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psnet.ahrq.gov/web-mm/mismanagement-delirium
February 13, 2014 - permanent cognitive decline, prolonged hospitalization, re-hospitalization, nursing home placement, and death
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psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - In short, this patient's death may have been preventable with optimal care; as such,
this case represents
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psnet.ahrq.gov/node/49765/psn-pdf
August 21, 2016 - However, in a complex, fast-paced, life-and-death
environment, this practice may be challenging.
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psnet.ahrq.gov/node/49758/psn-pdf
April 01, 2016 - prevent hyperglycemia and hypoglycemia, both of
which are associated with adverse outcomes (including death
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psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - of stay, delay in transfer
to acute rehabilitation, increased caregiver burden, infection, and even death
-
psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - He followed with, "Wake me up only on life and death issues!"
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psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
July 10, 2024 - We actually changed the name of the AHRQ measure so it's now called Death Among Surgical Patients with
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psnet.ahrq.gov/perspective/zero-harm-striving-reduce-preventable-harms-point-counterpoint-and-areas-agreement
September 24, 2024 - mortality, where the most data would be available, a systematic review found that 8-17 reviews of a single death
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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - obstruction, apnea, nonminimal hypoxia) and severe (e.g.,
aspiration, cardiac arrest, unplanned intubation, death
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice
Hardeep Singh, MD, MPH | January 1, 2016
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Singh H. Diagnostic Errors: A New Chapter in Patient Safe…
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psnet.ahrq.gov/periodic-issue/periodic-issue-291
May 26, 2021 - records for 150 patients undergoing emergency surgery who experienced a preventable complication and/or death
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psnet.ahrq.gov/web-mm/back-again
November 18, 2016 - The final cause of death was "complications of infective endocarditis."
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psnet.ahrq.gov/web-mm/do-not-disturb
February 03, 2011 - He followed with, "Wake me up only on life and death issues!"
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psnet.ahrq.gov/node/850450/psn-pdf
June 14, 2023 - arrest secondary to carotid baroreceptor stimulation, all of which may lead to serious morbidity or
death
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psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
January 01, 2023 - .22
28
CONCLUSION
29
Conclusion (1)
• Several issues contributed to the decompensation and death
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psnet.ahrq.gov/node/846169/psn-pdf
March 15, 2023 - effects of laryngospasm
Hypoxemia with hypoxic cardiac arrest, hypoxic ischemic encephalopathy and death
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psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
November 13, 2024 - was crucial for a condition that, even when diagnosed and treated in a timely manner, may result in death
-
psnet.ahrq.gov/node/837215/psn-pdf
July 08, 2022 - Unfortunately, stroke remains a
leading cause of disability and death that can affect a wide range of
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psnet.ahrq.gov/classics
August 01, 2023 - teamwork and shared decision-making might have prevented a missed diagnosis of sepsis that lead to the death
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - rates of late critical care admission, late intubation, late renal replacement therapy, and in-hospital death