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Total Results: 5,205 records

Showing results for "death".

  1. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet

    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - WebM&M Cases Delay in Appropriate Diagnosis and Treatment Leading to Death

  2. How Does Infection Prevention Fit Into a Safety Program? | PSNet

    psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
    March 01, 2014 - began to emerge in the 19th century, when Semmelweiss showed that providers could protect mothers from death

  3. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - related to a pump programming error that resulted in cardiac arrest and the patient’s subsequent death

  4. In Conversation With... Freya Spielberg, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
    September 28, 2022 - Leading Causes of Death – Males – by Race and Hispanic Origin – United States, 2017.

  5. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. | PSNet

    psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
    July 08, 2022 - SPOTLIGHT CASE A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care. Citation Text: Pasao K, Kashkouli P. A Case of Mistaken Capacity: Why A Thorough Psychosocial History Can Improve Care.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …

  6. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet

    psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
    September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…

  7. In Conversation with…Carolyn Clancy, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md
    September 01, 2005 - In Conversation with…Carolyn Clancy, MD September 1, 2005  Also Read an Essay Citation Text: In Conversation with…Carolyn Clancy, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. …

  8. In Conversation with…Janet Corrigan, PhD, MBA | PSNet

    psnet.ahrq.gov/perspective/conversation-withjanet-corrigan-phd-mba
    April 01, 2010 - In Conversation with…Janet Corrigan, PhD, MBA April 1, 2010  Also Read an Essay Citation Text: In Conversation with…Janet Corrigan, PhD, MBA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

  9. In Conversation With… Wanda Pratt, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-wanda-pratt-phd
    November 01, 2017 - In Conversation With… Wanda Pratt, PhD November 1, 2017  Also Read an Essay Citation Text: In Conversation With… Wanda Pratt, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Cop…

  10. In Conversation with…Donald M. Berwick, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
    November 01, 2005 - Studies have demonstrated impressive decreases in death and code blue rates after the implementation

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841566/psn-pdf
    December 14, 2022 - It has a specific goal around promoting safety and preventing harm or death from healthcare errors.

  12. In Conversation with...Joseph Britto, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
    February 01, 2007 - Rarely, the error may cause injury or death.

  13. In Conversation With... Barbara Drew, RN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-barbara-drew-rn-phd
    May 01, 2016 - having heard these alarms were an indication of alarm fatigue and that it contributed to the patient's death

  14. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - Rarely, the error may cause injury or death.

  15. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - outcome could have been even worse, resulting in extensive soft tissue debridement, arm amputation, or death

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837958/psn-pdf
    December 01, 2021 - ED crowding has led to a dose-response increase in all-cause 30-day mortality and one preventable death

  17. In Conversation with…Pat Croskerry, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd
    June 01, 2010 - Unanticipated death after discharge home from the emergency department.

  18. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

    psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - having heard these alarms were an indication of alarm fatigue and that it contributed to the patient's death

  19. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet

    psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
    November 01, 2017 - The Role of Patient-facing Technologies to Empower Patients and Improve Safety Ronen Rozenblum, MD, MPH, and David Bates, MD, MS | November 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Rozenblum R, Bates DW. The Role…

  20. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet

    psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance Lance L. Roberts, MS; Marcia M. Ward, PhD; Thomas C. Evans, MD | April 1, 2010  Also Read a Conversation View more articles from the same authors. …
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