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Total Results: 9,279 records

Showing results for "death".

181. 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

182. 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

183. 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

184. 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

185. 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

186. 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

187. 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

188. 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.

189. 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://

190. 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

191. 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

192. 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

193. 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

194. 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

195. 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//#

196. 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

197. 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

198. 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

199. Lost Mothers: Maternal Care and Preventable Deaths. | PSNet
     psnet.ahrq.gov/issue/lost-mothers-maternal-care-and-preventable-deaths
     August 10, 2016 - This news series reports on the incidence of maternal death, individual stories of harm , and factors

200. Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. | PSNet
     psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
     April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication … Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous … Copy URL Cite Citation Citation Text: Patient death