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Showing results for "death".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44469/psn-pdf
    September 16, 2015 - Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah … https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va- … This investigation determined that mixed drug toxicity was the cause of a patient's death at a Veterans … https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah … https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46928/psn-pdf
    May 16, 2018 - Serious incidents after death: content analysis of incidents reported to a national database. … Serious incidents after death: content analysis of incidents reported to a national database. … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database

  3. 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

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42672/psn-pdf
    October 23, 2013 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention … https://psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected- death-pre-and-post … https://psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post … https://psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post

  5. Report links Georgia's abortion ban to preventable deaths. | PSNet

    psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
    November 13, 2024 - exploring how delayed procedural care and medication access workarounds result in preventable maternal death … August 17, 2022 A tragic death shows how ERs fail patients who struggle with addiction

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42607/psn-pdf
    January 09, 2014 - Critical care transition programs and the risk of readmission or death after discharge from an ICU: … Critical care transition programs and the risk of readmission or death after discharge from an ICU: … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after- … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu … https://psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37000/psn-pdf
    September 15, 2011 - Unanticipated death after discharge home from the emergency department. … Unanticipated Death After Discharge Home From the Emergency Department. … https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department This retrospective … cohort study, conducted over a 10-year period, linked hospital records and state death records to identify … https://psnet.ahrq.gov/issue/unanticipated-death-after-discharge-home-emergency-department https://psnet.ahrq.gov

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50667/psn-pdf
    November 13, 2019 - Proactive prevention of maternal death from maternal hemorrhage. November 13, 2019 Quick Safety. … https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage The reduction of … https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage http://psnet.ahrq.gov

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60809/psn-pdf
    August 12, 2020 - Avoiding care during the pandemic could mean life or death. August 12, 2020 Glionna JM. … https://psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death The reluctance of … https://psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death https://psnet.ahrq.gov

  10. Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/association-between-unmet-nonmedication-needs-after-hospital-discharge-and-readmission-or
    September 23, 2020 - Association between unmet nonmedication needs after hospital discharge and readmission or death … Association between unmet nonmedication needs after hospital discharge and readmission or death among … Association between unmet nonmedication needs after hospital discharge and readmission or death among … October 14, 2020 Problems in care and avoidability of death after discharge from intensive

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44405/psn-pdf
    September 02, 2015 - Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological … Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review … https://psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74119/psn-pdf
    November 24, 2021 - When we're all responsible for a patient's death, no one is. … https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one The issue of system versus … https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one https://psnet.ahrq.gov/issue

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38046/psn-pdf
    September 10, 2008 - Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 … Clinical and pathological disagreement upon the cause of death in a teaching hospital: Analysis of 100 … https://psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital … https://psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis … -100 https://psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39277/psn-pdf
    August 22, 2018 - Preventing maternal death. August 22, 2018 Preventing maternal death. … https://psnet.ahrq.gov/issue/preventing-maternal-death The Joint Commission issues Sentinel Event Alerts … This recently retired alert targets prevention of maternal death and highlights the need to manage blood … https://psnet.ahrq.gov/issue/preventing-maternal-death https://psnet.ahrq.gov/issue/sentinel-event-alert

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45029/psn-pdf
    April 20, 2016 - Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … Threats to safety during sedation outside of the operating room and the death of Michael Jackson. … https://psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael- … https://psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson … https://psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson

  16. Healthy Living: Infant Mortality | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/womenhealth/wm-hl.html
    September 01, 2015 - Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death … Importance: Infant mortality, or the death of a child within the first year, is an important indicator … Postneonatal mortality is mostly attributable to sudden unexpected infant death (SUID), congenital anomalies … Prevention, National Center for Health Statistics, National Vital Statistics System—Linked Birth and Infant Death

  17. Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
    September 10, 2014 - Recommendations drawn from the analysis call for improvements in suicide death review , root cause analysis … September 10, 2014 Failures in Care Coordination and Reviewing a Patient's Death at the … September 4, 2019 Unexpected Death of a Patient During Treatment With Multiple Medications … Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death

  18. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet

    psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
    September 23, 2020 - Study Relationship between preventability of death after coronary artery bypass graft … Relationship between preventability of death after coronary artery bypass graft surgery and all-cause … Relationship between preventability of death after coronary artery bypass graft surgery and all-cause

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35459/psn-pdf
    December 10, 2014 - Death by handwriting. December 10, 2014 Glabman M. Death by handwriting. … https://psnet.ahrq.gov/issue/death-handwriting This article discusses several strategies implemented … https://psnet.ahrq.gov/issue/death-handwriting

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44761/psn-pdf
    January 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. … Two fatal cases of accidental intrathecal vincristine administration: learning from death event. … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events … https://psnet.ahrq.gov/issue/two-fatal-cases-accidental-intrathecal-vincristine-administration-learning-death-events
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