 01, 2005 - Studies have demonstrated impressive decreases in death and code blue rates after the implementation … WebM&M Cases Delay in Appropriate Diagnosis and Treatment Leading to Death

5030. In Conversation With… Robert Hirschtick, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
      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.

5031. Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. | PSNet
      psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
      August 21, 2013 - October 5, 2016 Threats to safety during sedation outside of the operating room and the death

5032. Another look at medical error. | PSNet
      psnet.ahrq.gov/issue/another-look-medical-error
      November 16, 2022 - controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death

5033. Teamwork and the legal and ethical responsibility of the anaesthetist. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-legal-and-ethical-responsibility-anaesthetist
      February 14, 2024 - August 4, 2010 A case of the birth and death of a high reliability healthcare organisation

5034. Integrating patient safety in the OMFS curriculum: survey of 4-year residency programs. | PSNet
      psnet.ahrq.gov/issue/integrating-patient-safety-omfs-curriculum-survey-4-year-residency-programs
      April 08, 2020 - August 27, 2008 Relationship between preventability of death after coronary artery bypass

5035. Managing risk: systems approach versus personal responsibility for hospital incidents. | PSNet
      psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
      November 25, 2015 - observational study of prehospital care in the USA December 11, 2019 Learning from every death

5036. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-450
      August 28, 2024 - circulation and autopsy revealed sudden cardiac arrest without myocardial infarction as the cause of death

5037. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-438
      May 29, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication

5038. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49458/psn-pdf
      September 01, 2004 - A few days after the patient's death, the results of the second FNA were obtained.

5039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50612/psn-pdf
      October 30, 2019 - not notified of the patient's change in clinical status overnight and did not learn of the patient's death

5040. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia | PSNet
      psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
      February 23, 2022 - Resources WebM&M Cases Medication Mix-Up Leads to Patient Death