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Total Results: 5,205 records

Showing results for "death".

81. 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://

82. A tragic death: a time to blame or a time to learn? | PSNet
    psnet.ahrq.gov/issue/tragic-death-time-blame-or-time-learn
    March 23, 2011 - Commentary A tragic death: a time to blame or a time to learn? … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2. … A tragic death: a time to blame or a time to learn? Qual Saf Health Care. 2003;12(5):321-2.

83. 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

84. A deadly epidural, delivered by a doctor with a history of mistakes. | PSNet
    psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
    January 24, 2024 - monitoring, unequitable maternal care for black women and clinician COVID fatigue to contribute to patient death … Related Resources From the Same Author(s) Investigators find hospital error caused mother’s death … September 6, 2016 FDA begins inquiry after death and illness from saline bags meant for

85. Proceedings of a summit on preventing patient harm and death from IV medication errors. | PSNet
    psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-errors
    June 16, 2019 - Meeting/Conference Proceedings Proceedings of a summit on preventing patient harm and death … Citation Text: Proceedings of a summit on preventing patient harm and death from i.v. medication errors … Citation Citation Text: Proceedings of a summit on preventing patient harm and death

86. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60998/psn-pdf
    October 07, 2020 - The slow, troubling death of the autopsy. October 7, 2020 Ashworth S. Elemental. … https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy The rate of autopsies – the “gold standard … ” of death investigation – are decreasing worldwide. … https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy https://psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47758/psn-pdf
    April 17, 2019 - Contribution of adverse events to death of hospitalised patients. … Contribution of adverse events to death of hospitalised patients. … https://psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients This study used … https://psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients https://psnet.ahrq.gov

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48054/psn-pdf
    June 26, 2019 - Lessons learned from a death outside a hospital's doorstep. June 26, 2019 Palmer J. … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep Organizations must learn … Reporting on lessons to be learned from the cascade of failures connected with the preventable death … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep https://psnet.ahrq.gov/

90. Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet
    psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
    August 20, 2021 - children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death

91. FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death. | PSNet
    psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
    August 05, 2020 - fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … fentanyl) pain patches to aid safety―emphasizing that accidental exposure to used patches can cause death … children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72559/psn-pdf
    December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for Change. December 9, 2020 Kirkup B. … https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change Missed diagnosis of a dangerous … inadequate clinician expertise were among the contributing factors identified in this analysis of the death … https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change https://psnet.ahrq.gov/web-mm

93. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet
    psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
    March 23, 2022 - Study Problems in care and avoidability of death after discharge from intensive care … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective … Association between unmet nonmedication needs after hospital discharge and readmission or death

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question … https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question

95. 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

96. 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

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60802/psn-pdf
    August 12, 2020 - Race, postoperative complications, and death in apparently healthy children. … Race, postoperative complications, and death in apparently healthy children. … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children … https://psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children https

98. Man falls off surgical table; St. Joseph's Hospital sued. | PSNet
    psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
    May 13, 2020 - newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent death … September 1, 2021 Lessons learned from a death outside a hospital's doorstep. … June 26, 2019 Death by 1,000 clicks: where electronic health records went wrong.

99. 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.

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46423/psn-pdf
     December 16, 2017 - Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation … Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation … psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during- medicolegal-death … Autopsy is considered the gold standard for finding answers in death investigations. … ethical considerations when forensic pathologists discover a medical error unrelated to the cause of death