Results

Total Results: over 10,000 records

Showing results for "death".

221. 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

222. 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

223. Treatment Intensification in Type 2 Diabetes Mellitus | Effective Health Care (EHC) Program
     effectivehealthcare.ahrq.gov/products/diabetes-treatment/abstract
     January 24, 2012 - only have DM (but not CVD or CKD) will likely experience delays in the development of CVD, CKD, and death … CVD and CKD outcomes in persons with and without these two co-morbidities: To compare time to CVD or death … the impact of intensive insulin regimens compared to less intensive insulin regimens on CVD, CKD or death … in persons with and without these two co-morbidities: To compare time to CVD or death in patients using … intensive insulin regimens compared to less intensive insulin regimens To compare time to CKD or death

224. 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

225. A quality improvement study: medication error leading to thyrotoxicosis and death. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
     September 13, 2017 - Study A quality improvement study: medication error leading to thyrotoxicosis and death … A quality improvement study: medication error leading to thyrotoxicosis and death. … A quality improvement study: medication error leading to thyrotoxicosis and death.

226. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet
     psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
     September 08, 2010 - Study Injury and death associated with incidents reported to the Patient Safety Net … Injury and death associated with incidents reported to the patient safety net. … Injury and death associated with incidents reported to the patient safety net.

227. Death due to pharmacy compounding error reinforces need for safety focus. | PSNet
     psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
     May 31, 2017 - Newspaper/Magazine Article Death due to pharmacy compounding error reinforces need … Citation Text: Death due to pharmacy compounding error reinforces need for safety focus. … Linkedin Copy URL Cite Citation Citation Text: Death

228. 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.

229. ‘You’re going to release him when he was hurting himself?’ | PSNet
     psnet.ahrq.gov/issue/youre-going-release-him-when-he-was-hurting-himself
     May 11, 2022 - bias , patient management discontinuity and inappropriate physical restraint that contributed to the death … August 26, 2020 Avoiding care during the pandemic could mean life or death. … May 31, 2023 Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment

230. What a new doctor learned about medical mistakes from her Mom's death. | PSNet
     psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
     March 03, 2021 - Magazine Article What a new doctor learned about medical mistakes from her Mom's death … Citation Text: What a new doctor learned about medical mistakes from her Mom's death. Allen M. … Citation Citation Text: What a new doctor learned about medical mistakes from her Mom's death

231. Losing Laura. | PSNet
     psnet.ahrq.gov/issue/losing-laura
     June 06, 2018 - This magazine article reports on the preventable death of a patient during an acute asthma attack. … Written by the patient's husband, the article outlines the failures that led to her death despite the … Improving Diagnostic Safety and Quality April 26, 2023 Lessons learned from a death … January 8, 2018 Inquiry into reporter's death finds multiple failures in care.

232. 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

233. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/resources/liability/baker.html
     August 01, 2017 - ; and intra-partum fetal death of full-term infant. … The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … For example, three clinicians were surveyed regarding Intra-Partum Fetal Death due to Group B Strep, … Intra-Partum Fetal Death Pre-Hospital Clinician does not educate mother/family about risks 3.60 … Intra-Partum Fetal Death Pre-Hospital Clinician does not educate mother/family about risks 4.00

234. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/baker.html
     August 01, 2017 - ; and intra-partum fetal death of full-term infant. … The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … 1.40 4.90 4.60 Intrapartum Fetal Death due to Group B Strep 1.50 4.20 … For example, participants in the group discussing Intra‑Partum Fetal Death due to Group B Strep ranked … For example, three clinicians were surveyed regarding Intra-Partum Fetal Death due to Group B Strep,

235. 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

236. 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

237. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet
     psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
     March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching … 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 … July 28, 2021 The slow, troubling death of the autopsy.

238. 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

239. 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

240. 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