-
psnet.ahrq.gov/web-mm/are-we-pushing-graduate-nurses-too-fast
November 16, 2022 - Although the nurse's error in setting up the CRRT machine was not the direct cause of the patient's death
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psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
September 29, 2011 - who are non-adherent usually take too few rather than too many doses, and are at increased risk of death
-
psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - years, and those with moderate or severe SDB documented by preoperative sleep study.( 1,6 ) Though death
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - WebM&M Cases
When Vomit Gets in the Way: Aspiration Resulting in Death
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psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
July 02, 2011 - enclosed within the rigid skull, large-volume hemorrhages produce more severe symptoms including coma and death
-
psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - WebM&M Cases
When Vomit Gets in the Way: Aspiration Resulting in Death
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psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
July 02, 2019 - electronic health orders: development of an enhanced institutional protocol after a preventable patient death
-
psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opportunity-error-discharge-hospital
May 16, 2022 - Resources
WebM&M Cases
Medication Mix-Up Leads to Patient Death
-
psnet.ahrq.gov/node/851555/psn-pdf
July 31, 2023 - adjusted OR, 6.2, 95% CI, 3.2-11.8 for high
bands), including gram-negative bacteremia, and in-hospital death
-
psnet.ahrq.gov/web-mm/obstructed-view
August 07, 2019 - Ultimately, if the process goes uninterrupted, death may result, from either septic or hypovolemic shock
-
psnet.ahrq.gov/node/73229/psn-pdf
May 26, 2021 - Within 9 hours of admission the patient’s hemodynamic
lability progressed to cardiac arrest and death
-
psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - Consequences of LASA
errors can range from no patient harm to death.
-
psnet.ahrq.gov/node/49640/psn-pdf
November 01, 2011 - Problematic access and poor time management contributed to the death of this
patient.
-
psnet.ahrq.gov/node/49794/psn-pdf
May 01, 2017 - transplant—a conversation that may have averted the
complication that contributed to the patient's death
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.329_slideshow.ppt
August 01, 2014 - surgery more than 24 hours is associated with mortality rates of 23%−75%
Thus the relative risk of death
-
psnet.ahrq.gov/node/49817/psn-pdf
January 01, 2018 - metoprolol tartrate at that dose was a prescribing error believed to have
contributed to the patient's death
-
psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - care for and a shortage of personal protective
equipment, long hours of care, and abnormally high death
-
psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - It is uncertain whether patients leaving the hospital AMA face an increased risk of death, as no study
-
psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Pharmacist-provided anticoagulation management in United States hospitals: death
rates, length of stay
-
psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - this study, 17% of the
post-discharge adverse events required rehospitalization and 3% resulted in death