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Total Results: 8,966 records

Showing results for "death".

101. Selected Best Practices and Suggestions for Improvement (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4n_combo_iqi-mortalityreview-bestpractices.pdf
     May 20, 2016 - sentinel events reported to the Joint Commission between 2004 and June 2013 resulted in a patient death … o Was the case an expected death?  Yes:  What was the condition on admission? … on admission but expected at the time of death? … associated with drug reaction ∗ Death associated with adverse drug reaction ∗ Death associated with … associated with drug reaction ∗ Death associated with adverse drug event ∗ Death related to medical

102. 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

103. 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

104. 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/

105. Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched cohort study. | PSNet
     psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
     July 08, 2008 - Study Community pharmacy medication review, death and re-admission after hospital … Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched … Researchers found that patients receiving the service had a reduction in readmissions and death. … Community pharmacy medication review, death and re-admission after hospital discharge: a propensity score-matched

106. 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

107. 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

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47905/psn-pdf
     April 03, 2019 - Ranking hospitals based on preventable hospital death rates: a systematic review with implications for … Ranking Hospitals Based on Preventable Hospital Death Rates: A Systematic Review With Implications for … https://psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review … This systematic review examined whether preventable death rates could be used as a measure of hospital … The authors conclude that preventable death rates would not be a valid or reliable measure of patient

109. 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

110. 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

111. 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.

112. 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

113. 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

114. 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

115. 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

116. 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

117. 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

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838088/psn-pdf
     September 14, 2022 - 'We had such trust, we feel such fools’: how shocking hospital mistakes led to our daughter’s death. … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our- daughters-death … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death … psnet.ahrq.gov/issue/we-had-such-trust-we-feel-such-fools-how-shocking-hospital-mistakes-led-our-daughters-death

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844783/psn-pdf
     September 04, 2019 - 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. … https://psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder This … https://psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder https

120. 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.