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psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - as EMRs and interoperability grow,
identity errors will increase, causing more avoidable errors and death
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psnet.ahrq.gov/node/836841/psn-pdf
June 01, 2020 - the 101 home visit patients showed no differences in readmissions, emergency department
visits, or death
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - For
patients already ill enough to require hospitalization, the likelihood of an injury resulting in death
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - permanent cognitive decline, prolonged hospitalization, re-
hospitalization, nursing home placement, and death
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psnet.ahrq.gov/node/853773/psn-pdf
September 27, 2023 - natural course of a
patient’s illness or underlying condition) that reaches a patient and results in death
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psnet.ahrq.gov/node/49540/psn-pdf
August 21, 2007 - Sudden cardiac arrest (SCA) is a leading cause of death worldwide, claiming more than 300,000 lives each
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psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
May 22, 2024 - errors for which the provider feels directly and fully responsible, and those that result in patient death
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psnet.ahrq.gov/node/49602/psn-pdf
April 01, 2010 - TE in the setting of
an artificial heart valve is typically catastrophic and leads to death or major
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psnet.ahrq.gov/node/49798/psn-pdf
July 01, 2017 - peritonitis, sepsis, and multi-organ failure progressed
postoperatively, ultimately leading to the death
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Association between polypharmacy and death: a systematic review and meta-analysis.
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psnet.ahrq.gov/primer/burnout
November 20, 2024 - Death by 1000 Cuts: Medscape National Physician Burnout & Suicide Report 2021. Medscape .
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - process , from prescribing to administration, and can result in various levels of harms, including death
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psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
August 30, 2023 - criminally negligent homicide and abuse of an impaired adult when a medication error resulted in a patient death
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psnet.ahrq.gov/periodic-issue/periodic-issue-274
January 29, 2021 - Maternal death and preventable poor neonatal outcomes are indications of health care safety and quality
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psnet.ahrq.gov/periodic-issue/periodic-issue-300
July 28, 2021 - This case describes how tubing and alarm management errors came together to result in the death of patient
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psnet.ahrq.gov/periodic-issue/periodic-issue-283
March 15, 2021 - WebM&M Cases
Spotlight Case
Delay in Appropriate Diagnosis and Treatment Leading to Death from
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psnet.ahrq.gov/periodic-issue/periodic-issue-309
September 29, 2021 - Recommendations drawn from the analysis call for improvements in suicide death review, root cause analysis
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psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - by nurses, when a patient demonstrates signs of imminent clinical deterioration, in order to prevent death
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psnet.ahrq.gov/periodic-issue/periodic-issue-376
February 01, 2023 - monitoring, unequitable maternal care for black women and clinician COVID fatigue to contribute to patient death
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psnet.ahrq.gov/periodic-issue/periodic-issue-430
March 27, 2024 - This story presents one family member’s effort to understand his wife’s death from sepsis in the context