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Total Results: 5,550 records

Showing results for "death".

5301. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-344
      May 16, 2022 - National cross-sectional cohort study of the relationship between quality of mental healthcare and death

5302. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-325
      January 07, 2022 - Inspired by efforts to learn from errors that resulted in the death of one young man, this award program

5303. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-339
      April 27, 2022 - discusses the case of one mother whose discounted health concerns contributed to diagnostic delay and death

5304. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-404
      August 30, 2023 - This story describes an incident of maternal death and the family’s effort to demonstrate the role of

5305. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-403
      August 30, 2023 - Newspaper/Magazine Article ‘Medical errors are the third leading cause of death

5306. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-416
      November 29, 2023 - WebM&M Cases Medication Mix-Up Leads to Patient Death Luciano Sanchez, PharmD and Patrick Romano

5307. Pre-analytical pitfalls: Missing and mislabeled specimens | PSNet
      psnet.ahrq.gov/web-mm/pre-analytical-pitfalls-missing-and-mislabeled-specimens
      April 18, 2018 - every hour delay in treatment of severe infections, such as sepsis, exponentially increases the odds of death

5308. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
      psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
      October 30, 2024 - the 101 home visit patients showed no differences in readmissions, emergency department visits, or death

5309. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
      January 01, 2023 - prompt and proactive management challenging, ultimately resulting in airway collapse and patient death

5310. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - requiring only monitoring to “tension” pneumothorax with acute respiratory failure, shock, and even death

5311. Compare and Contrast | PSNet
      psnet.ahrq.gov/web-mm/compare-and-contrast
      July 16, 2019 - without CN; adjustment for differences in co-morbidities yielded a 5.5-fold increase in the odds of death

5312. Impatient Inpatient Dosing | PSNet
      psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
      June 24, 2020 - Pharmacist-provided anticoagulation management in United States hospitals: death rates, length of stay

5313. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
      psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
      January 29, 2021 - Even though this problem occurs rarely, brain damage and death attributed to difficult airway management

5314. Radiology Missed an Intracranial Bleed in a Lethargic Infant. | PSNet
      psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
      August 21, 2016 - abusive head trauma cases were missed, and that 28% of those missed cases led to re-injury and 9% led to death

5315. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - However, it has been estimated that for each preventable death, there are between 7–100 close calls that

5316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866055/psn-pdf
      May 29, 2024 - events are serious and costly errors that may lead to consequential harm, or in the most serious cases, death

5317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866995/psn-pdf
      October 30, 2024 - lack a thorough understanding of how critical changes can quickly result in otherwise preventable death

5318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49478/psn-pdf
      April 01, 2005 - without CN; adjustment for differences in co-morbidities yielded a 5.5-fold increase in the odds of death

5319. Anticoagulation: Held Too Long | PSNet
      psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
      April 01, 2008 - TE in the setting of an artificial heart valve is typically catastrophic and leads to death or major

5320. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - Diagnostic delays can significantly increase the risk of death.