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Showing results for "death".

81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/848825/psn-pdf
    May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. … https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass … This story outlines how the state of Massachusetts responded to the accidental death of a patient unable … https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass … psnet.ahrq.gov/issue/architecture-safety-hospital-design https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep

82. Do No Harm: Jess's Story. | PSNet
    psnet.ahrq.gov/issue/project-jessica
    September 16, 2020 - This video chronicles how an undiagnosed heart condition led to a teenager's death and offers tips … Two fatal cases of accidental intrathecal vincristine administration: learning from death … Mortality review as a tool to assess the contribution of healthcare-associated infections to death … April 17, 2013 The short life and lonely death of Sabrina Seelig.

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34885/psn-pdf
    February 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist … psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-globe … This column chronicles the tragic death of Betsy Lehman, a Boston Globe health columnist, who fell … //psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe … //psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74042/psn-pdf
    November 03, 2021 - An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation … https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- … foundation-trust This report examines a premature infant death associated with failings of antibiotic … https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust … https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs-foundation-trust

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72735/psn-pdf
    February 10, 2021 - Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by … psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior- patients-death … investigation examined  care coordination, screening and other factors that contributed to a patient death … psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death … psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death

86. The absence of a drug–disease interaction alert leads to a child's death. | PSNet
    psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
    July 08, 2015 - Magazine Article The absence of a drug–disease interaction alert leads to a child's death … Citation Text: The absence of a drug–disease interaction alert leads to a child's death. … Citation Citation Text: The absence of a drug–disease interaction alert leads to a child's death

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50426/psn-pdf
    January 01, 2020 - Community pharmacy medication review, death and re- admission after hospital discharge: a propensity … Community pharmacy medication review, death and re- admission after hospital discharge: a propensity … https://psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after- hospital-discharge … Researchers found that patients receiving the service had a reduction in readmissions and death. … https://psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge

88. A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet
    psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
    October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use … A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. … A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder.

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73637/psn-pdf
    August 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System … https://psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city … unsubstantiated, the report highlights lack of clinical review and inaccurate analysis of patient death … https://psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system … https://psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849340/psn-pdf
    May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health … https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons … analysis examines a delayed diagnosis, referral, and treatment of skin cancer that contributed to the death … https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health … https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treatment-persons-mental-health

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60795/psn-pdf
    August 12, 2020 - Hastened death due to disease burden and distress that has not received timely, quality palliative care … Hastened death due to disease burden and distress that has not received timely, quality palliative care … https://psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely- … https://psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative … https://psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative

92. ‘Medical errors are the third leading cause of death’ and other statistics you should question. | PSNet
    psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
    February 24, 2025 - Newspaper/Magazine Article ‘Medical errors are the third leading cause of death’ … Citation Text: ‘Medical errors are the third leading cause of death’ and other statistics you should … Cite Citation Citation Text: ‘Medical errors are the third leading cause of death … February 8, 2023 Laura Levis' death outside ER has changed hospital signage, lighting

93. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet
    psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
    May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … National cross-sectional cohort study of the relationship between quality of mental healthcare and death … April 8, 2020 The causes of their death appear (unto our shame perpetual): why root cause

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/861295/psn-pdf
    January 24, 2024 - Investigators find hospital error caused mother’s death in Brooklyn. … https://psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn Maternal … Factors contributing to her death include delayed recognition of deterioration, and communication failures … https://psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn https://

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865722/psn-pdf
    May 01, 2024 - Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. … https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- … https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole … https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole

96. Temporal clustering of critical illness events on medical wards. | PSNet
    psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards
    January 31, 2024 - early signs of clinical deterioration can result in transfer to the intensive care unit (ICU) or death … This study investigated whether critical illness events (transfer to ICU or death) impacted another … critical illness events increase the odds of additional patient transfers into the ICU , but not of death … February 22, 2011 Community pharmacy medication review, death and re-admission after

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/34894/psn-pdf
    July 10, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly … Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly … https://psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication … medication prescribing, this study examined the impact of such prescriptions on hospitalization and death … being hospitalized in the month following an inappropriate prescription, an associated greater risk of death

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46137/psn-pdf
    August 03, 2017 - Frequency and type of situational awareness errors contributing to death and brain damage: a closed … Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed … https://psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain … In this closed claims analysis of anesthesia malpractice claims for death or brain damage, researchers … found that situational awareness errors on the part of the anesthesiologist contributed to death or

99. Patient death tied to lack of proper escalation process for barcode scanning failures. | PSNet
    psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures
    November 01, 2023 - Newspaper/Magazine Article Patient death tied to lack of proper escalation process … Citation Text: Patient death tied to lack of proper escalation process for barcode scanning failures … Copy URL Cite Citation Citation Text: Patient death … July 10, 2024 Patient death after inadvertent infusion of PRN medication hanging on bedside

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46156/psn-pdf
     July 11, 2017 - Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning … Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. … https://psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014- implications-learning … This retrospective cohort study found that the leading cause of death among resident physicians is … cancer, and the second leading cause of death is suicide.