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Total Results: 8,966 records

Showing results for "death".

261. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
     May 01, 2004 - In-hospital death Death in ICU (>5 days) Death in ICU (>5 days) Conventional Treatment (%) Intensive … 14 days ICU 15.7% 11.4% > 14 days ventilator 11.9% 7.5% Septicemia in ICU 7.8% 4.2% In-hospital death … 10.9% 7.2% Death in ICU (>5 days) 20.2% 10.6% Sheet2 Sheet3 Chart2 (2) > 14 days ICU > 14 … (all patients) In-hospital death (all patients) Death in ICU (>5 days) Death in ICU (>5 days) Conventional … Death in ICU (>5 days) Conventional Treatment (%) Intensive Treatment (%)

262. The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services. | PSNet
     psnet.ahrq.gov/issue/causes-their-death-appear-unto-our-shame-perpetual-why-root-cause-analysis-not-best-model
     September 27, 2016 - Study The causes of their death appear (unto our shame perpetual): why root cause … 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 … March 3, 2019 Death by suicide within 1 week of hospital discharge: a retrospective study

263. Medical negligence in drug associated deaths. | PSNet
     psnet.ahrq.gov/issue/medical-negligence-drug-associated-deaths
     September 02, 2009 - Study Medical negligence in drug associated deaths. Citation Text: Madea B, Musshoff F, Preuss J. Medical negligence in drug associated deaths. Forensic Sci Int. 2009;190(1-3):67-73. doi:10.1016/j.forsciint.2009.05.014. Copy Citation Format: DOI Google Scholar PubMed BibT…

264. A case of the birth and death of a high reliability healthcare organisation. | PSNet
     psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
     June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation … A case of the birth and death of a high reliability healthcare organisation. … A case of the birth and death of a high reliability healthcare organisation.

265. Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. | PSNet
     psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death
     September 20, 2011 - Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death … 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 … Settings Help Improve Management of Sepsis May 31, 2023 Eliminating preventable death

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41988/psn-pdf
     January 23, 2013 - What a new doctor learned about medical mistakes from her Mom's death. January 23, 2013 Allen M. …   https://psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death This … https://psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death

267. C1 Prioritization Worksheet (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/c1_combo_prioritizationworksheet.xlsx
     June 02, 2025 - Trauma-Vaginal Delivery With Instrument   PSI 19 Obstetric Trauma-Vaginal Delivery Without Instrument   Death … PSI 02 Death in Low-Mortality DRGs   PSI 04 Death Among Surgical Inpatients   Sentinel Events (Adults

268. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-08/spotlight_case_a_fatal_twist_in_pseudohyperkalemia_slides.pptx
     January 01, 2024 - misinterpretation of lab results led to the missed diagnosis of pseudohyperkalemia, incorrect treatment and death … Autopsy confirmed sudden cardiac arrest without myocardial infarction as the cause of death. 7 7 … Unfortunately, the patient deteriorated and suffered sudden cardiac death likely due to TdP (meaning … /HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac … death: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical

269. Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
     July 13, 2010 - Investigators found that while the proportion of maternal death and newborn death or brain damage claims … September 1, 2021 Frequency and type of situational awareness errors contributing to death

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40523/psn-pdf
     August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing https://psnet.ahrq.gov

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33652/psn-pdf
     June 01, 2007 - in an ASA Class I patient Product or Device Events Patient death or serious disability associated … the use of contaminated drugs, devices, or biologics provided by the health care facility Patient death … a device in patient care in which the device is used or functions other than as intended Patient death … labor or delivery in a low-risk pregnancy while being cared for in a health care facility Patient death … neonates Stage 3 or 4 pressure ulcers acquired after admission to a health care facility Patient death

272. The absence of a drug–disease interaction alert leads to a child's death. | PSNet
     psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
     July 08, 2015 - Magazine Article The absence of a drug–disease interaction alert leads to a child's death … Citation Text: The absence of a drug–disease interaction alert leads to a child's death. … Citation Citation Text: The absence of a drug–disease interaction alert leads to a child's death

273. Final Progress Report: Pneumonia Mortality Risk Index to Support Discussions of Care Options with Elders (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/naughton-report.pdf
     January 01, 2024 - Death in a hospital has been associated with unrelieved symptoms and unmet needs for physician communication … Transfer within 3 days of death and late transfer to hospice have been defined as markers for poor quality … Between 2000 and 2009, the use of intensive care units within 30 days prior to death increased for the … improve outcomes for them as well as their family, particularly if the adverse outcomes associated with death … older with an emergency department admission with pneumonia and hospital discharge (or in-hospital death

274. Matching Patients across Institutions without Definitive Patient Identifiers
     hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn22.jsp
     September 01, 2014 - Center for the SCIENCE of HEALTH CARE DELIVERY logo Slide 16 Proposed Algorithms: 30-Day Death … Process diagram showing 30 day death matches going through three of the four algorithms described on … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB, … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB, … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB,

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33835/psn-pdf
     June 01, 2017 - Overall, a nearly 30% increase in the risk of death if you were admitted on the weekend compared to … After looking at these 4 million admissions, we found that the odds of death was about 10% higher in … a 40% higher odds of death compared to patients who had had their operation on a Monday. … The risk of death in elective surgery is thankfully pretty low, a fraction of a percent. … You have a higher risk of death.

276. Medical device alarm safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
     December 23, 2016 - event alert  describes how ignoring alarms can have fatal outcomes and recounts an intensive care unit death … The sentinel event database includes 98 alarm-related events (80 of which resulted in death) between … Patient Safety in Acute Hospital Care Units April 26, 2023 Preventing maternal death

277. National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide. | PSNet
     psnet.ahrq.gov/issue/national-cross-sectional-cohort-study-relationship-between-quality-mental-healthcare-and
     May 04, 2022 - National cross-sectional cohort study of the relationship between quality of mental healthcare and death … National cross-sectional cohort study of the relationship between quality of mental healthcare and death … National cross-sectional cohort study of the relationship between quality of mental healthcare and death

278. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
     psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
     December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. … findings include those that require immediate action and direct communication with providers to avoid death … Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism.

279. Matching patients across institutions without definitive patient identifiers (pdf file)
     hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn22.pdf
     November 20, 2012 - MFMER | slide-16 Center for the SCIENCE of HEALTH CARE DELIVERY Proposed Algorithms: 30-Day Death … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB, … 85.6% 118 99.96% 15 Algorithm 2 DOB, gender, 9- digit zipcode Cannot be applied because MN Death … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB, … algorithm missed Specificity # falsely identified visits with a death Algorithm 1 DOB,

280. Financial and Demographic Influences on Medicare Patient Safety Events (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Bernard.pdf
     January 01, 2004 - while black patients are more likely to suffer surgery-related and nursing-related adverse events or death … , and failure to rescue (death following a surgical complication). … The rate of failure to rescue, the in-hospital death rate for those patients that suffer potentially … The probability of an in-hospital death is 24.1 percent higher among patients treated at financially … We also found that not- for-profit hospitals have a lower risk of death and failure to rescue than do