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Showing results for "death".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46188/psn-pdf
    June 21, 2017 - Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … https://psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root- … https://psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis … https://psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis

  2. 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.

  3. Plan aims to cut hospital deaths. | PSNet

    psnet.ahrq.gov/issue/plan-aims-cut-hospital-deaths
    August 28, 2019 - Newspaper/Magazine Article Plan aims to cut hospital deaths. Citation Text: Plan aims to cut hospital deaths. Appleby J. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  4. Introduction and Evidence for Early Mobility: A Protocol To Get Patients Out of Bed Faster: Facilitator Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/technical/intro-early-mobility-fac-guide.html
    February 01, 2017 - , defined as death occurring within 30 days of the admission date. … considered minimally disabled upon admission to the ICU became severely disabled or experienced an early death … of mild to moderately disabled patients became severely disabled, and 25 percent experienced early death … Twenty-five percent experienced early death. … when a functional decline was already occurring prior to admission, the patient had a higher risk of death

  5. 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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73546/psn-pdf
    July 28, 2021 - A tragic death shows how ERs fail patients who struggle with addiction. July 28, 2021 Pattani A. … https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction Patients … https://psnet.ahrq.gov/issue/tragic-death-shows-how-ers-fail-patients-who-struggle-addiction https://

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41316/psn-pdf
    February 05, 2014 - Organ donor's surgery death sparks questions. February 5, 2014 Cohen E. CNN. April 9, 2012. … https://psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions This news article reports on … errors that contributed to the death of a live organ donor and describes regulations to protect organ … https://psnet.ahrq.gov/issue/organ-donors-surgery-death-sparks-questions

  8. Maternal deaths at MetroWest hospital prompt state probes. | PSNet

    psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
    August 24, 2016 - Maternal death is a sentinel event . … November 21, 2007 MGH death spurs review of patient monitors. … June 8, 2011 'Alarm fatigue’ a factor in 2nd death.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35160/psn-pdf
    January 02, 2017 - Unlabeled containers lead to patient's death. January 2, 2017 Cohen MR, Smetzer JL. … Unlabeled containers lead to patient's death. Jt Comm J Qual Patient Saf. 2005;31(7):414-7. … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death The authors review selected incidents … https://psnet.ahrq.gov/issue/unlabeled-containers-lead-patients-death

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46550/psn-pdf
    November 15, 2017 - "It's the difference between life and death": the views of professional medical interpreters on their … "It's the difference between life and death": The views of professional medical interpreters on their … https://psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters … https://psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role … https://psnet.ahrq.gov/issue/its-difference-between-life-and-death-views-professional-medical-interpreters-their-role

  11. Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. | PSNet

    psnet.ahrq.gov/issue/inadequate-emergency-department-care-and-physician-misconduct-washington-dc-va-medical-center
    September 30, 2020 - This report analyzes the death of a veteran after presenting at an emergency room with suicidal ideation … July 27, 2022 Failures in Care Coordination and Reviewing a Patient's Death at the VA … May 31, 2023 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36726/psn-pdf
    January 22, 2017 - Eliminating preventable death at Ascension Health. … Eliminating preventable death at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(3):145-54. … https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health The authors report the results … https://psnet.ahrq.gov/issue/eliminating-preventable-death-ascension-health https://psnet.ahrq.gov//#

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39347/psn-pdf
    September 30, 2015 - MGH death spurs review of patient monitors. September 30, 2015 Kowalczyk L. Boston Globe. … https://psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors This news account discusses a patient … death after a heart monitor alarm was inadvertently turned off. … https://psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40831/psn-pdf
    October 05, 2011 - 'Alarm fatigue’ a factor in 2nd death. October 5, 2011 Kowalczyk L. Boston Globe. …   https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death Reporting on a patient death involving … https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death https://psnet.ahrq.gov/issue/patient-alarms-often-unheard-unheeded

  15. Racial Misclassification and Disparities in Mortality among AI/AN and Other Races, Washington (pdf file)

    hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or26.pdf
    June 01, 2012 - Death certificate race data is often recorded by coroners, funeral directors or medical examiners based … The death certificate file was linked with The Tribal Registry to identify individuals who appeared … Cause of death was defined based on the ICD-9 and ICD-10 codes found in the underlying cause of death … AI/AN race was defined as any record which was coded as AI/AN on the death certificate and/or had a … Note that some AI/AN were coded as other races or missing race data on the death certificate which

  16. Cognitive Testing Protocol AHRQ QI template (pdf file)

    qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
    January 01, 2000 - Select All □ Death rate for coronary artery bypass graft (CABG) How often patients died in the … Death rates should be extremely low. … The average rate of death for hospitals across the state is 9 for every 100 patients. … The average rate of death for hospitals across the state is 10 for every 100 patients. … rate for brain surgery Death rate for hip replacement surgery Health Conditions Death rate for stroke

  17. Discussion | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/haccost2017-discuss.html
    November 01, 2017 - Essentially, death from one cause precludes death from another cause. … HAC, and do not exclude patients with other HACs from each study, will inevitably double-count some death … the actual overall in-hospital death rate. … They also may benefit if studies assign weights to numerous potential causes of death. … Well-constructed studies using approaches that account for numerous potential causes of death are not

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44025/psn-pdf
    February 22, 2018 - The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best … The Causes of Their Death Appear (Unto Our Shame Perpetual): Why Root Cause Analysis Is Not the Best … https://psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause- analysis-not-best-model … https://psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model … https://psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37075/psn-pdf
    October 03, 2011 - Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of … Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of … psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care- admission-and-death … psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death … psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41601/psn-pdf
    August 15, 2012 - The short life and lonely death of Sabrina Seelig. August 15, 2012 Hartocollis A. … https://psnet.ahrq.gov/issue/short-life-and-lonely-death-sabrina-seelig This newspaper article reports … on the missteps that contributed to the death of a young woman after she was hospitalized in an incident … https://psnet.ahrq.gov/issue/short-life-and-lonely-death-sabrina-seelig https://psnet.ahrq.gov/issue/
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