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Showing results for "death".

1681. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action References Previous Page   Table of Contents Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action Introduction ED-to-Hosp…

1682. System-Focused Event Investigation and Analysis Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4.html
      August 01, 2022 - System-Focused Event Investigation and Analysis Guide AHRQ Communication and Optimal Resolution Toolkit Purpose : To help teams adopt a system-focused approached to event investigation and analysis. Who should use this tool? Event Reporting, Investigation, and Analysis Team. How to use this tool : Review…

1683. Strategies to Better Engineer Safety into Healthcare Delivery (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/engineering-safety-practice/safety-engineering-strategies.pdf
      March 06, 2025 - Strategies to Better Engineer Safety into Healthcare Delivery Page 1 of 17 Engineering Safe Practices Affinity Group Strategies to Better Engineer Safety into Healthcare Delivery March 6, 2025 Table of Contents Problem Statement ...............................................................................…

1684. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - Making Information Technology a Team Player in Safety: The Case of Infusion Devices 319 Making Information Technology a Team Player in Safety: The Case of Infusion Devices Christopher Nemeth, Mark Nunnally, Michael O’Connor, P. Allan Klock, Richard Cook Abstract Objective: To fulfill the promise of infor…

1685. Health Care Simulation to Advance Safety: AHRQ Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/factsheets/errors-safety/simulproj15/simulation-brief.pdf
      February 01, 2015 - , informing a loved one (portrayed by standardized actor) of a serious patient harm or preventable death

1686. Establishing a Culture of Patient Safety Through a Low-tech Approach to Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Shaha.pdf
      May 01, 2004 - to the patient due to medication interception prior to administration, and I represents a patient death

1687. Low Tidal Volume Ventilation: Introduction, Evidence, and Implementation: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/ltvv-intro-fac-guide.html
      February 01, 2017 - Primary Findings Say: The primary findings of the ARDSNet study were significant reduction in death

1688. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mvp/ltvv-intro/ltvv-intro-facguide.docx
      January 01, 2017 - 20 Primary Findings SAY: The primary findings of the ARDSNet study were significant reduction in death

1689. 2012 Annual Progress Report to Congress National Strategy for Quality Improvement in Health Care (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/workingforquality/reports/2012-annual-report-part2.html
      November 01, 2016 - Delivery of Care Health care-related errors continue to account for a significant amount of harm and death

1690. N2: Building a Network of Safety Net PBRNs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/N2.pdf
      October 31, 2017 - poorest urban counties in the United States, where cancer stands out as the leading cause of early death

1691. Final Progress Report: Evaluating and Improving Present-On-Admission for Performance Reporting (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/goldman-report.pdf
      January 01, 2025 - that reflect the health status of patients when they arrive at the hospital and affect the risk of death

1692. Using Reported Primary Care Errors to Develop and Implement Patient Safety Interventions: A Report from the ASIPS Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/West.pdf
      September 01, 2005 - generally confirmed these patterns and indicated that diagnostic testing errors resulted in a higher death

1693. Creating a Curriculum for Training Health Profession Faculty Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mitchell.pdf
      March 31, 2004 - DFCI emerged from the Training Health Profession Faculty Leaders 301 tragedy of a patient’s death

1694. Final Progress Report: Training Doctors To Disclose Unanticipated Outcomes to Patients: Randomized Trial (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/gallagher3-report.pdf
      January 01, 2024 - Almost none of the study events were associated with permanent harm or death.

1695. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
      January 01, 2024 - 71% of AEs caused short- term disability, 3% caused permanently disabling injuries, and 14% caused death

1696. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
      March 01, 2020 - right individual, wrong treatment to the wrong individual, delays in treatment, or serious harm or death—and

1697. Organizational Climate, Stress, and Error in Primary Care: The MEMO Study (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Linzer.pdf
      January 01, 2002 - treatment, medication errors, lack of attention to illness impact, minimal reaction to a patient’s death

1698. Validation of AHRQ’s Patient Safety Indicator for Accidental Puncture or Laceration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher1.pdf
      January 01, 2004 - Chronic conditions and risk of in-hospital death. Health Serv Res 1994;29(4):435–60. 14.

1699. Readmissions for Selected Infections Due to Medical Care: Expanding the Definition of a Patient Safety Indicator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Gallagher2.pdf
      January 01, 2016 - captured by the hospital-level PSI differ from readmitted patients, we examined rates of infections and death

1700. Final Progress Report: Epidemiology, Exploration, and Evaluation: Addressing potentially dangerous medications in children on Medicaid with a mental health diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/kleinman-report.pdf
      January 01, 2024 - which there is an increased risk of QT-interval prolongation (with its concomitant risk of sudden cardiac … death) and serotonin syndrome (hypertension, hyperthermia, myoclonus, mental status changes). … behavioral health medications in 2014 Quantify frequency of various harmful outcomes (poisoning, death