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Total Results: 5,550 records

Showing results for "death".

5381. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
      psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
      January 13, 2010 - may lack a thorough understanding of how critical changes can quickly result in otherwise preventable death

5382. Maternal Safety | PSNet
      psnet.ahrq.gov/curated-library/maternal-safety
      January 31, 2024 - In 2010, The Joint Commission issued a sentinel event alert on preventing maternal death.

5383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836892/psn-pdf
      April 07, 2022 - mortality for ED patients in the post-EC3 cohort; number needed to treat [NNT]=220 patients to reduce 1 death

5384. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
      February 26, 2025 - quality of life, which started out 20 some years ago, to try to measure health outcomes that weren't death

5385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33740/psn-pdf
      November 01, 2012 - RW: Have we entered a kind of death spiral phase where nobody knows how to either do a high-quality

5386. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures | PSNet
      psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admitted-leg-fractures
      November 27, 2019 - WebM&M Cases When Vomit Gets in the Way: Aspiration Resulting in Death

5387. Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures. | PSNet
      psnet.ahrq.gov/web-mm/missing-large-vessel-occlusion-stroke-patient-history-seizures
      August 31, 2022 - Unfortunately, stroke remains a leading cause of disability and death that can affect a wide range of

5388. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - However, in a complex, fast-paced, life-and-death environment, this practice may be challenging.

5389. The Forgotten Turn | PSNet
      psnet.ahrq.gov/web-mm/forgotten-turn
      August 01, 2018 - of stay, delay in transfer to acute rehabilitation, increased caregiver burden, infection, and even death

5390. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet
      psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
      January 29, 2021 - effects of laryngospasm Hypoxemia with hypoxic cardiac arrest, hypoxic ischemic encephalopathy and death

5391. Dropping to New Lows | PSNet
      psnet.ahrq.gov/web-mm/dropping-new-lows
      December 18, 2024 - prevent hyperglycemia and hypoglycemia, both of which are associated with adverse outcomes (including death

5392. Delirium or Dementia? | PSNet
      psnet.ahrq.gov/web-mm/delirium-or-dementia
      September 27, 2023 - In short, this patient's death may have been preventable with optimal care; as such, this case represents

5393. Debriefing for Clinical Learning | PSNet
      psnet.ahrq.gov/primer/debriefing-clinical-learning
      September 15, 2024 - Psychological outcomes of debriefing healthcare providers who experience expected and unexpected patient death

5394. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
      psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
      July 23, 2024 - events are serious and costly errors that may lead to consequential harm, or in the most serious cases, death

5395. Anchoring Bias With Critical Implications | PSNet
      psnet.ahrq.gov/web-mm/anchoring-bias-critical-implications
      June 15, 2022 - April 3, 2013 Relationship between preventability of death after coronary artery bypass

5396. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-296
      June 30, 2021 - June 16, 2021 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

5397. A "Reflexive" Diagnosis in Primary Care | PSNet
      psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
      April 01, 2008 - SPOTLIGHT CASE A "Reflexive" Diagnosis in Primary Care Citation Text: Betjemann J, Josephson AS. A "Reflexive" Diagnosis in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

5398. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad | PSNet
      psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
      January 01, 2014 - SPOTLIGHT CASE Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad Citation Text: Ranji SR. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citatio…

5399. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
      February 26, 2025 - In Conversation With… Shantanu Agrawal, MD, MPhil September 1, 2019  Citation Text: In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Co…

5400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33803/psn-pdf
      January 01, 2015 - In Conversation With… Richard Kronick, PhD February 1, 2014 In Conversation With… Richard Kronick, PhD. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-richard-kronick-phd Editor's note: Dr. Kronick has served as director of the Agency for Healthcare Research and Quality since August 2013 …