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Showing results for "death".

  1. For Colorado mom, story of daughter's hospital death is key to others' safety. | PSNet

    psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
    March 07, 2018 - Newspaper/Magazine Article For Colorado mom, story of daughter's hospital death is … Citation Text: For Colorado mom, story of daughter's hospital death is key to others' safety. … Cite Citation Citation Text: For Colorado mom, story of daughter's hospital death … October 19, 2020 Lessons learned from a death outside a hospital's doorstep.

  2. NICU Toolkit, Appendix A, Crib Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_cribsafety.pdf
    June 02, 2025 - ■ “SIDS” stands for Sudden Infant Death Syndrome. … ■ Sudden, unexplained death of an infant less than 1 year old. What should I know about SIDS?

  3. Death by 1,000 clicks: where electronic health records went wrong. | PSNet

    psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong
    September 19, 2018 - Newspaper/Magazine Article Death by 1,000 clicks: where electronic health records … Citation Text: Death by 1,000 clicks: where electronic health records went wrong. … Linkedin Copy URL Cite Citation Citation Text: Death … September 25, 2019 Lessons learned from a death outside a hospital's doorstep.

  4. 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

  5. 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

  6. Avoiding care during the pandemic could mean life or death. | PSNet

    psnet.ahrq.gov/issue/avoiding-care-during-pandemic-could-mean-life-or-death
    April 09, 2014 - Newspaper/Magazine Article Avoiding care during the pandemic could mean life or death … Citation Text: Avoiding care during the pandemic could mean life or death. Glionna JM. … Citation Citation Text: Avoiding care during the pandemic could mean life or death

  7. 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

  8. Loud wake-up call: unlabeled containers lead to patient’s death. | PSNet

    psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
    April 25, 2018 - Newspaper/Magazine Article Loud wake-up call: unlabeled containers lead to patient’s death … Citation Text: Loud wake-up call: unlabeled containers lead to patient’s death. … Citation Citation Text: Loud wake-up call: unlabeled containers lead to patient’s death

  9. 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

  10. 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

  11. 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

  12. 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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854264/psn-pdf
    October 04, 2023 - Patient death tied to lack of proper escalation process for barcode scanning failures. … https://psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures … https://psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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