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Total Results: 5,550 records

Showing results for "death".

5141. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-420
      November 29, 2023 - WebM&M Cases Medication Mix-Up Leads to Patient Death Luciano Sanchez, PharmD and Patrick Romano

5142. Validation of a discharge summary term search method to detect adverse events. | PSNet
      psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
      December 06, 2017 - controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death

5143. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-467
      December 18, 2024 - Rapid response teams (RRT) are designed to quickly attend to deteriorating patients to prevent death

5144. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-427
      February 28, 2024 - WebM&M Cases When Vomit Gets in the Way: Aspiration Resulting in Death During Endoscopy Timothy

5145. Slow Down: Right Drug, Wrong Formulation | PSNet
      psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
      October 13, 2018 - metoprolol tartrate at that dose was a prescribing error believed to have contributed to the patient's death

5146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49829/psn-pdf
      May 01, 2018 - The practice of RCA for sentinel events (e.g., incidents resulting in death, permanent harm, or severe

5147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837659/psn-pdf
      July 08, 2022 - Class 5 Moribund patients not expected to survive 24 hours with or without operation ASA Class 6 Brain death

5148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846768/psn-pdf
      March 29, 2023 - metabolic syndrome, type 2 diabetes mellitus, non-alcoholic fatty liver disease, cancer and premature death

5149. Double Trouble | PSNet
      psnet.ahrq.gov/web-mm/double-trouble
      August 01, 2012 - this study, 17% of the post-discharge adverse events required rehospitalization and 3% resulted in death

5150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846563/psn-pdf
      March 21, 2023 - criminally negligent homicide and abuse of an impaired adult when a medication error resulted in a patient death

5151. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet
      psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
      November 27, 2019 - Within 9 hours of admission the patient’s hemodynamic lability progressed to cardiac arrest and death

5152. Patient and Family Engagement in Long Term Care | PSNet
      psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
      April 10, 2024 - specifically lead to patient harm), and adverse events (harms due to medical care) are leading causes of death

5153. 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

5154. 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.

5155. 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

5156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60362/psn-pdf
      April 13, 2018 - Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area June 12, 2020 https://psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes- high-risk Summary Formerly known as the Antenatal and Neonatal Guidelines, Education…

5157. Telemedicine and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
      September 01, 2016 - January 10, 2024 Race, postoperative complications, and death in apparently healthy children

5158. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement | PSNet
      psnet.ahrq.gov/perspective/conversation-eric-thomas-about-zero-harm-striving-reduce-preventable-harms-point
      September 24, 2024 - mortality, where the most data would be available, a systematic review found that 8-17 reviews of a single death

5159. 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

5160. 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